Szatmari P, Jones M B, Tuff L, Bartolucci G, Fisman S, Mahoney W
Department of Psychiatry, McMaster University, Hamilton, Ontario, Canada.
J Am Acad Child Adolesc Psychiatry. 1993 Nov;32(6):1264-73. doi: 10.1097/00004583-199311000-00022.
The objective of this study was to test the hypothesis that mild cognitive impairments aggregate in the unaffected first-degree relatives of probands with autism or pervasive developmental disorders (PDD).
The unaffected siblings and parents of 52 PDD probands and 33 Down syndrome and low birth weight controls were administered a battery of psychometric tests. The tests included measures previously found to be depressed in siblings of autistic children as well as cognitive deficits seen in PDD subjects of normal IQ. In addition, the Vineland Adaptive Behavior Scales were administered to siblings to measure the social-communication impairments found in PDD.
Neither the siblings nor parents of the PDD probands demonstrated lower cognitive or adaptive behavior scores compared with controls. Developmental histories did not reveal greater rates of social, cognitive, or language delays, nor was there evidence to suggest that relatives of subgroups of PDD probands were different from each other.
These findings indicate that, apart from relatives with PDD, cognitive and social impairments do not aggregate in the families of PDD probands.
本研究的目的是检验以下假设:在患有自闭症或广泛性发育障碍(PDD)的先证者的未受影响的一级亲属中,轻度认知障碍会聚集出现。
对52名PDD先证者以及33名唐氏综合征和低出生体重对照者的未受影响的兄弟姐妹及父母进行了一系列心理测量测试。这些测试包括先前发现自闭症儿童兄弟姐妹中表现较低的测量指标,以及智商正常的PDD受试者中出现的认知缺陷。此外,还对兄弟姐妹进行了文兰适应性行为量表测试,以测量PDD中发现的社会沟通障碍。
与对照组相比,PDD先证者的兄弟姐妹和父母均未表现出较低的认知或适应性行为得分。发育史未显示出更高的社会、认知或语言发育迟缓率,也没有证据表明PDD先证者亚组的亲属之间存在差异。
这些发现表明,除了患有PDD的亲属外,认知和社会障碍不会在PDD先证者的家庭中聚集出现。