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自闭症和威廉姆斯综合征学龄儿童认知及社会情感特质的家长报告

Parental report of cognitive and social-emotionality traits in school-age children with autism and Williams syndrome.

作者信息

Lai Philip T, Ng Rowena, Bellugi Ursula

机构信息

Joint Doctoral Program in Language and Communicative Disorders, School of Speech, Language, and Hearing Sciences, San Diego State University, San Diego, CA, USA.

Joint Doctoral Program in Language and Communicative Disorders, Center for Research in Language, University of California San Diego, La Jolla, CA, USA.

出版信息

Int J Dev Disabil. 2020 May 27;68(3):309-316. doi: 10.1080/20473869.2020.1765296. eCollection 2022.

Abstract

The majority of the research examining children with Autism Spectrum Disorder (ASD) and Williams Syndrome (WS) focus on the social domain while few have examined cognitive style and emotionality. Accordingly, this current study assessed the day-to-day cognitive and behavioral functioning of school-age children with ASD, WS, and neurotypical development (ND) through caregiver-report inventories to further delineate commonalities and disparities in cognitive and social-emotional traits. Two caregiver-report inventories, the Children's Behavior Questionnaire and the Multidimensional Personality Questionnaire were employed to assess the day-to-day functioning of children ages 7-14 years. Participants included 64 caregivers of children, of these, 25 were caregivers of children with high functioning autism (HFA), 14 with WS, and 25 with ND. Multivariate analysis of covariance was computed to assess between-group differences for each subscale within a questionnaire. Covariates included age and full-scale IQ. For cognitive traits, group differences were observed across two categories while seven were present within the social-emotional categories. The majority of the group effects reflected differences in social-emotional traits between ND and both neurodevelopmental groups, while limited distinctions were found between the two clinical groups. This brief report provides additional evidence that HFA and WS may show similarities in cognitive traits but more divergent social-emotional tendencies, despite controlling for age and intellect. This study highlights the large social-emotional differences that supports prior phenotypic descriptions of both neurodevelopmental groups. Future research in these domains are needed to determine focused interventions to address social impairment.

摘要

大多数针对自闭症谱系障碍(ASD)和威廉姆斯综合征(WS)儿童的研究都集中在社交领域,而很少有研究考察认知风格和情绪。因此,本研究通过照顾者报告量表评估了患有ASD、WS和神经典型发育(ND)的学龄儿童的日常认知和行为功能,以进一步描绘认知和社会情感特征的共性和差异。使用了两份照顾者报告量表,即儿童行为问卷和多维人格问卷,来评估7至14岁儿童的日常功能。参与者包括64名儿童的照顾者,其中25名是高功能自闭症(HFA)儿童的照顾者,14名是WS儿童的照顾者,25名是ND儿童的照顾者。计算协方差的多变量分析,以评估问卷中每个子量表的组间差异。协变量包括年龄和全量表智商。对于认知特征,在两个类别中观察到组间差异,而在社会情感类别中有七个差异。大多数组效应反映了ND与两个神经发育组之间在社会情感特征上的差异,而在两个临床组之间发现的差异有限。这份简短的报告提供了更多证据,表明尽管控制了年龄和智力,但HFA和WS在认知特征上可能表现出相似性,但在社会情感倾向方面差异更大。本研究强调了巨大的社会情感差异,这支持了对两个神经发育组先前的表型描述。需要在这些领域进行未来研究,以确定针对社会障碍的重点干预措施。

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