在自闭症谱系障碍中执行功能的纵向变化:系统性审查和元分析
Michael K Yeung1,2, Jieru Bai1, Kwai-Lai Mak1
1Department of Psychology, The Education University of Hong Kong, Hong Kong, China.
概括
自闭症儿童和青少年与神经类型的同龄人相比,表现出执行功能 (EF) 的差异. 然而,随着年龄的增长,他们的EF技能与神经典型个体的技能相似.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
背景情况:
- 自闭症谱系障碍 (ASD) 与执行功能 (EF) 障碍有关.
- 现有研究提出了关于年龄如何影响ASD个体与典型发育 (TD) 个体之间的EF的混合发现.
研究的目的:
- 系统地审查和元分析纵向研究,比较ASD和TD组中与年龄相关的EF变化.
- 为了确定EF轨迹是否在自闭症和神经类型儿童和青少年之间有所不同.
主要方法:
- 在PubMed,PsycINFO和Web of Science的系统文献搜索.
- 包括14项纵向研究与元分析 (N=518个ASD,N=3558个TD).
- 随机效应和贝叶斯对EF领域的元分析 (工作记忆,抑制,转移,计划).
主要成果:
- 与TD相比,ASD患者在基线和随访时表现出较差的EF.
- 在经过分析的领域中,EF与年龄相关的变化没有发现显著的群体差异.
- 贝叶斯分析支持ASD和TD组之间随着时间的推移类似EF变化的零假设.
结论:
- 自闭症儿童和青少年表现出与他们的神经类型同龄人相似的EF发展轨迹.
- 这些发现支持对自闭症儿童和青少年的早期EF培训和干预.
- 局限性包括纵向数据的稀缺性和对发育阶段和EF结构的狭关注.
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