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寻找促进神经多样性社交成功的环境:自闭症和非自闭症青少年在结构化程度最低的互动环境中的行为模式。

Seeking contexts that promote neurodiverse social success: Patterns of behavior during minimally-structured interaction settings in autistic and non-autistic youth.

作者信息

McNair Morgan L, Keenan Elliot Gavin, Houck Abigail P, Lerner Matthew D

机构信息

Department of Psychology, Stony Brook University, Stony Brook, NY, USA.

Department of Human Development & Psychology, University of California, Los Angeles, CA, USA.

出版信息

Dev Psychopathol. 2023 Aug 18:1-16. doi: 10.1017/S0954579423000950.

Abstract

While peer interaction differences are considered a central feature of autism, little is known regarding the nature of these interactions via directly-observed measurement of naturalistic (i.e., minimally-structured) groups of autistic and non-autistic adolescent peers. 148 autistic and non-autistic adolescents (111 male, M = 14.22, SD = 1.90; M = 103.22, SD = 15.80) participated in a 50-minute, minimally-structured, naturalistic peer interaction paradigm with activities of varying social demands: an incidental social demand (eating in a room with peers), a physical social demand (playing a physically-interactive game), and a verbal social demand (playing a verbal game). While autistic youth exhibited fewer overall interaction behaviors than non-autistic youth, the two groups did not differ in amount of positive, negative, and low-level interaction behaviors. Within activities, autistic and non-autistic youth only differed in positive interaction behaviors during the context of a verbal social demand. Youth who displayed more positive interaction behaviors during this same activity had less autism spectrum disorder symptomatology, controlling for nested group effects and relevant covariates. These results point toward subtle differences in social demands across naturalistic settings that can either support or impede prosocial interaction for autistic youth, providing a guidepost for identifying settings that best promote social success for neurodiverse populations.

摘要

虽然同伴互动差异被认为是自闭症的一个核心特征,但通过直接观察测量自闭症和非自闭症青少年同伴组成的自然主义(即结构化程度最低)群体之间的互动性质,我们对此了解甚少。148名自闭症和非自闭症青少年(111名男性,M = 14.22,SD = 1.90;M = 103.22,SD = 15.80)参与了一个50分钟的、结构化程度最低的自然主义同伴互动范式,其中包含不同社会需求的活动:一个附带的社会需求(与同伴在一个房间里吃饭)、一个身体上的社会需求(玩一个身体互动游戏)和一个言语上的社会需求(玩一个言语游戏)。虽然自闭症青少年表现出的总体互动行为比非自闭症青少年少,但两组在积极、消极和低水平互动行为的数量上没有差异。在各项活动中,自闭症和非自闭症青少年仅在言语社会需求情境下的积极互动行为上存在差异。在同一活动中表现出更多积极互动行为的青少年,在控制嵌套群体效应和相关协变量后,其自闭症谱系障碍症状较少。这些结果表明,自然主义环境中社会需求存在细微差异,这些差异可能支持或阻碍自闭症青少年的亲社会互动,为确定最能促进神经多样性人群社会成功的环境提供了一个指导原则。

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