在高危婴儿中使用家长对社会互动的观察 (POSI) 进行自闭症查
Lydia Vielmetti1, Aarabhi Rajagopal2, Robin Manus3
1Department of Pediatrics, Division of Neonatology, Lurie Children's Hospital, 225 East Chicago Avenue, Chicago, IL, 60611, USA. lvielmetti@luriechildrens.org.
Journal of autism and developmental disorders
|March 12, 2026
概括
父母对社会互动的观察 (POSI) 有效地选高风险婴儿的自闭症谱系障碍 (ASD),与发育迟缓相关. 需要进一步的研究来增强其用于早期ASD检测的特异性.
科学领域:
- 儿科神经学 儿科神经学
- 发育儿科 发育儿科
- 自闭症谱系障碍研究研究
背景情况:
- 父母对社会互动的观察 (POSI) 是一种自闭症谱系障碍 (ASD) 的查工具.
- 关于其在患有潜在发育迟缓的高风险婴儿中有用性的数据有限.
- 评估POSI在这个群体中的有效性对于早期识别至关重要.
研究的目的:
- 评估家长对社会互动的观察 (POSI) 作为自闭症谱系障碍 (ASD) 的查工具.
- 评估POSI与高风险婴儿的发育迟缓和以后的ASD诊断的关联.
- 测试一个假设,即积极的POSI得分预测发育障碍和ASD.
主要方法:
- 一项回顾性队列研究分析了使用POSI和贝利婴幼儿发育尺度 (BSITD) 的幼儿 (2016-2019年出生) .
- 评估发生在18-33个月的校正年龄之间.
- 在阳性和阴性POSI查之间比较结果 (发育迟缓,脑,自闭症诊断).
主要成果:
- 36.4%的婴儿有积极的POSI评分;8.6%的婴儿后来被诊断出患有ASD.
- 积极的POSI分数与较高的发育迟缓和脑率有关.
- 该POSI显示了76%的灵敏度和66.7%的特异性,用于检测后来的ASD诊断.
结论:
- 当与其他发育评估一起使用时,POSI是高风险婴儿中ASD的可行查方法.
- 低特异性需要进一步的研究,以提高该群体早期ASD查的准确性.
- 建议进行长期后续研究,以完善查方案.
相关概念视频
Autism Spectrum Disorder
1.5K
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
1.5K
Relationship with Parents: Attachment
312
Parent-child interactions lay the foundation for how we understand relationships throughout life. These interactions are not uniform across families; instead, they are shaped by a range of environmental, emotional, and behavioral factors unique to each caregiver-child dynamic. Social psychologists study these early relationships to understand how patterns formed in infancy influence social functioning and interpersonal behavior in adulthood.Attachment Theory and Early Relational ModelsJohn...
312
Modeling in Therapy
652
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
652
Socioemotional Development during Infancy
1.1K
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
1.1K
Piaget's Stage 1 of Cognitive Development
2.2K
The sensorimotor stage, the initial phase of Jean Piaget's theory of cognitive development, spans the first two years of a child's life. During this period, infants actively engage with their surroundings, building cognitive awareness through direct interaction with the world. This interaction is primarily based on sensory perception and motor actions, allowing infants to gradually understand basic physical properties and predict how objects interact within their environment.
Exploration...
Exploration...
2.2K
Naturalistic Observations
17.9K
If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
17.9K


