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自闭症儿童和青少年的会话适应:不同情境下的健谈程度差异。

Conversational adaptation in children and teens with autism: Differences in talkativeness across contexts.

机构信息

Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Department of Psychology, La Salle University, Philadelphia, Pennsylvania, USA.

出版信息

Autism Res. 2022 Jun;15(6):1090-1108. doi: 10.1002/aur.2693. Epub 2022 Feb 24.

Abstract

Successful social communication is complex; it relies on effectively deploying and continuously revising one's behavior to fit the needs of a given conversation, partner, and context. For example, a skilled conversationalist may instinctively become less talkative with a quiet partner and more talkative with a chattier one. Prior research suggests that behavioral flexibility across social contexts can be a particular challenge for individuals with autism spectrum condition (ASC), and that difficulty adapting to the changing needs of a conversation contributes to communicative breakdowns and poor social outcomes. In this study, we examine whether reduced conversational adaptation, as measured by talkativeness, differentiates 48 verbally fluent children and teens with ASC from 50 neurotypical (NT) peers matched on age, intelligence quotient, and sex ratio. Participants completed the Contextual Assessment of Social Skills with two novel conversation partners. The first acted interested in the conversation and talked more (Interested condition), while the second acted bored and talked less (Bored condition). Results revealed that NT participants emulated their conversation partner's behavior by being more talkative in the Interested condition as compared to the Bored condition (z = 9.92, p < 0.001). In contrast, the ASC group did not differentially adapt their behavior to the Bored versus Interested context, instead remaining consistently talkative in both (p = 0.88). The results of this study have implications for understanding social communication and behavioral adaptation in ASC, and may be valuable for clinicians interested in improving conversational competence in verbally fluent individuals with autism. LAY SUMMARY: Social communication-including everyday conversations-can be challenging for individuals on the autism spectrum. In successful conversations, people tend to adjust aspects of their language to be more similar to their partners'. In this study, we found that children and teens with autism did not change their own talkativeness in response to a social partner who was more or less talkative, whereas neurotypical peers did. These findings have clinical implications for improving conversational competence in verbally fluent individuals with autism.

摘要

成功的社交沟通是复杂的;它依赖于有效地部署和不断修改一个人的行为,以适应特定对话、伙伴和情境的需求。例如,一位熟练的会话者可能会本能地与安静的伙伴交谈较少,与更健谈的伙伴交谈较多。先前的研究表明,在社交情境中行为的灵活性可能是自闭症谱系障碍(ASC)个体的一个特殊挑战,并且难以适应对话不断变化的需求会导致沟通中断和不良的社交结果。在这项研究中,我们研究了是否可以通过会话的活跃度来衡量,来区分 48 名言语流利的 ASC 儿童和青少年与 50 名在年龄、智商和性别比例上相匹配的神经典型(NT)同龄人之间的差异。参与者与两个新的对话伙伴一起完成了社交技能的情境评估。第一个伙伴表现出对对话的兴趣并交谈更多(感兴趣的条件),而第二个伙伴表现出无聊并交谈较少(无聊条件)。结果表明,与无聊条件相比,NT 参与者在感兴趣的条件下通过更健谈来模仿他们的对话伙伴的行为(z=9.92,p<0.001)。相比之下,ASC 组并没有根据无聊和感兴趣的情境来区分地调整他们的行为,而是在两种情况下都保持一致的健谈(p=0.88)。这项研究的结果对理解 ASC 中的社交沟通和行为适应具有启示意义,并且对于有兴趣提高自闭症言语流利者的会话能力的临床医生可能具有价值。

非专业人士的简化译文

社交沟通——包括日常对话——可能对自闭症谱系障碍患者来说具有挑战性。在成功的对话中,人们往往会调整自己语言的某些方面,使其更接近他们的伙伴。在这项研究中,我们发现自闭症儿童和青少年不会根据社交伙伴的健谈程度来改变自己的健谈程度,而神经典型的同龄人则会这样做。这些发现对提高自闭症言语流利者的会话能力具有临床意义。

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