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认知能力和执行功能作为自闭症谱系障碍学龄前儿童及正常发育儿童适应性行为的预测指标:一项比较研究

Cognitive Abilities and Executive Functions as Predictors of Adaptive Behavior in Preschoolers with Autism Spectrum Disorder and Typically Developing Children: A Comparative Study.

作者信息

Rašková Barbara, Hapčová Margaréta, Celušáková Hana, Franková Daniela, Kopčíková Mária, Demkaninová Diana, Januška Jakub, Babinská Katarína

机构信息

Institute of Physiology, Faculty of Medicine, Comenius University in Bratislava, Bratislava, 811 08, Sasinkova 2, Slovak Republic.

Department of Psychology, Faculty of Arts, Comenius University in Bratislava, Bratislava, Slovak Republic.

出版信息

Res Child Adolesc Psychopathol. 2025 Jun 18. doi: 10.1007/s10802-025-01341-x.

Abstract

Children with Autism Spectrum Disorder (ASD) differ in adaptive functioning, executive functioning, and the distribution of intellectual abilities compared to their typically developing (TD) peers. Research consistently demonstrates a link between executive functions and various aspects of adaptive behavior. This study aims to compare cognitive abilities, executive functions, and adaptive behavior in non- or minimally verbal preschool-aged (3-6 years) children with ASD (n = 53) and TD peers (n = 79). The study examines broad cognitive abilities and executive functions as predictors of adaptive behavior. For this purpose, the Vineland Adaptive Behavior Scales, Third Edition, the Behavior Rating Inventory of Executive Functioning-Preschool Version, and the SON-R 2½-7 intelligence test were utilized. The results indicate that non- or minimally verbal preschoolers with ASD exhibit significant executive difficulties, particularly in working memory, and show marked differences in cognitive abilities compared to TD controls. Significant group differences were observed across all adaptive behavior domains, with the largest effect on Socialization and the smallest on Daily Living Skills. In the ASD group, executive functions and cognitive domains accounted for a substantial portion of the variance in the Communication domain, with slightly less influence observed in Daily Living Skills and Socialization. In contrast, the significant role of cognitive abilities and executive difficulties as predictors of adaptive behavior in everyday functioning was not confirmed for TD children. These findings highlight the critical role of executive functioning as a predictor of adaptive behavior in preschool children with ASD.

摘要

与发育正常(TD)的同龄人相比,自闭症谱系障碍(ASD)儿童在适应功能、执行功能和智力能力分布方面存在差异。研究一致表明执行功能与适应性行为的各个方面之间存在联系。本研究旨在比较非言语或极少言语的学龄前(3至6岁)ASD儿童(n = 53)和TD同龄人(n = 79)的认知能力、执行功能和适应性行为。该研究考察广泛的认知能力和执行功能作为适应性行为的预测因素。为此,使用了《文兰适应行为量表》第三版、《执行功能行为评定量表 - 学龄前版》和《SON-R 2½ - 7智力测验》。结果表明,非言语或极少言语的ASD学龄前儿童存在显著的执行困难,尤其是在工作记忆方面,并且与TD对照组相比,在认知能力上表现出明显差异。在所有适应性行为领域均观察到显著的组间差异,对社交化的影响最大,对日常生活技能的影响最小。在ASD组中,执行功能和认知领域在沟通领域的方差中占很大比例,在日常生活技能和社交化方面的影响略小。相比之下,对于TD儿童,认知能力和执行困难作为日常功能中适应性行为预测因素的显著作用未得到证实。这些发现凸显了执行功能作为ASD学龄前儿童适应性行为预测因素的关键作用。

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