Burton Jenny M, Creaghead Nancy A, Duncan Amie, Silbert Noah, Breit Allison D, Grether Sandra M
Communication Sciences and Disorders, University of Cincinnati, 3225 Eden Ave, Cincinnati, OH, 45229, USA.
Division of Developmental and Behavioral Pediatrics, Kelly O'Leary Center for Autism Spectrum Disorder, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, OH, Cincinnati, USA.
J Autism Dev Disord. 2025 Sep 15. doi: 10.1007/s10803-025-07035-z.
Social communication, repetitive behaviors and interests, and adaptive behavior in girls with autism spectrum disorder (ASD) without intellectual disability were compared to a group of typically developing (TD) girls. Thirty seven girls 7;5-15;2 were included: 18 ASD and 19 TD. Groups were matched on age and IQ. Social Communication Questionnaire (SCQ), Autism Diagnostic Observation Schedule (ADOS-2), and Vineland Adaptive Behavior Scales (VABS-2) were administered. Item level scores within the subdomains of reciprocal social interaction, communication, and repetitive behaviors and interests were examined on the SCQ and ADOS-2. With unadjusted p, significant differences between groups were observed on 21 of 36 items on the SCQ. With adjusted p, significant differences between groups were observed on 17 of the 36 total items. With unadjusted p, significant differences between groups were observed on 20 of 32 total items on the ADOS-2. With adjusted p, significant differences between groups were observed on 16 of the 32 total items. Within the ASD group significant negative correlation was observed between ADOS-2 repetitive behaviors and interests and SCQ communication. The ASD group demonstrated borderline to moderately low VABS-2 scores. Girls with ASD may demonstrate relative strengths in social communication on diagnostic measures. Differences in the expression of repetitive behaviors and interests between girls with ASD and girls with TD may not be observed during structured observation but may be reported by parents. Girls with ASD demonstrate weaker socialization skills relative to other adaptive behaviors and indicate a priority for treatment.
将一组无智力障碍的自闭症谱系障碍（ASD）女孩的社交沟通、重复行为及兴趣和适应性行为与一组发育正常（TD）的女孩进行了比较。研究纳入了37名年龄在7岁5个月至15岁2个月的女孩：18名患有ASD，19名发育正常。两组在年龄和智商上进行了匹配。使用了社交沟通问卷（SCQ）、自闭症诊断观察量表（ADOS - 2）和文兰适应性行为量表（VABS - 2）。对SCQ和ADOS - 2中相互社交互动、沟通以及重复行为和兴趣等子领域内的项目水平得分进行了检查。在未调整p值的情况下，SCQ的36个项目中有21个项目在两组之间观察到显著差异。调整p值后，36个项目中有17个项目在两组之间观察到显著差异。在未调整p值的情况下，ADOS - 2的32个项目中有20个项目在两组之间观察到显著差异。调整p值后，32个项目中有16个项目在两组之间观察到显著差异。在ASD组中，观察到ADOS - 2重复行为及兴趣与SCQ沟通之间存在显著负相关。ASD组的VABS - 2得分处于临界到中度偏低水平。患有ASD的女孩在诊断测量中可能在社交沟通方面表现出相对优势。在结构化观察期间，可能未观察到患有ASD的女孩与发育正常的女孩在重复行为及兴趣表达上的差异，但家长可能会报告这些差异。与其他适应性行为相比，患有ASD的女孩社交技能较弱，这表明治疗具有优先性。
