孤独症谱系障碍男童注意能力及社交发展特征的初步研究

doi:10.11852/zgetbjzz2018-0744

中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (1): 7-10.DOI: 10.11852/zgetbjzz2018-0744

孤独症谱系障碍男童注意能力及社交发展特征的初步研究

刘漪, 陈静, 杨卫敏, 杜亚松

上海交通大学医学院附属精神卫生中心,上海 200030

收稿日期:2018-06-09 发布日期:2019-01-10 出版日期:2019-01-10
通讯作者: 杜亚松,E-mail:yasongdu@163.com
作者简介:刘漪(1972-),女,主任医师,硕士学位,主要研究方向为儿童青少年精神病与精神卫生。
基金资助:
国家重点研发计划-重大慢性非传染性疾病防控研究(2017YFC1309902);上海市卫生和计划生育委员会科研项目(201540283)

Preliminary study on the abilities of attention and social development of boys with autism spectrum disorder

LIU Yi, CHEN Jing, YANG Wei-min, DU Ya-song

Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China

Received:2018-06-09 Online:2019-01-10 Published:2019-01-10
Contact: DU Ya-song,E-mail:yasongdu@163.com

摘要/Abstract

摘要： 目的了解孤独症谱系障碍(ASD)男童注意能力特征,探索注意能力与社交发展的关系。方法收集2015年7月—2016年7月在上海交通大学医学院附属精神卫生中心儿少门诊就诊的ASD男童37例,采用孤独症行为量表(ABC)对男童症状进行评定,采用长处与困难问卷(SDQ)由父母对男童进行评定,运用孤独症诊断访谈量表修订版(ADI-R)中的社交发展和游戏部分,对ASD男童的自发性共同注意和社会特征进行评定。结果 ASD男童ABC量表的感觉能力、交往能力、运动能力、语言能力、自我照顾能力和症状严重度与SDQ量表的情绪问题、注意不能、同伴交往和总困难程度呈正相关(P<0.01);ADI-R社交发展和游戏部分的表情丰富程度、与同伴一起的想象性游戏、对其他儿童的兴趣、安慰他人、社会性主动提议和不恰当的面部表情得分和SDQ社会化行为因子分呈负相关(P<0.01)。结论 ASD男童在目光对视、社交性微笑、与同伴一起想像性游戏、引导别人注意等自发性共同注意能力存在缺陷,早期发现有助于ASD儿童的早期筛查、早期干预。

关键词: 注意能力, 社交发展, 孤独症谱系障碍

Abstract: Objective To explore the characteristics of attention and social development of boys with autism spectrum disordes(ASD),and to analyze the correlation between them. Methods Totally 37 boys with ASD were recruited from psychiatrist department for children and adolescents of Shanghai Mental Health Center from July 2015 to July 2016. All participants were assessed by Autism Behavior Checklist (ABC),Strengths and Difficulties Questionnaire Parents' Version (SDQ),and the social development and play part of Autism Diagnostic Interview-Revised (ADI-R). Results In ASD group,the sensory,relating,body and object use,language and social/self help subscale scores of ABC were positively correlated with SDQ emotional problems,hyperactivity/inattention,peer problems and total difficulties score (P<0.01). The scores of range of facial expression used to communicate,imitative social play,interest in children,offering comfort,quality of social overture and inappropriate facial expressions were negatively correlated with prosocial behavior subscale of SDQ (P<0.01). Conclusions ASD boys have significant defect in social and play abilities such as direct gaze,social smiling,group play with peers,showing and directing attention,seeking to share enjoyment with others. Early detection is helpful for screening and intervention.

Key words: autism spectrum disorder, attention, social development

中图分类号:

R749.94

刘漪, 陈静, 杨卫敏, 杜亚松. 孤独症谱系障碍男童注意能力及社交发展特征的初步研究[J]. 中国儿童保健杂志, 2019, 27(1): 7-10.

