自闭症谱系障碍和BRIEF-P:一个审查和元分析
1Department of Health Sciences, Public University of Navarra, 31006 Pamplona, Spain.
Children (Basel, Switzerland)
|August 29, 2024
概括
患有自闭症谱系障碍 (ASD) 的儿童表现出执行功能缺陷,特别是在灵活性和抑制方面. 这些发现支持使用执行功能学前版本 (BRIEF-P) 的行为评级库存用于早期自闭症检测.
科学领域:
- 发展心理学 发展心理学
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 早期发现自闭症谱系障碍 (ASD) 对于及时干预至关重要.
- 执行功能 (EF) 对适应性行为和日常运作至关重要.
- 执行功能学前版本 (BRIEF-P) 的行为评级清单可能有助于识别自闭症早期症状.
研究的目的:
- 评估BRIEF-P在评估ASD幼儿的EF的应用和实用性.
- 确定ASD儿童的执行功能概况,包括强项和弱项.
- 探索BRIEF-P亚尺度作为ASD早期诊断标记物的潜力.
主要方法:
- 进行了一项元分析,系统地审查现有文献.
- 搜索了多个数据库,查找2012-2022年间发表的符合条件的研究.
- 包括4项研究,分析了来自161,773名年龄在2至8岁之间的自闭症患者的数据.
主要成果:
- 与典型发育的儿童相比,患有自闭症的儿童在灵活性,抑制和全球执行功能等级上表现出明显更高 (受损) 的得分.
- 灵活性和抑制的缺陷被确定为早期自闭症识别的潜在诊断标记.
- 这些发现支持了ASD幼儿执行功能缺陷的假设.
结论:
- 这项研究证实了ASD儿童在灵活性和抑制方面的执行功能缺陷,支持其在早期检测中的作用.
- 现有研究的方法限制,如异质年龄组和缺乏验证的仪器,需要进一步调查.
- 执行功能障碍对自闭症患者的自适应能力和自主性产生重大影响,这凸显了解决这些缺陷的重要性.
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