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A Cross-Sectional Study on Narrative Microstructure in Tamil-Speaking Autistic and Non-Autistic Children 泰米尔语自闭症与非自闭症儿童叙事微观结构的横断面研究。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-28 DOI: 10.1002/aur.70106
Madhumitha Saravanaperumal, Krupa Venkatraman, Aswathy Muraleedharan

Narrative skills involve retelling or generating stories, reflecting cognitive and communication development. This use of language is decontextualized and requires a fluent interplay of various components. Autistic children often demonstrate atypical language development and restricted communication tailored to specific needs. This cross-sectional study examines narrative microstructure in language-level-matched Tamil-speaking autistic children and those without autism, aged 3–5 years. Six microstructure parameters were analyzed through story-retelling and story-generation tasks to assess narrative abilities. The research included 38 Tamil-speaking children, divided based on autism diagnosis and matched for language level using standardized tests. The assessment focused on a retelling task and sequencing cards for story retelling (SR) and story generation (SG). The six microstructure variables evaluated were: total number of words (TNW), total number of utterances (TNU), mean length of utterances in words (MLU-W), mean length of utterances in morphemes (MLU-M), number of different words (NDW), and type-token ratio (TTR). The results indicated that autistic children consistently scored lower across all parameters, exhibiting difficulties with fluency and using shorter, simpler sentences. This study highlights the significance of narrative assessment in enhancing our understanding and support of language development in autistic children.

叙述技巧包括复述或生成故事,反映认知和沟通的发展。这种语言的使用是脱离上下文的,需要各种组件之间的流畅相互作用。自闭症儿童通常表现出非典型的语言发展和为特定需求量身定制的交流限制。本横断面研究考察了语言水平匹配的泰米尔语自闭症儿童和非自闭症儿童的叙事微观结构。通过故事复述和故事生成任务分析6个微观结构参数,评估叙事能力。这项研究包括38名说泰米尔语的儿童,根据自闭症诊断进行分组,并通过标准化测试进行语言水平匹配。评估的重点是复述任务和故事复述(SR)和故事生成(SG)的排序卡。评估的6个微观结构变量为:总词数(TNW)、总话语数(TNU)、词中平均话语长度(MLU-W)、语素中平均话语长度(MLU-M)、不同词数(NDW)和类型标记比(TTR)。结果表明,自闭症儿童在所有参数上的得分都一直较低,在流畅性和使用更短、更简单的句子方面表现出困难。本研究强调了叙事性评估对于提高我们对自闭症儿童语言发展的理解和支持的重要性。
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引用次数: 0
A Frank Assessment of SHANK: Impacts of Pathogenic Variations in SHANK3 on Preclinical Models of Phelan McDermid Syndrome 对SHANK的坦率评估:SHANK3致病变异对Phelan McDermid综合征临床前模型的影响。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-28 DOI: 10.1002/aur.70112
Vic Lin, Samantha M. Matta, Julia E. Dallman, Suzanne Hosie, Manon Moreau, Ashley E. Franks, Thomas Bourgeron, Elisa L. Hill-Yardin

Although there are as many as 40 preclinical models of the neurodevelopmental disorder Phelan McDermid syndrome (PMS, or 22q13.3 deletion syndrome), detailed phenotypic analyses to compare the effects of different pathogenic variants and inform treatment design are lacking. Here, we clarify behavioral traits (social, vocalization, repetitive and anxiety-like behavior), developmental trajectories, and motor activity in addition to changes in brain structure and function in 10 widely available Shank3 transgenic mouse models. Although behavioral deficits in Shank3B−/− and Shank3∆C/∆C mice were most extensively reported, each model reviewed here displayed autism-relevant behavioral traits. Most studies focused on assessing social, anxiety-like, and repetitive behavior, whereas few studies examined changes in vocalization, developmental milestones, motor function, or aggressive behavior. We did not identify any studies of gut function in the ten selected Shank3 models. Alterations in the gastrointestinal microbiome of Shank3-deficient mice are associated with changes in bacterial abundance and composition, which may impact social behavior and gastrointestinal function. Studying preclinical models can provide critical insights into molecular pathways contributing to PMS. Further research is needed to determine how various genetic variations in Shank3 impact the brain, behavior, and potentially the gastrointestinal system.

