Department of Psychiatry, Chung-Ang University Hospital, Seoul, Korea.
Department of Music Therapy, Ewha Womans University, Seoul, Korea.
J Korean Med Sci. 2023 Jul 24;38(29):e228. doi: 10.3346/jkms.2023.38.e228.
Music is regarded as a beneficial tool for assessing the clinical symptoms and communication skills in individuals with autism spectrum disorder (ASD) or autism. The present study developed a music-based attention test (MAT) for individuals with autism using music parameters and the algorithm of the comprehensive attention test (CAT).
We recruited 51 autistic individuals and 50 neurotypical individuals to participate in the CAT, MAT, and social intelligence tests. The reliability and validity of the MAT were assessed using exploratory factor analysis, concurrent validity, and criterion-related validity.
The MAT had sound internal consistency (high Cronbach's α = 0.948). In addition, the MAT had suitable concurrent validity in the correlation between CAT and MAT, as well as good criterion validity when attention was measured using the MAT and was compared between autistic individuals and neurotypical individuals. Attention evaluated using the MAT was associated with the social quotient in individuals with autism.
The MAT could be a relevant tool for gauging attention in individuals with ASD. Furthermore, attention determined using the MAT may be correlated with social quotient in autistic individuals. Future studies should consider that using music in the field of attention could improve the social quotient of individuals with autism.
音乐被视为评估自闭症谱系障碍（ASD）或自闭症患者临床症状和沟通技巧的有益工具。本研究使用音乐参数和综合注意力测试（CAT）的算法为自闭症患者开发了一种基于音乐的注意力测试（MAT）。
我们招募了 51 名自闭症患者和 50 名神经典型个体参与 CAT、MAT 和社会智能测试。使用探索性因素分析、同时效度和效标关联效度评估 MAT 的信度和效度。
MAT 具有良好的内部一致性（高 Cronbach's α = 0.948）。此外，MAT 在 CAT 和 MAT 之间的相关性方面具有适当的同时效度，并且在使用 MAT 测量注意力并在自闭症患者和神经典型个体之间进行比较时具有良好的效标效度。使用 MAT 评估的注意力与自闭症个体的社会商数相关。
MAT 可能是评估 ASD 患者注意力的相关工具。此外，使用 MAT 确定的注意力可能与自闭症个体的社会商数相关。未来的研究应考虑在注意力领域使用音乐可以提高自闭症患者的社会商数。
