自闭症儿童的焦虑和社会沟通差异之间的纵向关联:执行功能行为的调节作用
Elise Ng-Cordell1, Hannah Pickard2, Rachael Bedford3
1The University of British Columbia, Vancouver, Canada.
Autism : the international journal of research and practice
|November 28, 2024
概括
患有行为失调的自闭症儿童的低焦虑可能预示着社会沟通差异的增加. 这凸显了青春期需要有针对性的支持.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童和青少年精神病学
- 发展心理学是发展心理学.
背景情况:
- 在自闭症儿童中经常观察到焦虑,与社会沟通和互动差异有关.
- 执行功能 (EF) 在自闭症儿童的社会情感发展中起着至关重要的作用.
- 自闭症中焦虑和社会互动之间的纵向关联需要进一步澄清.
研究的目的:
- 在自闭症儿童中纵向检查焦虑和社会沟通/互动差异之间的双向关系.
- 研究执行功能 (特别是元认知和行为调节) 作为这些关联的调节者.
- 确定特定的自闭症儿童子组,这些子组可能面临更高的社会困难风险.
主要方法:
- 对157名自闭症儿童 (年龄为9.7岁和10.7岁) 的长度研究.
- 交叉滞后的面板模型来评估焦虑预测社会沟通/互动差异,反之亦然.
- 多组分析以测试执行功能方面 (元认知,行为调节) 的调节作用.
主要成果:
- 在完整样本中,没有发现焦虑和社会沟通/互动差异之间的显著纵向关联.
- 9岁时父母报告的焦虑程度较低预测了10岁时老师报告的社会沟通/互动差异较大,但仅用于临床上升的行为失调儿童.
- 大约21-22%的儿童报告说,在两个时间点中,他们的焦虑超过了临床值.
结论:
- 低焦虑与自闭症前青少年的行为失调相结合,可能表明患有更大的社交沟通和互动差异的风险增加.
- 执行功能,特别是行为调节,可能是旨在支持自闭症儿童社会发展的干预措施的关键目标.
- 调查结果强调了在评估和支持自闭症儿童的社会情感福祉时考虑EF资料的重要性.
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