虽然有多达40种神经发育障碍费伦麦克德米德综合征(PMS,或22q13.3缺失综合征)的临床前模型,但缺乏详细的表型分析来比较不同致病变异的影响并为治疗设计提供信息。在这里,我们在10个广泛使用的Shank3转基因小鼠模型中阐明了行为特征(社交、发声、重复和焦虑样行为)、发育轨迹和运动活动,以及大脑结构和功能的变化。虽然Shank3B-/-和Shank3∆C/∆C小鼠的行为缺陷被广泛报道,但这里回顾的每个模型都显示出与自闭症相关的行为特征。大多数研究集中于评估社交,焦虑样和重复行为,而很少有研究检查发声,发育里程碑,运动功能或攻击行为的变化。我们没有在10个选定的Shank3模型中发现任何肠道功能的研究。shank3缺陷小鼠胃肠道微生物组的改变与细菌丰度和组成的变化有关,这可能影响社会行为和胃肠道功能。研究临床前模型可以为促进经前症候群的分子途径提供关键的见解。尚需要进一步的研究来确定Shank3的各种遗传变异如何影响大脑、行为和潜在的胃肠道系统。
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引用次数: 0
The National Prevalence of Neurodevelopmental Disorders and Their Associations With Health Conditions Among General Junior High School Students in China: Findings From the China Education Panel Survey 中国普通初中生神经发育障碍患病率及其与健康状况的关系:来自中国教育小组调查的结果
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-25 DOI: 10.1002/aur.70111
Shu-Li Shen, Ning Pan, Jun-Shan Lin, Ying-Qian Chen, Li-Zi Lin, Li Cai, Zhao-Yan Liu, Qiang Feng, Jin Jing, Xin Wang

Neurodevelopmental disorders (NDDs) remain poorly understood in adolescents, particularly in middle-income countries like China. To assess NDDs prevalence and their associations with health conditions among Chinese general junior high school students, data from the China Education Panel Survey (CEPS, 2013–2015) were used. A total of 8324 junior high school students were included. Validated questionnaires and tests assessed NDDs (autism spectrum disorder [ASD], language disorder [LD], and attention-deficit/hyperactivity disorder [ADHD]) and health conditions (physical health through overweight/obesity and myopia; mental health through anxiety symptoms and depression symptoms; cognitive functioning through academic performance and cognitive ability; adherence to social norms). Of 8324 participants, 299 (4.59%) had NDDs. Students with NDDs showed higher rates of anxiety symptoms and poor cognitive ability compared to those without NDDs. Specific NDD associations included anxiety symptoms with LD and ADHD, depression symptoms with ASD and ADHD, and poor cognitive ability with ASD and LD. Sex-specific disparities were observed in the associations: the link between NDDs and depression symptoms was evident solely in boys, whereas the association between NDDs and academic performance was significant only in girls. Increased surveillance of NDDs prevalence nationwide and improved support services through better integration of families, schools, and society are needed.

青少年神经发育障碍(ndd)仍然知之甚少,特别是在中国等中等收入国家。为了评估中国普通初中生ndd患病率及其与健康状况的关系,使用了中国教育小组调查(CEPS, 2013-2015)的数据。共纳入初中生8324人。有效的问卷和测试评估了ndd(自闭症谱系障碍[ASD]、语言障碍[LD]和注意力缺陷/多动障碍[ADHD])和健康状况(超重/肥胖和近视的身体健康状况;焦虑症状和抑郁症状的心理健康状况;学习成绩和认知能力的认知功能状况;对社会规范的遵守情况)。在8324名参与者中,299名(4.59%)患有ndd。与没有ndd的学生相比,患有ndd的学生表现出更高的焦虑症状和较差的认知能力。具体的NDD关联包括LD和ADHD的焦虑症状,ASD和ADHD的抑郁症状,ASD和LD的认知能力差。在关联中观察到性别特异性差异:NDD和抑郁症状之间的联系仅在男孩中明显,而NDD和学习成绩之间的关联仅在女孩中显著。需要加强对全国ndd流行情况的监测,并通过更好地整合家庭、学校和社会来改善支持服务。
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引用次数: 0
A New Paradigm for Autism Spectrum Disorder Discrimination in Children Utilizing EEG Data Collected During Cartoon Viewing With a Focus on Atypical Semantic Processing 儿童自闭症谱系障碍识别的新范式:基于非典型语义加工的儿童脑电分析。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-23 DOI: 10.1002/aur.70105
Lin Deng, Meng-Jie Lu, Le-tong Yang, Yue Zhang, Hang-yu Tan, Miao Cao, Fei Li

