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自闭症谱系障碍和注意力缺陷多动障碍儿童及青少年的执行功能与社会反应能力

Executive Functions and Social Responsiveness in Children and Adolescents With Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder.

作者信息

Ayyildiz Didem, Bikmazer Alperen, Cahid Örengül Abdurrahman, Perdahlı Fiş Neşe

机构信息

Department of Child and Adolescent Psychiatry, Bursa Dörtçelik Child Hospital, Bursa, Turkey.

Department of Child and Adolescent Psychiatry, İstanbul Medeniyet University School of Medicine, İstanbul, Turkey.

出版信息

Psychiatry Clin Psychopharmacol. 2021 Jun 1;31(2):165-172. doi: 10.5152/pcp.2021.20167. eCollection 2021 Jun.

Abstract

OBJECTIVE

To evaluate the executive functions and social reciprocity of children and adolescents diagnosed with autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) and compared them with healthy controls.

MATERIAL AND METHOD

Patients aged 6-17 years diagnosed with ASD ( = 33) and ADHD ( = 37) and healthy controls in the same age range ( = 33) were included in the study. Behavioral Rating Inventory of Executive Functions (BRIEF) sub-scales and Social Responsiveness Scale (SRS) were used for evaluating executive function areas and social responsiveness.

RESULTS

Our results revealed that children and adolescents with ASD and ADHD were significantly impaired for all BRIEF sub-scales except emotional control and that the significant increase in sub-scale scores expressing deterioration continued after adjustment for SES, verbal IQ scores, and gender. ASD patients received significantly higher SRS scores compared to ADHD and control groups and ADHD patients also had significantly higher values compared to the controls.

CONCLUSION

Further studies with parent-report scales that allow easier and faster evaluation of executive functions and social reciprocity will contribute to better understanding of the personal needs of children with neurodevelopmental disorders and the finding of new treatments.

摘要

目的

评估被诊断为自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)的儿童及青少年的执行功能和社交互动能力,并与健康对照组进行比较。

材料与方法

本研究纳入了年龄在6至17岁之间、被诊断为ASD(n = 33)和ADHD(n = 37)的患者以及相同年龄范围的健康对照组(n = 33)。使用执行功能行为评定量表(BRIEF)子量表和社会反应量表(SRS)来评估执行功能领域和社会反应能力。

结果

我们的结果显示,患有ASD和ADHD的儿童及青少年在除情绪控制外的所有BRIEF子量表上均有显著受损,并且在对社会经济地位(SES)、言语智商分数和性别进行调整后,表明功能恶化的子量表分数仍显著增加。与ADHD组和对照组相比,ASD患者获得的SRS分数显著更高,并且与对照组相比,ADHD患者的分数也显著更高。

结论

使用家长报告量表进行进一步研究,以便更轻松、快速地评估执行功能和社交互动能力,将有助于更好地理解神经发育障碍儿童的个人需求,并有助于找到新的治疗方法。

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