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Systematic Review and Meta-Analysis of Mismatch Negativity in Autism: Insights Into Predictive Mechanisms 自闭症失配负性的系统回顾与元分析:预测机制的洞见。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-30 DOI: 10.1002/aur.70131
Laurie-Anne Sapey-Triomphe, Romain Bouet, Jérémie Mattout, Sandrine Sonié, Christina Schmitz, Françoise Lecaignard

Mismatch negativity (MMN) has been frequently used to assess auditory processing and change detection in autism spectrum disorder (ASD), but findings have been fairly inconsistent. To address this issue, we conducted a systematic review and meta-analysis of MMN amplitude (76 effect sizes) and latency (62 effect sizes) in ASD to identify factors contributing to this heterogeneity and to interpret findings within the predictive coding framework. While residual heterogeneity remained, significant effects of the interaction between age group and design type (unifeature vs. multifeature, i.e., one or several types of deviants) and deviant type were found for MMN amplitude. In multifeature designs, autistic children and adolescents exhibited reduced MMN amplitudes compared to neurotypical peers (g = 0.25, p = 0.01), whereas autistic adults showed increased MMN amplitudes (g = −0.26, p = 0.02). In addition, autistic individuals had significantly smaller MMN amplitudes than neurotypical individuals in paradigms using phoneme deviants (g = 0.41, p < 0.001). Across designs, no significant MMN latency differences were observed between neurotypical and autistic individuals. These results are discussed within the predictive coding framework, as MMN responses are thought to reflect prediction errors, aligning with theories suggesting heightened prediction errors in autistic adults. Future studies with larger samples and improved data reporting are needed to further clarify the developmental trajectory and variability of MMN responses in ASD. Additionally, computational modeling approaches can help characterize learning dynamics and disentangle predictive coding accounts among autistic individuals.

失配负性(MMN)经常被用于评估自闭症谱系障碍(ASD)的听觉加工和变化检测,但研究结果相当不一致。为了解决这个问题,我们对ASD的MMN振幅(76个效应量)和潜伏期(62个效应量)进行了系统回顾和荟萃分析,以确定导致这种异质性的因素,并在预测编码框架内解释研究结果。虽然残余异质性仍然存在,但发现年龄组与设计类型(单特征vs多特征,即一种或几种偏差类型)和偏差类型之间的相互作用对MMN振幅有显著影响。在多特征设计中,自闭症儿童和青少年的MMN波幅比神经正常的同龄人减少(g = 0.25, p = 0.01),而自闭症成人的MMN波幅增加(g = -0.26, p = 0.02)。此外,在使用音素偏差的范式中,自闭症个体的MMN振幅显著小于神经正常个体(g = 0.41, p
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引用次数: 0
Proximity of Maternal Time of Immigration to Child's Birth Is Associated With Autism Spectrum Disorder With Early Learning Delay Among Immigrant Populations in the United States: Findings From the Study to Explore Early Development 在美国移民人群中,母亲移民时间与孩子出生时间的接近与自闭症谱系障碍和早期学习延迟有关:来自早期发展研究的发现
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-30 DOI: 10.1002/aur.70133
Kaylynn Aiona, Tessa Crume, Nuri Reyes, Sarah J. Schmiege, Janine Young, Brady Holst, Maureen S. Durkin, Melissa Magallanes, Carolyn DiGuiseppi

Our objective was to examine the relationship between the timing of parental US immigration and autism spectrum disorder (ASD) without early learning delay (ELD), ASD with ELD, and ELD alone among US-born children. We analyzed data from a multi-site case–control study that recruited children aged 2–5 years with ASD or non-ASD developmental disorders and same-age population controls. Parental demographics were collected from caregivers at study enrollment. Mullen Scales of Early Learning ≤ 70 was used to define ELD. Among children with a non-US-born parent (N = 1048), we used multinomial logistic regression to examine time from parental immigration to the child's birth in relation to ASD alone, ASD with ELD (ASD + ELD), and ELD alone compared to population controls. Having a non-US-born mother (regardless of the father's birthplace) versus a non-US-born father only was evaluated as a potential effect modifier. Among those with a non-US-born mother, closer proximity of maternal time of immigration to the child's birth is associated with increased odds for ASD + ELD and ELD alone. There was no significant association between years since US arrival and ASD alone. Among those with a non-US-born father only, we did not observe a significant relationship between time since paternal US arrival and ASD/ELD categories. Our study suggests that time-varying exposures among immigrant mothers may be of importance for the development of ASD + ELD and ELD alone in the offspring. These results may inform research into the etiology of ASD and ELD and ways to support immigrant women of childbearing age.