Autism spectrum disorder (ASD) is characterized by impaired social interaction and communication skills, with semantic processing difficulties being a hallmark feature that significantly impacts social communication. While traditional neuroimaging studies have provided insights into language processing in ASD, ecological validity remains a challenge, particularly when assessing young children. This study introduces a novel approach to evaluate atypical semantic processing in children with ASD (aged 4–10 years) through electroencephalography (EEG) data collection during cartoon viewing, offering a more natural assessment environment. We developed an innovative methodology combining pretrained language models with regression techniques in a machine learning framework. The analysis incorporated the Six-dimensional Semantic Database system and EEG topographical mapping to investigate semantic processing preferences and neural mechanisms across various word dimensions. Our semantic processing model demonstrated robust performance with high sensitivity (91.3%) and moderate specificity (61.0%); findings successfully replicated in validation analysis. These results reveal distinct patterns in how children with ASD process semantic information, particularly in their integration and response to emotional semantic dimensions. These findings help us understand the language processing patterns in ASD and provide potential applications for auxiliary diagnosis in more natural settings, meeting important needs in clinical practice.

自闭症谱系障碍(Autism spectrum disorder, ASD)以社会交往和沟通能力受损为特征,语义处理困难是显著影响社会沟通的显著特征。虽然传统的神经成像研究已经为ASD的语言处理提供了见解,但生态有效性仍然是一个挑战,特别是在评估幼儿时。本研究介绍了一种新的方法,通过收集4-10岁ASD儿童在观看动画片时的脑电图(EEG)数据来评估非典型语义加工,提供了一个更自然的评估环境。我们开发了一种创新的方法,将机器学习框架中的预训练语言模型与回归技术相结合。本研究结合六维语义数据库系统和脑电地形图,探讨不同词维语义加工偏好和神经机制。我们的语义处理模型具有高灵敏度(91.3%)和中等特异性(61.0%)的鲁棒性;结果在验证分析中成功重复。这些结果揭示了自闭症儿童处理语义信息的独特模式,特别是他们对情感语义维度的整合和反应。这些发现有助于我们了解ASD的语言处理模式,并为在更自然的环境中辅助诊断提供潜在的应用,满足临床实践的重要需求。
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引用次数: 0
Autistic Listeners Demonstrate Robust Lexically Guided Perceptual Learning 自闭症听众表现出强大的词汇引导感知学习。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-23 DOI: 10.1002/aur.70078
Shawn N. Cummings, Brooke Duda, Rachel M. Theodore

Listeners accommodate rampant variability in speech input, at least in part, by adapting to structured phonetic variation. However, most work demonstrating this type of perceptual learning has focused on group-level effects in modal populations. This approach masks potentially meaningful differences—present among all listeners but particularly associated with autism—in sensory perception, social functioning, and language processing. These differences may be expected to influence adaptation, but their roles remain unclear. The present investigation aimed to clarify the relationships between autism, perceptual acuity, and adaptation. Listeners (n = 80, of which 40 were diagnosed with autism) were exposed to spectral energy ambiguous between /s/ and /ʃ/ in lexical contexts designed to elicit adaptation. Learning was assessed by comparing categorization of an ashi–asi test continuum before and after the critical lexically guided exposure. Autistic traits and pitch pattern sensitivity were also assessed. Robust learning was observed by both the general population and autistic listeners, with no evidence to suggest that learning was associated with autistic traits or pitch pattern sensitivity. These results advance theories of speech adaptation by constraining determinants of lexically guided perceptual learning to suggest that the social language traits of autism may be orthogonal to adaptation in speech perception.

