本文選題：孤獨(dú)癥譜系障礙 + 共同注意��； 參考：《中國康復(fù)理論與實(shí)踐》2017年10期

【摘要】：目的研究孤獨(dú)癥譜系障礙(ASD)兒童、發(fā)育遲滯兒童和正常兒童共同注意行為的差異,以及ASD兒童共同注意行為的特點(diǎn)。方法選擇2015年10月至2016年2月本院28名ASD兒童,15名發(fā)育遲滯(DD)兒童以及25名正常對(duì)照(TD)兒童為研究對(duì)象,運(yùn)用半結(jié)構(gòu)化的共同注意行為試驗(yàn)進(jìn)行觀察,記錄并分析受試者自發(fā)性共同注意(IJA)、響應(yīng)性共同注意(RJA)。結(jié)果 ASD組IJA低水平、高水平的頻數(shù)和RJA得分均顯著低于TD組(Z3.063,P0.001)。ASD組IJA高水平頻數(shù)、RJA得分低于DD組(Z2.925,P0.017);ASD組IJA低水平頻數(shù)較DD組低,但無顯著性差異(Z=-2.118,P0.017)。DD組與TD組間IJA、RJA得分相比均無顯著性差異(Z1.328,P0.017)。ASD兒童IJA低水平頻數(shù)(r=-0.552,P=0.002)、高水平頻數(shù)(r=-0.805,P0.001)以及RJA得分(r=-0.857,P0.001)與孤獨(dú)癥診斷觀察量表得分均呈負(fù)相關(guān)。各年齡組ASD兒童的IJA低水平、高水平頻數(shù)以及RJA得分均無顯著性差異(Z4.816,P0.05)。ASD組兒童高水平IJA的頻數(shù)低于低水平IJA(Z=2.787,P0.01)。結(jié)論 ASD兒童IJA、RJA均存在缺陷,尤其是高水平IJA缺陷明顯。ASD兒童共同注意行為表現(xiàn)個(gè)體差異大。ASD兒童共同注意缺陷與疾病嚴(yán)重程度有關(guān),而與年齡無確切關(guān)系。
[Abstract]:Objective to study the differences of common attention behaviors among children with autism spectrum disorder (ASD), children with developmental retardation and normal children, and the characteristics of common attention behavior in children with ASD.Methods from October 2015 to February 2016, 28 children with ASD from October 2015 to February 2016, 15 children with developmental retardation and 25 children with normal control were selected as study subjects, and observed by semi-structured common attentional behavior test.The spontaneous common attention (IJAA) and responsive common attention (RJA) were recorded and analyzed.Results the IJA level of ASD group was lower than that of DD group. The frequency and RJA score of high level IJA in ASD group were significantly lower than those in TD group (P 0.001) and DD group (P < 0.01). The low IJA frequency in group D was lower than that in group DD (P < 0.05).However, there was no significant difference in the scores of IJARJA between the two groups. There was no significant difference between the two groups. There was no significant difference in the scores of IJARJA between the two groups. There was a negative correlation between the low IJA frequency and the high frequency of r-0.805P0.001 and the scores of RJA and 0.857P0.001 in the children with low IJA level and high frequency (r = -0.805, P 0.001) and the scores of RJA in children with ASD were negatively correlated with the scores of the Autism Diagnostic observation scale.There was no significant difference in the frequency of IJA, the frequency of high level and the score of RJA in all age groups. The frequency of high level IJA in children with ASD was lower than that in children with low level of IJA.Conclusion there are defects in ASD children, especially in children with high level of IJA. The individual difference of common attention behavior in children with ASD is significant. The common attention deficit of children with ASD is related to the severity of the disease, but it has no definite relationship with age.
【作者單位】： 重慶醫(yī)科大學(xué)附屬兒童醫(yī)院兒童保健科;兒童發(fā)育疾病研究教育部重點(diǎn)實(shí)驗(yàn)室;兒童發(fā)育重大疾病國家國際科技合作基地;認(rèn)知發(fā)育與學(xué)習(xí)障礙轉(zhuǎn)化醫(yī)學(xué)重慶市重點(diǎn)實(shí)驗(yàn)室;
【分類號(hào)】：R749.94

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