我们的目的是研究在美国出生的儿童中,父母移民美国的时间与无早期学习延迟的自闭症谱系障碍(ASD)、有早期学习延迟的自闭症谱系障碍(ASD)和单独的早期学习延迟之间的关系。我们分析了一项多地点病例对照研究的数据,该研究招募了2-5岁患有ASD或非ASD发育障碍的儿童和同龄人群对照。在研究入组时从照顾者处收集父母的人口统计资料。使用Mullen早期学习量表≤70来定义ELD。在非美国出生的儿童(N = 1048)中,我们使用多项逻辑回归来检查从父母移民到孩子出生的时间与单独的ASD, ASD合并ELD (ASD + ELD)和单独的ELD与人口对照的关系。有一个非美国出生的母亲(不管父亲的出生地)和一个非美国出生的父亲被评估为一个潜在的影响修饰。在非美国出生的母亲中,母亲的移民时间与孩子出生的时间更接近,与ASD + ELD和单独ELD的几率增加有关。美国移民后的年月与自闭症之间没有明显的联系。在那些只有非美国出生的父亲的孩子中,我们没有观察到父亲到达美国后的时间与ASD/ELD类别之间的显著关系。我们的研究表明,移民母亲的时变暴露可能对后代的ASD + ELD和单独ELD的发展很重要。这些结果可能为研究ASD和ELD的病因以及支持育龄移民妇女的方法提供信息。
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引用次数: 0
Specific Association Patterns Between Brain Glutathione Levels, Myelination, and Functional Connectivity in Adults With Autism Spectrum Disorder 自闭症谱系障碍成人脑谷胱甘肽水平、髓鞘形成和功能连通性之间的特定关联模式
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-23 DOI: 10.1002/aur.70134
Toshiki Iwabuchi, Takaharu Hirai, Naoko Umeda, Hideto Yogo, Yuuta Nishimiya, Yuuki Nishigaki, Masaru Watanabe, Hidenori Yamasue, Masatsugu Tsujii, Kenji J. Tsuchiya, Hideo Matsuzaki

Recent studies have implicated oxidative stress in the pathophysiology of autism spectrum disorder (ASD). Postmortem brain studies have revealed decreased levels of the reduced form of glutathione (GSH), an important antioxidant, in some brain regions in individuals with ASD; however, in vivo evidence is lacking. Using proton magnetic resonance spectroscopy, T1-weighted/T2-weighted ratio-derived myelin maps, resting-state functional magnetic resonance imaging (MRI), and cognitive tasks, we examined whether brain GSH levels are lower in individuals with ASD than in those with typical development (TD) and explored ASD-specific association patterns between brain GSH levels, myelination, functional connectivity, and behavioral characteristics. Data from 30 adults with ASD and 27 adults with TD were analyzed. Contrary to our hypothesis, GSH levels in the left temporoparietal junction (TPJ) were higher in the ASD group than in the TD group. Using individual myelin maps, we found a significant group difference in the correlation between left middle frontal gyrus (MFG) myelination and left TPJ GSH levels. Multivariate pattern analysis of resting-state functional MRI revealed that whole-brain functional connectivity patterns from the left MFG differed between the groups in their association with left MFG myelination. Finally, we found a significant group difference in the correlation between emotion recognition ability and the functional connectivity of the left MFG with the bilateral occipitoparietal junction. In conclusion, our findings demonstrate an ASD-specific pattern of associations between left TPJ GSH levels, left MFG myelination, whole-brain functional connectivity patterns of the left MFG, and cognitive phenotype, which suggests compensatory neural mechanisms in ASD.