听者通过适应结构化的语音变化,至少在一定程度上适应了语音输入的剧烈变化。然而,大多数证明这种类型的感知学习的工作都集中在模态群体的群体水平效应上。这种方法掩盖了潜在的有意义的差异——存在于所有听众中,但特别与自闭症有关——感官知觉、社会功能和语言处理。这些差异可能会影响适应,但它们的作用尚不清楚。本研究旨在阐明自闭症、知觉敏锐度和适应之间的关系。听众(n = 80,其中40人被诊断为自闭症)在设计用于诱导适应的词汇语境中暴露于/s/和/ h /之间模糊的频谱能量。通过比较关键词汇引导暴露前后ashi-asi测试连续统的分类来评估学习。自闭症特征和音高模式敏感性也进行了评估。一般人群和自闭症听众都观察到稳健的学习,没有证据表明学习与自闭症特征或音高模式敏感性有关。这些结果通过限制词汇引导的知觉学习的决定因素来推进言语适应理论,表明自闭症的社会语言特征可能与言语感知的适应是正交的。
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引用次数: 0
Associations Between Brain Network Connectivity and Cognitive Measures in Autism Spectrum Disorder: A Post Hoc Analysis of a Parent Study “Evaluating the Safety and Efficacy of Transcranial Pulse Stimulation on Autism Spectrum Disorder” 自闭症谱系障碍中脑网络连通性与认知测量之间的关系:一项“评估经颅脉冲刺激治疗自闭症谱系障碍的安全性和有效性”的父母研究的事后分析。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-21 DOI: 10.1002/aur.70093
Chun Liang Hsu, Eva Matt, Tommy Kwan Hin Fong, Joyce Yuen Ting Lam, Bolton Chau, Calvin Pak Wing Cheng, Roland Beisteiner, Teris Cheung

This study presents a post hoc analysis of our parent study “Evaluating the Safety and Efficacy of Transcranial Pulse Stimulation on Autism Spectrum Disorder” study which was a double-blind, sham-controlled, randomized controlled trial. In this study, we examined associations between changes in brain network connectivity and cognitive performance in young adolescents (12–17 years) with autism spectrum disorder (ASD) following the administration of transcranial pulse stimulation (TPS) which is considered non-invasive, evidenced-based brain stimulation for neurodegenerative disorders and neuropsychiatric disorders. Our findings indicate that increased connectivity in specific brain networks is associated with improvements in cognitive measures, suggesting that connectivity changes may underpin cognitive changes observed after six TPS intervention. These results highlight potential neural mechanisms underlying cognitive improvements in ASD, although causality cannot be inferred from these associations.

Trial Registration: ClinicalTrials.gov identifier: NCT05408793

本研究对我们的父母研究“评估经颅脉冲刺激治疗自闭症谱系障碍的安全性和有效性”进行了事后分析,该研究是一项双盲,假对照,随机对照试验。在这项研究中,我们研究了患有自闭症谱系障碍(ASD)的青少年(12-17岁)在接受经颅脉冲刺激(TPS)后大脑网络连接变化与认知表现之间的关系。经颅脉冲刺激(TPS)被认为是治疗神经退行性疾病和神经精神疾病的无创、基于证据的脑刺激。我们的研究结果表明,特定大脑网络连通性的增加与认知测量的改善有关,这表明连通性的变化可能是6次TPS干预后观察到的认知变化的基础。这些结果强调了ASD认知改善的潜在神经机制,尽管不能从这些关联中推断出因果关系。试验注册:ClinicalTrials.gov标识符:NCT05408793。
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引用次数: 0
Assessing Anxiety in Autistic and Non-Autistic Youth: Validation of the German Parent Version of the Anxiety Scale for Children With Autism Spectrum Disorder 评估自闭症与非自闭症青少年的焦虑:德文家长版自闭症谱系障碍儿童焦虑量表的验证。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-21 DOI: 10.1002/aur.70107
Magdalena Gruner, Veit Roessner, Melanie Ring

