非自闭症幼儿的重复性运动行为
Monique Moore Hill1, Devon Gangi1, Shy Maqbool1
1Department of Psychiatry & Behavioral Sciences, MIND Institute, University of California-Davis, Sacramento, CA.
The Journal of pediatrics
|January 19, 2026
概括
反复运动行为 (RMBs) 在非自闭症幼儿中很常见,在36%的儿童中出现. 这些行为在那些有其他发育问题的人中更为频繁,但并不意味着自闭症.
科学领域:
- 发展心理学是发展心理学.
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
背景情况:
- 重复的运动行为 (RMB) 是自闭症谱系障碍 (ASD) 的诊断标准.
- 了解非自闭症幼儿的RMB对于准确的诊断和干预至关重要.
- 以前的研究主要集中在被诊断为自闭症的人群中的RMB.
研究的目的:
- 评估RMB在非自闭症幼儿社区样本中的患病率和特征.
- 为了比较非自闭症幼儿的RMB,有或没有其他发育问题.
- 在没有自闭症的幼儿中探索RMB的临床相关性.
主要方法:
- 一项队列研究,涉及679名幼儿 (24岁和36个月) 来自社区样本.
- 使用直接观察方法来评估重复的运动行为 (RMBs).
- 参与者被分为自闭症 (n=65),其他发展问题非自闭症 (ODC,n=104) 和没有发展问题非自闭症 (NDC,n=510) 组.
主要成果:
- 36%的非自闭症儿童在24个月和/或36个月时表现出RMB.
- 人民币在ODC组 (55%) 的使用率明显高于NDC组 (33%).
- 患有RMB的非自闭症幼儿表现出较低的沟通得分和较高的自闭症相关症状得分,尽管效果大小小.
结论:
- 在没有自闭症的幼儿中,重复性运动行为并不罕见.
- 虽然在那些有其他发育挑战的人群中更频繁,但RMB也可能发生在典型的发育儿童中.
- 只有人民币,没有核心的社会沟通缺陷,不应该被认为是自闭症的明确证据.
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