最近的研究表明,氧化应激与自闭症谱系障碍(ASD)的病理生理有关。死后大脑研究表明,ASD患者大脑某些区域的还原型谷胱甘肽(GSH)水平下降,GSH是一种重要的抗氧化剂;然而,缺乏体内证据。通过质子磁共振波谱、t1加权/ t2加权比例衍生髓磷脂图谱、静息状态功能磁共振成像(MRI)和认知任务,我们研究了ASD患者的脑GSH水平是否低于典型发育(TD)患者,并探索了ASD特异性脑GSH水平、髓鞘形成、功能连接和行为特征之间的关联模式。研究人员分析了30名成年ASD患者和27名成年TD患者的数据。与我们的假设相反,ASD组左颞顶交界处(TPJ)的GSH水平高于TD组。使用单个髓磷脂图谱,我们发现左侧中额叶回(MFG)髓鞘形成与左侧TPJ GSH水平之间的相关性存在显著组间差异。静息状态功能MRI的多变量模式分析显示,来自左侧MFG的全脑功能连接模式与左侧MFG髓鞘形成的关联在两组之间存在差异。最后,我们发现情绪识别能力与左后脑皮层与双侧枕顶连接的功能连通性存在显著的组间差异。总之,我们的研究结果表明,左侧TPJ - GSH水平、左侧MFG髓鞘形成、左侧MFG全脑功能连接模式和认知表型之间存在ASD特异性模式,这表明ASD中的代偿神经机制。
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引用次数: 0
Multilevel Resting-State Dysfunctional Connectivity in People With Autism Spectrum Disorder: A Systematic Review and Meta-Analysis 自闭症谱系障碍患者的多水平静息状态功能障碍连接:系统回顾和荟萃分析。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-20 DOI: 10.1002/aur.70128
Xinyun Lin, Simin Deng, Xiuhong Li

Autism spectrum disorder (ASD) has been linked to dysfunctional communication among brain regions and functional networks, as reflected by abnormal resting-state functional connectivity (rsFC). However, the consistent findings thus far have been elusive. To examine whether individuals with ASD show rsFC differently than healthy individuals at multiple seed levels, we performed a systematic analysis and meta-analysis at all prior seeds, functional network seeds, and single seed levels. This study was registered in the PROSPERO (registration number CRD42024559418). Publications were identified in PubMed, Embase, and PsycINFO from database inception until December 20, 2023. Publications were included that provided seed-based whole-brain rsFC contrasts between a sample with ASD and controls at rest. Seed and peak effect coordinates and intergroup effects were extracted for analysis. Random-effects meta-analysis was performed using the Seed-based d Mapping software. This study included 26 studies from 709 people with ASD and 705 controls. The frontal regions, right medial cingulate gyrus (MCG) (g = −0.51; 95% CI, −0.69 to −0.33) of the ventral attention network (VAN), and medial left superior frontal gyrus (g = −0.42; 95% CI, −0.60 to −0.24) of the DMN were the most robust peak clusters at all prior seeds, functional network seeds, and medial prefrontal cortex seed level respectively. The findings not only support DMN dysfunction in people with ASD but also provide the first evidence of meta-analysis to suggest VAN dysfunction in individuals with ASD.

自闭症谱系障碍(ASD)与大脑区域和功能网络之间的功能失调有关,这反映在异常的静息状态功能连接(rsFC)上。然而,到目前为止,一致的发现一直难以捉摸。为了检查ASD个体在多个种子水平上是否表现出与健康个体不同的rsFC,我们对所有先前种子、功能网络种子和单一种子水平进行了系统分析和荟萃分析。本研究已在PROSPERO注册(注册号CRD42024559418)。从数据库建立到2023年12月20日,在PubMed, Embase和PsycINFO中确定了出版物。出版物提供了ASD样本和静止对照之间基于种子的全脑rsFC对比。提取种子效应、峰效应坐标和组间效应进行分析。随机效应meta分析采用Seed-based d Mapping软件进行。这项研究包括了709名自闭症患者和705名对照组的26项研究。额叶区、腹侧注意网络(VAN)的右侧内侧扣带回(MCG) (g = -0.51; 95% CI, -0.69至-0.33)和DMN的左侧内侧额上回(g = -0.42; 95% CI, -0.60至-0.24)分别是所有先验种子、功能网络种子和内侧前额叶皮层种子水平上最强的峰簇。这些发现不仅支持了自闭症患者DMN功能障碍的存在,而且提供了首个荟萃分析的证据,表明自闭症患者存在VAN功能障碍。
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引用次数: 0
Patterns and Stability of Repetitive and Restricted Behaviors in Chinese Children With Autism: A 1–3 Year Follow-Up Study 中国自闭症儿童重复性和限制性行为的模式和稳定性:一项1-3年随访研究。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-20 DOI: 10.1002/aur.70130
Yanting Hou, Wenwen Huang, Lijing Lin, Xiaosong Li, Si Dai, Yidong Shen, Jianjun Ou

