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自闭症谱系障碍学龄前儿童的执行功能与自闭症症状之间的关系。

Relationship between executive function and autism symptoms in preschoolers with autism spectrum disorder.

作者信息

Ko Chun-Ling, Lin Chin-Kai, Lin Chien-Lin

机构信息

Department of Early Childhood Education, National Taichung University of Education, Taichung, Taiwan.

Department of Early Childhood Education, National Taichung University of Education, Taichung, Taiwan.

出版信息

Res Dev Disabil. 2024 Apr;147:104692. doi: 10.1016/j.ridd.2024.104692. Epub 2024 Feb 14.

Abstract

Executive dysfunction and other symptomatology could have links in preschoolers with autism spectrum disorder (ASD). This study contains three objectives: to explore the difference in executive function between preschoolers with ASD and typically developing individuals (TD), to investigate correlations between executive function and multiple domains of autism symptoms in preschoolers with ASD, and to examine the impact of executive function on symptoms of autism. Participants of this study included preschoolers (4-6 years) with ASD (24 boys, 20 girls) according to DSM-5-TR criteria and TD (24 boys, 20 girls). BRIEF-P (Behavior Rating Inventory of Executive Function-Preschool Version) and CASD-C (Checklist for Autism Spectrum Disorder-Chinese Version) were used as measurement tools. Data were analyzed using MANOVA, ANOVA, Pearson correlations, and simple regression. For the results, the study found results of executive function were significantly lower in preschoolers with ASD than in preschoolers without ASD; the greater the executive dysfunction, the greater the autistic symptomatology, and executive dysfunction predicted 57 % of the variability of autism symptoms. In conclusion, preschoolers with ASD had more executive dysfunction than those without ASD. Based on our findings, the study recommends incorporating executive function into clinical assessment programs to understand how executive function is related to autism symptoms.

摘要

执行功能障碍和其他症状可能与患有自闭症谱系障碍(ASD)的学龄前儿童有关。本研究包含三个目标:探讨患有ASD的学龄前儿童与发育正常个体(TD)之间执行功能的差异,调查患有ASD的学龄前儿童执行功能与自闭症症状多个领域之间的相关性,以及研究执行功能对自闭症症状的影响。本研究的参与者包括根据《精神疾病诊断与统计手册》第5版修订版(DSM-5-TR)标准确定的患有ASD的学龄前儿童(4至6岁,24名男孩,20名女孩)和发育正常的学龄前儿童(24名男孩,20名女孩)。使用执行功能行为评定量表-学龄前版(BRIEF-P)和自闭症谱系障碍检查表-中文版(CASD-C)作为测量工具。数据采用多变量方差分析(MANOVA)、方差分析(ANOVA)、皮尔逊相关性分析和简单回归进行分析。研究结果显示,患有ASD的学龄前儿童的执行功能结果显著低于未患ASD的学龄前儿童;执行功能障碍越严重,自闭症症状越严重,执行功能障碍可预测57%的自闭症症状变异性。总之,患有ASD的学龄前儿童比未患ASD的学龄前儿童有更多的执行功能障碍。基于我们的研究结果,本研究建议将执行功能纳入临床评估项目,以了解执行功能与自闭症症状之间的关系。

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