LIU Yi, CHEN Jing, YANG Wei-min, DU Ya-song. Preliminary study on the abilities of attention and social development of boys with autism spectrum disorder[J]. journal1, 2019, 27(1): 7-10.

参考文献

[1] 赵凌霄,范静怡. 孤独症谱系障碍儿童社会沟通与交往障碍的表现与发生机制[J].中国儿童保健杂志,2017,25(6):585-587.
[2] 张茜婷,李燕,魏华,等. 核心症状对孤独症谱系障碍儿童健康相关生命质量的影响[J].中国儿童保健杂志,2016,24(3):318-321.
[3] Freeman SF,Gulsrud A,Kasari C. Brief report: linking early joint attention and play abilities to later reports of friendships for children with ASD[J].J Autism Dev Disord,2015,45(7):2259-2266.
[4] 陈小燕,吴婕翎,李明,等. 2～3岁孤独症谱系障碍儿童与正常儿童叫名反应的比较[J].中国儿童保健杂志,2017,25(9):931-934.
[5] Mundy P,Jarrold W. Infant joint attention,neural networks and social cognition[J].Neural Netw,2010,23(8):985-997.
[6] 陈璐,张婷,李泉,等. 孤独症儿童共同注意的神经基础及早期干预[J].心理科学进展,2015,23(7):1205-1215.
[7] Krug DA,Arick J,Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior[J].J Child Psychol Psychiatry,1980,21(3): 221-229.
[8] 寇建华,夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J].上海精神医学,2005,57(1):25-28.
[9] 郭延庆,杨晓玲,刘靖,等. 孤独症诊断访谈量表(修订本)的诊断效度及信度研究[J].中华精神科杂志,2002,35(1): 42-45.
[10] Jones EA,Carr EG,Feeley KM. Multiple effects of joint attention intervention for children with autism[J].Behav Modif,2006,30(6):782-834.
[11] Sullivan M,Finelli J,Marvin A,et al. Response to joint attention in toddlers at risk for autism spectrum disorder:a prospective study[J].J Autism Dev Disord,2007,37(1):37-48.
[12] Hurwitz S,Watson LR. Joint attention revisited:Finding strengths among children with autism[J].Autism,2016,20(5):538-550.
[13] Sowden S,Koehne S,Catmur C,et al. Intact automatic imitation and typical spatial compatibility in autism spectrum disorder:challenging the broken mirror theory[J].Autism Res,2016,9(2):292-300.
[14] Wong C,Kasari C. Play and joint attention of children with autism in the preschool special education classroom[J].J Autism Dev Disord,2012,42(10):2152-2161.
[15] Vivanti G,Paj F,Hocking DR,et al. Social Attention,joint attention and sustained attention in autism spectrum disorder and williams syndrome:convergences and Divergences[J].J Autism Dev Disord,2017,47(6):1866-1877.
[16] Thomas MS,Davis R,Karmiloff-Smith A,et al. The over-pruning hypothesis of autism[J].Dev Sci,2016,19(2):284-305.
[17] Ninio A. Bids for joint attention by parent-child dyads and by dyads of young peers in interaction[J].J Child Lang,2016,43(1):135-156.
[18] Van Hecke AV,Mundy PC,Acra CF,et al. Infant joint attention,temperament,and social competence in preschool children[J].Child Dev,2007,78(1):53-69.
[19] 杜亚松. 孤独谱系障碍治疗、康复的研究进展[J].中国儿童保健杂志,2015,23(12):1233-1235.
[20] 静进. 孤独症谱系障碍儿童的康复教育现状及趋势[J].中国儿童保健杂志,2016,24(12):1233-1236.
[21] 傅毅堃,周爱琴,戴琼,等. 孤独症谱系障碍儿童综合干预年龄及持续时间对治疗效果影响的探讨[J].中国儿童保健杂志,2016,24(12):1312-1314.
[22] 陈玉美,陈卓铭,林珍萍,等. 孤独症谱系障碍儿童的共同注意力特点分析[J].临床儿科杂志,2017,35(2):102-105.
[23] Wieder S,Greenspan SI. Climbing the symbolic ladder in the DIR model through floor time/interactive play[J].Autism,2003,7(4):425-435.
[24] Hobson JA,Tarver L,Beurkens N,et al. The relation between severity of autism and caregiver-child interaction:a study in the context of relationship development intervention[J].J Abnorm Child Psychol,2016,44(4):745-755.