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by significant clinical heterogeneity. Sex-based differences are observed in the core symptoms of ASD. This study investigated the patterns and stability of restricted and repetitive behaviors (RRBs) among Chinese children with ASD. For cross-sectional comparisons, researchers recruited 1760 male and 350 female participants whose ages ranged from 4 to 17 years. The Social Responsiveness Scale-2 (SRS-2) was used to measure the core symptoms of ASD. Compared with males, females exhibited lower severity and incidence rates of RRB both overall and at the symptom level. Furthermore, multigroup confirmatory factor analyses demonstrated that sex-related differences did not significantly affect the conceptualization of RRBs. An online follow-up study involving a subset of participants (166 males and 41 females) revealed that RRB symptoms remained stable between the two visits for males; however, only specific symptoms were highly consistent over time for females. This study revealed potential sex-related differences in RRBs among Chinese individuals with ASD and revealed sex-dependent variations in symptom-level presentation patterns and stability. These findings may contribute to a better understanding of the mechanisms underlying sex-related differences and aid in the development of sex-specific diagnostic criteria.

自闭症谱系障碍(ASD)是一种具有显著临床异质性的神经发育障碍。在ASD的核心症状中观察到基于性别的差异。本研究探讨了中国ASD儿童限制性重复行为(RRBs)的模式和稳定性。为了进行横向比较,研究人员招募了1760名男性和350名女性参与者,他们的年龄从4岁到17岁不等。社会反应性量表-2 (SRS-2)用于测量ASD的核心症状。与男性相比,女性在总体和症状水平上表现出较低的RRB严重程度和发病率。此外,多组验证性因子分析表明,性别相关差异对RRBs概念化没有显著影响。一项涉及一部分参与者(166名男性和41名女性)的在线随访研究显示,男性的RRB症状在两次就诊之间保持稳定;然而,随着时间的推移,女性只有特定的症状是高度一致的。本研究揭示了中国ASD患者RRBs的潜在性别相关差异,并揭示了症状水平表现模式和稳定性的性别依赖性差异。这些发现可能有助于更好地理解性别相关差异的机制,并有助于制定性别特异性诊断标准。
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引用次数: 0
Sex Differences in Auditory Brainstem Responses of Two Rat Models of Autism: Environmental and Genetic Contributions to Autism-Like Auditory Function 两种自闭症大鼠听觉脑干反应的性别差异:环境和遗传因素对自闭症样听觉功能的影响
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-17 DOI: 10.1002/aur.70125
Sara Cacciato-Salcedo, Ana B. Lao-Rodríguez, Manuel S. Malmierca

