Department of Educational Sciences, University of Genoa, Corso Podestà 2, 16128, Genoa, Italy.
J Autism Dev Disord. 2022 Nov;52(11):4949-4965. doi: 10.1007/s10803-021-05353-6. Epub 2021 Nov 23.
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.
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。