孤独症谱系障碍男童注意能力及社交发展特征的初步研究

Preliminary study on the abilities of attention and social development of boys with autism spectrum disorder

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	张超. 早期介入丹佛模式在不同病情程度孤独症谱系障碍儿童康复中的应用研究[J]. 中国儿童保健杂志, 2023, 31(7): 736-740.
[2]	刘安南, 姜志梅. 孤独症谱系障碍各年龄段筛查工具研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 645-649.
[3]	黎梦晗, 李廷玉. 孤独症谱系障碍儿童感觉异常的研究进展[J]. 中国儿童保健杂志, 2023, 31(6): 650-655.
[4]	刘梦姣, 郑小琴, 孟仙, 吴晓玲, 葛冬梅, 聂晶. 2~5岁孤独症谱系障碍、疑似孤独症谱系障碍及全面发育迟缓儿童的智能特征分析[J]. 中国儿童保健杂志, 2023, 31(6): 668-673.
[5]	李德欣, 陈强, 庄志成, 陈红, 杨秉娇, 姜顺香, 周翔. 孤独症谱系障碍儿童肠道菌群与症状严重程度相关性研究[J]. 中国儿童保健杂志, 2023, 31(5): 497-501.
[6]	王少雯, 张贻霞, 陈静静, 魏秀丽, 叶蓓, 方拴锋. Gesell发展诊断量表在语言相关的发育性疾病中的应用[J]. 中国儿童保健杂志, 2023, 31(4): 442-445.
[7]	柯晓燕. 孤独症谱系障碍早期识别与早期诊断的现状与挑战[J]. 中国儿童保健杂志, 2023, 31(3): 238-240.
[8]	宋超, 胡莉菲, 吴玲玲, 江忠权. 孤独症谱系障碍儿童合并智力功能缺陷的GBM预测模型构建与评价[J]. 中国儿童保健杂志, 2023, 31(3): 241-245.
[9]	李正, 肖贵元, 罗雅婷, 何春燕, 王念蓉, 赵妍. 孤独症谱系障碍儿童血清叶酸、维生素B12水平与肠道菌群的关联[J]. 中国儿童保健杂志, 2023, 31(3): 246-251.
[10]	董海鹏, 杨思渊, 李伟栋, 余婧. 团体社交训练对孤独症谱系障碍儿童康复效果的影响因素及Nomogram预测模型构建[J]. 中国儿童保健杂志, 2023, 31(3): 252-258.
[11]	赵丽华, 李晶. 孤独症谱系障碍儿童非典型人际同步表现及其神经机制[J]. 中国儿童保健杂志, 2023, 31(3): 274-278.
[12]	赵英欣, 何凡, 郑毅. 肠道微生物干预在孤独症谱系障碍中的应用展望[J]. 中国儿童保健杂志, 2023, 31(3): 279-283.
[13]	王静, 黄珊, 高雪婷. 孤独症谱系障碍儿童室内替代座椅干预研究进展[J]. 中国儿童保健杂志, 2023, 31(3): 284-288.
[14]	林欢喜, 刘潘婷, 童梅玲, 池霞, 钱君, 洪琴. 父母介导的干预在孤独症谱系障碍治疗中应用效果的Meta分析[J]. 中国儿童保健杂志, 2023, 31(3): 304-310.
[15]	易爱文, 辛晶, 白艳, 许嘉欣, 梁福鑑, 冯小键. 脑电频谱特征分析在孤独症谱系障碍儿童早期诊断及康复干预评价中的应用[J]. 中国儿童保健杂志, 2023, 31(3): 311-315.