Autism is an early-onset neurodevelopmental disorder characterized by restricted, repetitive behaviors and atypical patterns of social communication and interaction. A considerable proportion of autistic individuals experience divergent auditory perception, which can interfere with their ability to navigate everyday sound environments. Auditory brainstem responses are electrophysiological potentials elicited by auditory stimuli that evaluate neural activity along the auditory nerve and brainstem. Importantly, the auditory brainstem response varies by sex, with females typically showing higher amplitudes and shorter latencies than males. This sex-specific neurophysiological profile is especially relevant in autism research, where the male-to-female diagnosis ratio is approximately 3:1. Thus, exploring the neurobiological mechanisms underlying sex-specific variations in autistic traits is essential. Furthermore, autism sensory profiles may vary based on the independent and mutual effects of environmental and genetic factors. To deepen this understanding, we examined auditory brainstem responses in two rat models of autism: the GRIN2B rare mutation model and the prenatal valproic acid induction model, alongside control animals. We assessed peak amplitudes and latencies (Waves I through V), inter-peak intervals (I–III, I–V, and III–V), and amplitude ratios (III:I, V:I, and V:III). Female rats generally exhibited greater amplitudes and longer latencies across waveforms. Regarding rat models, control animals consistently showed larger amplitudes and shorter latencies compared to autism-like models. Exploratory analyses further suggested pairwise interactions between sex and rat model, indicating modulation of auditory phenotypes linked to autism. Thus, our findings reveal key insights into the effects of sex and rat model, as well as their interactions.

自闭症是一种早期发病的神经发育障碍,其特征是限制、重复的行为和非典型的社会交流和互动模式。相当比例的自闭症患者会经历听觉的发散,这可能会干扰他们驾驭日常声音环境的能力。听觉脑干反应是由听觉刺激引起的电生理电位,用于评估沿听神经和脑干的神经活动。重要的是,听觉脑干反应因性别而异,女性通常比男性表现出更高的振幅和更短的潜伏期。这种性别特异性的神经生理特征在自闭症研究中尤为重要,其中男性与女性的诊断率约为3:1。因此,探索自闭症特征性别差异背后的神经生物学机制是必要的。此外,自闭症的感觉特征可能会根据环境和遗传因素的独立和相互作用而变化。为了加深理解,我们研究了两种自闭症大鼠模型的听觉脑干反应:GRIN2B罕见突变模型和产前丙戊酸诱导模型,以及对照动物。我们评估了峰值振幅和潜伏期(波I到V)、峰间间隔(波I-III、波I-V和波III-V)和振幅比(波III:I、波V:I和波V:III)。雌性大鼠在各个波形中普遍表现出更大的振幅和更长的潜伏期。在大鼠模型中,与自闭症样模型相比,对照动物始终表现出更大的振幅和更短的潜伏期。探索性分析进一步表明,性别和大鼠模型之间存在两两相互作用,表明听觉表型的调节与自闭症有关。因此,我们的发现揭示了性别和大鼠模型的影响及其相互作用的关键见解。
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引用次数: 0
The Influence of Refractive Errors on Facial Expression Processing in Children With Autism Spectrum Disorder: An Eye-Tracking Study 屈光不正对自闭症谱系障碍儿童面部表情加工的影响:一项眼动追踪研究。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-16 DOI: 10.1002/aur.70129
Lingyue Kong, Mingmei Liu, Aohua Li, Xiaoguang Pan, Yan Zhao, Haotian Tan, Honglin Li, Jia Shi, Liyu Ren, Junjun Wang, Zhujun Zhang, Yatu Guo, Wei Zhang, Chongying Wang

Facial expression processing is important for social understanding; among children with autism spectrum disorder (ASD), refractive errors may reduce visual input, further hindering their ability to recognize and interpret faces. This study aimed to investigate the gaze patterns of children with ASD when viewing facial emotion expression pictures under refractive errors and compare these patterns with those of typically developing (TD) children. A total of 76 participants diagnosed with ASD and 73 TD children matched by age were included. All children underwent a comprehensive ophthalmic examination and successfully completed the eye-tracking tasks. Astigmatism accounted for > 90% of refractive errors, though all types were included to reflect real-world visual challenges. The results showed that children with refractive errors showed slower responses to the visual stimuli than children with typical refractive status. Children with ASD and refractive errors exhibited slower responses to the mouth area compared to the nose and eyes and experienced difficulty in rapidly distinguishing between the nose and eyes. Additionally, they were unable to differentiate visual patterns between the nose and mouth regions during fixation tasks. In contrast, children with ASD with typical refractive status showed visual sensitivity and tendencies for areas of interest (AOIs) comparable to those of TD children, with response times fastest for the nose, followed by the eyes, and slowest for the mouth. In conclusion, refractive errors, particularly astigmatism, may substantially contribute to difficulties in accurately responding to facial social cues and directing visual attention to socially relevant areas in children with ASD.

