自闭症和ADHD症状和认知功能对自闭症儿童执行功能的影响
Kandice J Benallie1, Maryellen Brunson McClain2, Sarah E Schwartz3
1Wasatch Pediatric Neuropsychology, Salt Lake, UT, USA.
概括
患有自闭症和ADHD症状的儿童经历了更多的执行功能 (EF) 挑战,特别是在情绪调节方面. 过度活动和社交沟通困难显著预测了自闭症儿童的EF困难.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童心理学 儿童心理学
- 认知科学 认知科学
背景情况:
- 患有ADHD,自闭症和/或IDD的儿童经常表现出执行功能 (EF) 的挑战.
- 目前关于ADHD和IDD同时发生对自闭症儿童EF的影响的研究是有限的和不一致的.
- 症状严重程度的变化和未诊断的疾病有助于研究不一致性.
研究的目的:
- 研究自闭症症状学,ADHD症状学和认知功能如何预测自闭症儿童的EF.
- 在儿科样本中澄清ADHD,自闭症和EF之间的关系.
- 确定影响自闭症儿童EF的特定症状领域.
主要方法:
- 通过多层次建模,分析了来自65名自闭症儿童 (6-17岁) 和他们的护理人员的数据.
- 研究了ADHD症状严重程度,自闭症症状严重程度和EF上的认知功能的预测关系.
- 评估了各种EF领域,包括情绪调节.
主要成果:
- 过度活跃 (ADHD症状学) 和社交沟通困难 (自闭症症状学) 与EF功能显著相关.
- 增加ADHD和自闭症症状的严重程度与更大的EF困难有正相关.
- 情绪调节被确定为最受负面影响的EF领域,即使在控制过度活跃和社交沟通技巧之后.
结论:
- ADHD和自闭症症状严重程度与自闭症儿童的执行功能缺陷有关.
- 过度活跃和社会沟通挑战是EF困难的关键预测因素.
- 在这个人群中,情绪调节是一个特别脆弱的EF技能.
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