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自闭症谱系障碍中的抑制控制:间接和直接测量的荟萃分析。

Inhibitory Control in Autism Spectrum Disorders: Meta-analyses on Indirect and Direct Measures.

机构信息

Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy.

出版信息

J Autism Dev Disord. 2022 Nov;52(11):4949-4965. doi: 10.1007/s10803-021-05353-6. Epub 2021 Nov 23.

Abstract

This manuscript aimed to advance our understanding of inhibitory control (IC) in autism spectrum disorders (ASD), adopting a meta-analytic multilevel approach. The first meta-analysis, on 164 studies adopting direct measures, indicated a significant small-to-medium (g = 0.484) deficit in the group with ASD (n = 5140) compared with controls (n = 6075). Similar effect sizes between response inhibition and interference control were found, but they were differentially affected by intellectual functioning and age. The second meta-analysis, on 24 studies using indirect measures, revealed a large deficit (g = 1.334) in the group with ASD (n = 985) compared with controls (n = 1300). Presentation format, intellectual functioning, and age were significant moderators. The effect of comorbidity with ADHD was not statistically significant. Implications are discussed for IC research and practice in autism.

摘要

本文旨在采用元分析多层次方法,深入了解自闭症谱系障碍(ASD)中的抑制控制(IC)。第一项元分析共纳入了 164 项采用直接测量方法的研究,结果表明,与对照组(n=6075)相比,ASD 组(n=5140)的抑制控制存在显著的小到中等程度(g=0.484)缺陷。研究还发现,反应抑制和干扰控制之间的效应大小相似,但它们受到智力功能和年龄的不同影响。第二项元分析共纳入了 24 项采用间接测量方法的研究,结果表明,与对照组(n=1300)相比,ASD 组(n=985)的间接抑制控制存在较大缺陷(g=1.334)。呈现方式、智力功能和年龄是显著的调节因素。ADHD 共病的影响在统计学上不显著。本文对自闭症的 IC 研究和实践具有重要意义。

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