面部表情处理对社会理解很重要;在患有自闭症谱系障碍(ASD)的儿童中,屈光不正可能会减少视觉输入,进一步阻碍他们识别和理解面孔的能力。本研究旨在探讨ASD儿童在屈光不正情况下观看面部表情图片时的注视模式,并将其与正常发育儿童的注视模式进行比较。共有76名被诊断为ASD的参与者和73名年龄匹配的TD儿童被纳入研究。所有儿童都接受了全面的眼科检查,并成功完成了眼动追踪任务。散光占屈光不正的90%,尽管所有类型的屈光不正都包括在内,以反映现实世界的视觉挑战。结果表明,屈光不正儿童对视觉刺激的反应比典型屈光不正儿童慢。与鼻子和眼睛相比,患有ASD和屈光不正的儿童对嘴巴区域的反应较慢,并且在快速区分鼻子和眼睛方面存在困难。此外,在注视任务中,他们无法区分鼻子和嘴巴区域之间的视觉模式。相比之下,具有典型屈光状态的ASD儿童表现出与TD儿童相当的视觉敏感性和感兴趣区域(AOIs)的倾向,鼻子的反应时间最快,其次是眼睛,嘴巴的反应时间最慢。综上所述,屈光不正,尤其是散光,可能在很大程度上导致ASD儿童在准确响应面部社交线索和将视觉注意力引导到社交相关领域方面的困难。
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引用次数: 0
Parental Insightfulness and Its Association With Social Competence in Autistic and Non-Autistic Children 自闭症和非自闭症儿童的父母洞察力及其与社会能力的关系。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-15 DOI: 10.1002/aur.70127
Liron Oliver-Aronson, Lital Kohn, Tali Gev, Ofer Golan

Parental insightfulness (PI), the parent's capacity to reflect upon their own and their child's mental and emotional states, has been associated with various aspects of children's socio-emotional development. This study examined PI regarding child-peer interactions and its association with social competence in autistic and non-autistic (NA) children, aged 4–7 years. We hypothesized that parents of autistic and NA children would demonstrate different patterns of PI and that PI would moderate the association between autism diagnosis and social competence. Participants included 68 autistic children and their parents and 46 NA children and their parents. Parents watched videos of their child playing with a peer and completed the Insightfulness Assessment (IA) interview. They also reported on their child's social competence and their own parental reflective functioning. Results revealed that compared to NA children's parents, parents of autistic children showed similar levels of positive insightfulness about their child but had greater difficulties maintaining focus on their child's mental states, showed less acceptance, and more concern about the child. PI moderated the negative association between autism diagnosis and children's social competence so that in higher PI levels, the association was weaker than in lower PI levels. This study's findings suggest higher PI may mitigate social challenges for autistic children. Hence, PI and its nuances may be an intervention target for autistic children's parents with the aim of improving children's social outcomes.

父母的洞察力(PI),即父母反思自己和孩子的精神和情绪状态的能力,与儿童社会情感发展的各个方面有关。本研究考察了4-7岁自闭症和非自闭症儿童在儿童-同伴互动方面的PI及其与社会能力的关系。我们假设自闭症儿童和非自闭症儿童的父母表现出不同的PI模式,并且PI可以调节自闭症诊断与社会能力之间的关系。参与者包括68名自闭症儿童及其父母和46名非自闭症儿童及其父母。家长们观看了孩子与同伴玩耍的视频,并完成了洞察力评估(IA)访谈。他们还报告了他们孩子的社会能力和他们自己父母的反思功能。结果显示,与非自闭症儿童的父母相比,自闭症儿童的父母对他们的孩子表现出相似水平的积极洞察力,但更难以保持对孩子精神状态的关注,表现出更少的接受,更多的关心孩子。指数调节了自闭症诊断与儿童社会能力之间的负相关关系,在高指数水平下,该关系弱于低指数水平。这项研究的结果表明,较高的PI可能会减轻自闭症儿童的社会挑战。因此,对于自闭症儿童的父母来说,PI及其细微差别可能是一个干预目标,目的是改善儿童的社会结果。
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引用次数: 0
Maximizing the Quality and Reporting Standards of Autism Intervention Science 最大限度提高自闭症干预科学的质量和报告标准。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-10 DOI: 10.1002/aur.70126
Shannon LaPoint, Claire Brito Klein, Micheal Sandbank, Kristen Bottema-Beutel, Sue Fletcher-Watson, Gauri Divan, Dagmara Dimitriou, Evdokia Anagnostou, Mette Elmose Andersen, Amanda Binns, Tony Charman, Jasper A. Estabillo, Stephanie M. Fecteau, Anna Ferrari, Marie-Maude Geoffray, Lauren H. Hampton, Sabri Hergüner, Emily S. Kuschner, Jia Ying Sarah Lee, Julie Segers, Deanna Swain, Sarah Vejnoska, Giacomo Vivanti, Chongying Wang, Jonathan Green

