题名

學齡前自閉症類兒童的適應行為型態與認知功能及症狀嚴重度之關連

并列篇名

Relating Cognitive Competence and Diagnostic Severity to Adaptive Behavior Profiles in Preschool Children with Autism Spectrum Disorders

DOI

10.6129/CJP.2012.5403.05

作者

朱慶琳(Ching-Lin Chu)；黃宜珊(Yi-Shan Huang)；姜忠信(Chung-Hsin Chiang)；吳進欽(Chin-Chin Wu)；侯育銘(Yuh-Ming Hou)

关键词

自閉症類 ； 症狀程度 ； 發展遲緩 ； 輪廓 ； 適應行為 ； adaptive behavior ； autism spectrum disorders ； developmental delay ； profile ； symptom severity

期刊名称

中華心理學刊

卷期/出版年月

54卷3期（2012 / 09 / 01）

页次

349 - 364

内容语文

繁體中文
中文摘要

Purposes: The present study examined the profile of adaptive functioning in preschool children with autism spectrum disorders (ASDs) and its relationship to cognitive competence and severity of autistic symptoms. Methods: Adaptive behavior skills were assessed using the Vineland Adaptive Behavior Scales-Second Edition (VABS-II). Participants were 81 ASD children with chronological age (CA) between 26 and 61 months. In the first analysis, 32 ASD children with CA between 42 and 52 months, 30 children with developmental delay (DD) (CA: 42-52 months), and 31 typical-developing children (TD) (CA: 27-49 months). They were closely matched for mental age, nonverbal mental age, and verbal mental age. The second analysis involved a total of 81 ASD children. They were divided into high functional autistic spectrum disorders (HFASD) and low functional autistic spectrum disorders (LFASD) by developmental quotient. Results: The VABS-II analysis revealed a 'motor ＞ communication = daily living skills ＞ socialization' profile as indexed by standard score and age equivalence. This was counter to the profile 'daily living skills ＞ communication ＞ socialization' presumed to be shown in autism. Overall, children with ASD lagged behind the two non-ASD groups. In the second analysis, partial correlation analysis controlling cognitive status showed that none of VABS-II domains were correlated to diagnostic features as reported by the Autism Diagnostic Observation Schedule (ADOS) in either HFASD or LFASD. Conclusions: The present findings suggest that there is no 'autism-specific profile' in preschoolers with ASD. Children with ASD exhibited a weakness in socialization domain even their cognitive competency was controlled.
英文摘要

Purposes: The present study examined the profile of adaptive functioning in preschool children with autism spectrum disorders (ASDs) and its relationship to cognitive competence and severity of autistic symptoms. Methods: Adaptive behavior skills were assessed using the Vineland Adaptive Behavior Scales-Second Edition (VABS-II). Participants were 81 ASD children with chronological age (CA) between 26 and 61 months. In the first analysis, 32 ASD children with CA between 42 and 52 months, 30 children with developmental delay (DD) (CA: 42-52 months), and 31 typical-developing children (TD) (CA: 27-49 months). They were closely matched for mental age, nonverbal mental age, and verbal mental age. The second analysis involved a total of 81 ASD children. They were divided into high functional autistic spectrum disorders (HFASD) and low functional autistic spectrum disorders (LFASD) by developmental quotient. Results: The VABS-II analysis revealed a 'motor ＞ communication = daily living skills ＞ socialization' profile as indexed by standard score and age equivalence. This was counter to the profile 'daily living skills ＞ communication ＞ socialization' presumed to be shown in autism. Overall, children with ASD lagged behind the two non-ASD groups. In the second analysis, partial correlation analysis controlling cognitive status showed that none of VABS-II domains were correlated to diagnostic features as reported by the Autism Diagnostic Observation Schedule (ADOS) in either HFASD or LFASD. Conclusions: The present findings suggest that there is no 'autism-specific profile' in preschoolers with ASD. Children with ASD exhibited a weakness in socialization domain even their cognitive competency was controlled.
主题分类 社會科學 > 心理學
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被引用次数
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  2. 陳昭芬,吳進欽(2023)。自閉症類群障礙症幼兒社會功能的發展：縱貫研究。若瑟醫護雜誌，17(1)，6-20。
  3. 李沿澈、李羽涵、吳進欽(2016)。自閉症類群障礙幼兒共享式注意力和語言能力、心智能力、適應功能及自閉症症狀的關係。中華心理衛生學刊，29(3)，227-259。
  4. 葉佩文,姜忠信,林姿伶(2021)。高功能自閉症類群障礙兒童的適應行為表現與智力和症狀嚴重度之關係探究。中華心理學刊，63(3)，285-307。
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