理解神经多样性青少年的社会行为：社会认知与自我调节的作用。
Understanding social behaviours across neurodiverse young people: roles of social cognition and self-regulation.
作者信息
Iturmendi-Sabater Iciar, Anagnostou Evdokia, Fournier Marc A, Crosbie Jennifer, Schachar Russell, Nicolson Robert, Georgiadis Stelios, Kelley Elizabeth, Jones Jessica, Brian Jessica, Lin Hsiang-Yuan, Lai Meng-Chuan
机构信息
Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Canada; and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Canada; Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada; and Department of Paediatrics, Temerty Faculty of Medicine, University of Toronto, Canada.
出版信息
BJPsych Open. 2025 Jan 24;11(1):e22. doi: 10.1192/bjo.2024.831.
BACKGROUND
Differences in social behaviours are common in young people with neurodevelopmental conditions (NDCs). Recent research challenges the long-standing hypothesis that difficulties in social cognition explain social behaviour differences.
AIMS
We examined how difficulties regulating one's behaviour, emotions and thoughts to adapt to environmental demands (i.e. dysregulation), alongside social cognition, explain social behaviours across neurodiverse young people.
METHOD
We analysed cross-sectional behavioural and cognitive data of 646 6- to 18-year-old typically developing young people and those with NDCs from the Province of Ontario Neurodevelopmental Network. Social behaviours and dysregulation were measured by the caregiver-reported Adaptive Behavior Assessment System Social domain and Child Behavior Checklist Dysregulation Profile, respectively. Social cognition was assessed by the Neuropsychological Assessment Affect-Recognition and Theory-of-Mind, Reading the Mind in the Eyes Test, and Sandbox continuous false-belief task scores. We split the sample into training ( = 324) and test ( = 322) sets. We investigated how social cognition and dysregulation explained social behaviours through principal component regression and hierarchical regression in the training set. We tested social cognition-by-dysregulation interactions, and whether dysregulation mediated the social cognition-social behaviours association. We assessed model fits in the test set.
RESULTS
Two social cognition components adequately explained social behaviours (13.88%). Lower dysregulation further explained better social behaviours ( = -0.163, 95% CI -0.191 to -0.134). Social cognition-by-dysregulation interaction was non-significant ( = -0.001, 95% CI -0.023 to 0.021). Dysregulation partially mediated the social cognition-social behaviours association (total effect: 0.544, 95% CI 0.370-0.695). Findings were replicated in the test set.
CONCLUSIONS
Self-regulation, beyond social cognition, substantially explains social behaviours across neurodiverse young people.
背景
社交行为差异在患有神经发育障碍（NDCs）的年轻人中很常见。最近的研究对长期以来认为社会认知困难可解释社交行为差异的假设提出了挑战。
目的
我们研究了在适应环境需求时调节自身行为、情绪和思维的困难（即失调）以及社会认知如何解释不同神经类型的年轻人的社交行为。
方法
我们分析了安大略省神经发育网络中646名6至18岁发育正常的年轻人和患有神经发育障碍的年轻人的横断面行为和认知数据。社交行为和失调分别通过照顾者报告的适应性行为评估系统社交领域量表和儿童行为清单失调概况量表进行测量。社会认知通过神经心理评估中的情感识别和心理理论、读心术测试以及沙盒连续错误信念任务得分进行评估。我们将样本分为训练集（n = 324）和测试集（n = 322）。我们在训练集中通过主成分回归和层次回归研究了社会认知和失调如何解释社交行为。我们测试了社会认知与失调的交互作用，以及失调是否介导了社会认知与社交行为的关联。我们在测试集中评估了模型拟合度。
结果
两个社会认知成分充分解释了社交行为（13.88%）。较低的失调进一步解释了更好的社交行为（β = -0.163，95%置信区间 -0.191至 -0.134）。社会认知与失调的交互作用不显著（β = -0.001，95%置信区间 -0.023至0.021）。失调部分介导了社会认知与社交行为的关联（总效应：0.544，95%置信区间0.370 - 0.695）。研究结果在测试集中得到了重复验证。
结论
除了社会认知之外，自我调节在很大程度上解释了不同神经类型的年轻人的社交行为。
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