Although there are clear international standards for intervention science and reporting in healthcare, implementation and uptake have been limited within autism intervention research. To address this concern, a Special Interest Group (SIG) was convened at the International Society for Autism Research (INSAR) Annual Meetings in May 2023 and May 2024. This SIG comprised members of the autistic community, senior clinical scientists, clinicians, advanced researchers, and early career researchers, who discussed and debated quality standards for autism intervention trials. This commentary summarizes relevant literature highlighted by SIG panelists and recommendations generated from small breakout groups and larger group discussions with SIG attendees. We recommend that all journals publishing autism intervention findings, especially autism-focused journals, institute mandatory reporting practices (e.g., trial registration, protocol, analysis plan) to facilitate transparency and rigorous autism intervention science, as well as related education initiatives in support of this goal. Findings from the SIG offer practical, actionable recommendations that we advocate be systematically adopted across autism-focused journals.

虽然在医疗保健方面的干预科学和报告方面有明确的国际标准,但在自闭症干预研究中,实施和吸收仍然受到限制。为了解决这一问题,在2023年5月和2024年5月的国际自闭症研究学会(INSAR)年会上召集了一个特别兴趣小组(SIG)。这个SIG由自闭症社区的成员、资深临床科学家、临床医生、高级研究人员和早期职业研究人员组成,他们讨论和辩论自闭症干预试验的质量标准。这篇评论总结了由SIG小组成员强调的相关文献,以及由小型分组和与SIG参与者的大型小组讨论产生的建议。我们建议所有发表自闭症干预研究结果的期刊,特别是以自闭症为重点的期刊,建立强制性报告实践(例如,试验注册、协议、分析计划),以促进透明度和严格的自闭症干预科学,以及支持这一目标的相关教育举措。SIG的研究结果提供了实用的、可操作的建议,我们提倡在自闭症关注的期刊上系统地采用这些建议。
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引用次数: 0
Meaningful Determinants of Early Response: Predicting and Characterizing Behavioral Changes for Minimally Verbal Autistic Children 早期反应的有意义的决定因素:预测和描述最低语言自闭症儿童的行为改变。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-10-09 DOI: 10.1002/aur.70123
Jonathan Panganiban, Wendy Shih, Lynne Levato, Stephanie Shire, Connie Kasari, the AIM – ASD Team
<p>Autism encompasses a wide range of developmental abilities. Notably, nearly 30% of children fail to achieve phrase speech by kindergarten, even when provided with years of early interventions or participation in rigorously conducted clinical trials. Our understanding of why these challenges persist is limited by an underrepresentation of minimally verbal (MV) children in autism research. Consequently, our understanding of benefits from early intervention is limited. There is promising evidence that minimally verbal autistic children may benefit from an adaptive approach that can address their dynamic needs. Adaptive interventions give service providers the ability to adjust strategies and approaches to match the needs of an individual. A critical component of an adaptive intervention approach is the ability to assess response to the intervention in order to make a decision on the best course of action. Previous work in identifying response to intervention has identified key predictors such as IQ, age, and expressive language ability. However, it may be helpful to examine