Autism Research Group, CIUSSS-NIM, Hôpital en santé mentale Rivière-des-Prairies, Montreal, Canada.
Department of psychology, Université du Québec à Montréal, Canada.
Autism. 2023 Nov;27(8):2446-2464. doi: 10.1177/13623613231166189. Epub 2023 Apr 27.
At the time of diagnosis, parents of autistic children frequently wonder what the future holds for their children in terms of intellectual development. It remains however difficult to answer this question at such a young age. Indeed, while early precursors of intelligence are well known for children following a typical development, these precursors remain to be identified for autistic children. Some theoretical models of intelligence suggest that perceptual abilities or behaviors, as seen early in autistic cognitive development, could be early indicators of intelligence. However, research examining the relation between early perceptual predictors and autistic intelligence over time is needed. This article is the first to consider a variety of early perceptual abilities and behaviors as precursors/predictors of intelligence at school age in autistic children. We showed that better performance in perceptual tasks at preschool age predicted better intellectual abilities measured later in autistic children. Importantly, our sample of autistic children represented the whole spectrum, including children with few to no spoken words, who are an important proportion of autistic preschoolers. While early perceptual abilities and behaviors may not substitute for a formal intellectual assessment, our results support that these indices may help estimate later intellectual level in autistic children. Perceptual abilities have the advantage to be easy to observe at preschool age and seem to fit the cognitive style of autistic children. Assessment methods could probably gain from including and focusing more on the perceptual strengths of autistic children.
在诊断时,自闭症儿童的父母常常想知道他们的孩子在智力发展方面的未来会如何。然而,在这么小的年龄回答这个问题是很困难的。事实上,虽然对于遵循典型发展的儿童来说,智力的早期前兆是众所周知的,但这些前兆对于自闭症儿童来说仍然有待确定。一些智力理论模型表明,自闭症认知发展早期出现的感知能力或行为可能是智力的早期指标。然而,需要研究检查随着时间的推移,早期的感知预测因素与自闭症智力之间的关系。本文首次考虑了自闭症儿童在学前阶段的各种早期感知能力和行为作为智力的前兆/预测因素。我们发现,在学龄前阶段,在感知任务中的表现越好,自闭症儿童后来的智力能力测量结果就越好。重要的是,我们的自闭症儿童样本代表了整个谱系,包括几乎没有或没有口语的儿童,他们是自闭症学龄前儿童的一个重要比例。虽然早期的感知能力和行为可能不能替代正式的智力评估,但我们的结果支持这些指标可能有助于估计自闭症儿童的后期智力水平。感知能力具有易于在学前阶段观察的优势,并且似乎符合自闭症儿童的认知风格。评估方法可能受益于更多地包括和关注自闭症儿童的感知优势。