不同引导行为下中重度孤独症谱系障碍幼儿回应共同注意的特征OA北大核心CSTPCD
Characteristics of response to joint attention under diverse guiding behaviors in preschoolers with moderate to se-vere autism spectrum disorder
目的 探究不同引导行为下中重度孤独症谱系障碍(ASD)幼儿回应共同注意的特征. 方法 2023年3月到5月,从嘉兴市阳光康教园选取21例中重度ASD幼儿、16例与其同龄的发育迟缓幼儿,从附近幼儿园选择16例与其同龄的典型发育幼儿,进行回应共同注意试验,观察回应人数、回应率、回应所需引导行为的变异系数. 结果 ASD幼儿中,约半数能在转头引导下回应,其余需在提示度更高的引导行为下回应;转头引导下,ASD组回应率低于典型发育组(χ2>6.170,P<0.05);ASD组引导行为的变异系数大于典型发育组(d=4.039,P<0.001). 结论 中重度ASD幼儿具备回应共同注意的基本能力,但弱于典型发育儿童.评估和干预ASD幼儿的回应共同注意能力时应关注主试的引导行为.
Objective To explore the characteristics of response to joint attention(RJA)under diverse guiding behaviors for pre-schoolers with moderate to severe autism spectrum disorder(ASD). Methods From March to May,2023,21 children with moderate to severe ASD and 16 children with developmental de-lays matched the physiological ages were selected from Jiaxing Sunlight Rehabilitation Kindergarten,and 16 typ-ical developmental children matched the physiological ages were selected from the kindergartens nearby.They accepted a behavioral experiment on RJA.The number of RJA,frequence of RJA and the coefficient of variation of guiding behaviors needed to RJA were compared among the three groups. Results About half of the ASD group responded after guiding of head-turning,and the others required higher levels of guiding.The frequence of RJA after guiding of head-turning was less in the ASD group than in the typical devel-opment group(χ2>6.170,P<0.05),and the coefficient of variation of guiding behaviors was more(d=4.039,P<0.001). Conclusion Preschoolers with moderate to severe ASD are able to respond to joint attention,and this ability is poorer than typically developing children.The guiding behavior of the evaluator should be considered in assessing and intervening RJA in preschoolers with ASD.
韩旭伶;赵航;孙睦迪;赵梅萍;王艳霞;刘敏;瞿璐;刘巧云
华东师范大学教育学部康复科学系,上海市 200062上海智能教育研究院,上海市 200062
临床医学
孤独症谱系障碍回应共同注意引导行为幼儿
autism spectrum disorderresponse to joint attentionguiding behaviorpreschooler
《中国康复理论与实践》 2024 (008)
882-887 / 6
1.上海市教育委员会科研创新计划项目(No.2023SKZD07);2.中国博士后科学基金面上项目(No.2023M731103;No.2023M731104);3.国家语委"十四五"科研规划一般项目(No.YB145-21);4.国家重点研发计划项目(No.2022YFC2705201) Shanghai Municipal Education Commission Research and Innovation Program(No.2023SKZD07),China Postdoctoral Science Foundation(General)(No.2023M731103;No.2023M731104),National Language Commission 14th Five Year Plan for Scientific Research(General)(No.YB145-21),and National Key Research and Development Program(No.2022YFC2705201)
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