core developmental skills as important variables driving decisions in adaptive intervention approaches. The current study aims to explore how core developmental skills of MV autistic children are related to early response in the first phase of an adaptive intervention. Our secondary aim examines the skills that are changing among MV children identified as fast responders. This is a secondary data analysis of 194 MV autistic children (<i>M</i> = 72.42 months old, SD = 15.14 months) that were recruited to receive an adaptive intervention. The children were assessed for their development in social communication, play, expressive language, and cognition prior to receiving the adaptive intervention, and again after 6 weeks of intervention. At the 6-week mark, children were also assessed for their response to the intervention using a Clinical Global Impression Scale (CGI), which identified children as fast or slow responders to the intervention. Logistic regressions examined the association between core developmental skills and early response to initial intervention while controlling for site differences, age, and gender. Child-initiated joint attention (<i>Z</i> = 2.15, <i>p</i> = 0.031) predicted fast response to intervention. Higher play mastery level and more play diversity at baseline also significantly predicted fast response (<i>Z</i> = 2.20, <i>p</i> = 0.03; <i>Z</i> = 2.01, <i>p</i> = 0.04). Examination of developmental skills that changed during the initial intervention phase showed requesting skills and responding to joint attention as important determinants. Children with improved requesting skills (<i>Z</i> = 2.69, <i>p</i> = 0.007) and response to joint attention (<i>Z</i> = 2.69, <i>p</i> = 0.007) had increased odds of being identified as fast responders to the intervention. Identifying important core developmental skills among MV autistic children can play a critical
自闭症包含了广泛的发展能力。值得注意的是,近30%的儿童在幼儿园时无法学会短语说话,即使提供了多年的早期干预或参与严格进行的临床试验。我们对这些挑战持续存在的原因的理解受到自闭症研究中最低语言(MV)儿童代表性不足的限制。因此,我们对早期干预的益处的理解是有限的。有令人鼓舞的证据表明,语言能力最低的自闭症儿童可能受益于一种能够解决他们动态需求的适应性方法。适应性干预使服务提供者有能力调整策略和方法,以适应个人的需要。适应性干预方法的一个关键组成部分是评估对干预的反应,以便就最佳行动方案作出决定的能力。先前在识别干预反应方面的工作已经确定了关键的预测因素,如智商、年龄和语言表达能力。然而,研究核心发展技能作为驱动适应性干预方法决策的重要变量可能会有所帮助。本研究旨在探讨中重度自闭症儿童的核心发展技能与适应性干预第一阶段的早期反应之间的关系。我们的第二个目的是研究在被确定为快速反应者的中老年儿童中正在发生变化的技能。这是对194名MV自闭症儿童(M = 72.42个月大,SD = 15.14个月)进行的二次数据分析,这些儿童被招募接受适应性干预。在接受适应性干预前和干预6周后,对儿童进行社会沟通、游戏、表达性语言和认知方面的发展评估。在6周的时候,孩子们也用临床总体印象量表(CGI)来评估他们对干预的反应,该量表确定了儿童对干预的快速反应或缓慢反应。逻辑回归检验了核心发展技能与对初始干预的早期反应之间的关系,同时控制了地点差异、年龄和性别。儿童发起的联合注意(Z = 2.15, p = 0.031)预测对干预的快速反应。更高的游戏精通水平和更多的游戏多样性基线也显著预测快速反应(Z = 2.20, p = 0.03; Z = 2.01, p = 0.04)。对在最初干预阶段改变的发展技能的检查表明,要求技能和对共同关注的反应是重要的决定因素。请求技能(Z = 2.69, p = 0.007)和对共同注意的反应(Z = 2.69, p = 0.007)改善的儿童被确定为对干预的快速反应者的几率增加。识别中重度自闭症儿童重要的核心发展技能在适应性干预的决策过程中起着关键作用。对中老年儿童特别有帮助的是识别与早期干预有关的有意义的技能和变化的能力。我们的分析确定了核心发展技能的重要性,如共同注意力和玩耍,作为快速反应的有意义的预测因素。此外,在这些快速反应者中,变化最大的技能是请求技能和对共同关注的反应。
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引用次数: 0
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Autism Research
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