使用每周日历规划活动来评估自闭症谱系障碍青少年的执行功能
Leanne Tamm1, Elizabeth M Hamik2, Allison K Zoromski3
1Leanne Tamm, PhD, is Professor, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, College of Medicine, University of Cincinnati, Cincinnati, OH; leanne.tamm@cchmc.org.
概括
自闭症青少年在每周日历规划活动 (WCPA) 中遇到了困难,这是执行功能的客观衡量标准. 糟糕的WCPA表现凸显了需要针对自闭症谱系障碍的时间管理和规划技能进行有针对性的干预.
科学领域:
- 神经发育障碍 神经发育障碍
- 认知心理学 认知心理学
- 临床心理学 临床心理学
背景情况:
- 自闭症谱系障碍 (ASD) 的特点是执行功能 (EF) 的重大挑战,包括时间管理和优先级.
- 对青少年患有自闭症的客观,基于绩效的EF措施很少.
- 周日历规划活动 (WCPA) 是一个有前途的EF评估工具,在这个人群中使用有限.
研究的目的:
- 评估ASD青少年在WCPA上的表现.
- 在这个群体中,检查WCPA性能和护理人员评级的EF之间的关系.
主要方法:
- 一项观察性研究涉及39名中学青少年患有自闭症 (没有智力障碍).
- 参与者完成了基于绩效的EF任务WCPA.
- 照顾者提供了他们孩子的EF评级,并分析了WCPA分数,年龄,智商和EF评级之间的相关性.
主要成果:
- 大多数患有自闭症的青少年在WCPA考试中表现不佳,对其缺陷的洞察力有限.
- 常见的错误包括预约输入和位置准确性 (<30%) 的困难.
- WCPA的表现 (准确性和规划时间) 与智商相关,但与年龄或护理人员评估EF无关.
结论:
- 对于没有智力障碍的ASD青少年来说,WCPA证明了认知要求.
- 调查结果强调了需要基于证据的策略来改善时间管理,规划和优先级技能在这个人群中.
- WCPA可以作为一个有价值的工具来评估和规划对自闭症青少年执行功能缺陷的干预措施.
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