Anxiety is a prevalent co-occurring disorder in autistic youth, yet its accurate assessment remains challenging due to symptom overlap with autism. The Anxiety Scale for Children with Autism Spectrum Disorder—Parent Version (ASC-ASD-P) was designed to address this issue, but its utility in German clinical settings has not been established. This study validated the German translation of the ASC-ASD-P in a clinical sample of 317 participants presenting at a clinic for autism assessment, including 120 autistic youth. Internal consistency was excellent (Cronbach's α = 0.92), and convergent validity was demonstrated through significant correlations with established psychopathology measures such as the Child Behavior Checklist (CBCL) and Strengths and Difficulties Questionnaire (SDQ). Factor analyses preferred a 4-factor structure in the autism group, but indicated difficulties replicating the Separation Anxiety Subscale. Autistic youth showed higher total anxiety and uncertainty scores compared to non-autistic youth, underlining the scale's sensitivity to autism-specific anxiety patterns. By including youth with intellectual disabilities, often underrepresented in research, this study provides a more comprehensive evaluation of the ASC-ASD-P's applicability across the autism spectrum. These findings support the ASC-ASD-P as a reliable tool for assessing anxiety in German-speaking autistic youth while highlighting areas where refinement could strengthen its utility.

焦虑是自闭症青少年中普遍存在的共同发病障碍,但由于其症状与自闭症重叠,其准确评估仍然具有挑战性。《自闭症谱系障碍儿童焦虑量表-家长版》(ASC-ASD-P)旨在解决这一问题,但其在德国临床环境中的实用性尚未确立。这项研究在317名参加自闭症评估的临床样本中验证了ASC-ASD-P的德语翻译,其中包括120名自闭症青少年。内部一致性极好(Cronbach's α = 0.92),通过与儿童行为检查表(CBCL)和优势与困难问卷(SDQ)等已建立的精神病理学测量的显著相关证明了趋同效度。因子分析倾向于在自闭症组中采用四因子结构,但表明难以复制分离焦虑子量表。与非自闭症青少年相比,自闭症青少年表现出更高的总焦虑和不确定性得分,强调了该量表对自闭症特定焦虑模式的敏感性。通过纳入在研究中往往代表性不足的智障青年,本研究对ASC-ASD-P在自闭症谱系中的适用性提供了更全面的评估。这些发现支持ASC-ASD-P作为评估德语自闭症青少年焦虑的可靠工具,同时强调了改进可以增强其效用的领域。
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引用次数: 0
“Risk of Autism Spectrum Disorder in Descendants of Women With Gestational Diabetes and Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis” 妊娠期糖尿病和多囊卵巢综合征妇女后代自闭症谱系障碍的风险:一项系统综述和荟萃分析。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-20 DOI: 10.1002/aur.70110
Francisca Bravo-Muñoz, Isidora Bustos, Diana Muñoz-Fierro, Sofía San-Martín, Catalina Tabilo, Macarena Véliz, Taide Zaror, Paulina Ormazabal, Nele Brusselaers, Romina Fornes

Some reports show that children exposed to hyperandrogenemia or hyperglycemic states in utero are more prone to be diagnosed with autism spectrum disorder (ASD). This systematic review and meta-analysis aim to assess the association between Polycystic Ovary Syndrome (PCOS) or gestational diabetes (GD) and ASD. A systematic review (1980–2023) in Web of Science, PubMed and Scopus, using specific search terms “gestational diabetes”, “polycystic ovary syndrome,” “neurodevelopmental disorder” and “autism spectrum disorder” was performed. Generic inverse-variance method was used to pool the adjusted or crude effect measures with a random-effects model. Results were presented as relative risk (RR) with 95% confidence interval (CI). Only studies from the northern hemisphere were found. All the articles evaluated the association between either GD (n = 16) or PCOS (8) and ASD separately. The overall analysis revealed that there is an increased risk of ASD in the offspring of women diagnosed with GD [RR = 1.23 (95% CI 1.13–1.34), n = 14] and in women diagnosed with PCOS [RR = 1.35 (95% CI 1.17–1.56), n = 6]. In a sensitivity analysis, the risk of ASD was particularly higher in mothers with GD and obesity. Although both GD and PCOS have been associated with ASD in offspring, studies in other geographical regions are needed. Future research should investigate how varying androgen levels in PCOS and the timing of GD diagnosis might influence the observed associations. Additional studies are needed to confirm these associations, address potential confounding variables, and explore whether these maternal conditions contribute directly or indirectly to autism risk.

一些报告显示,在子宫内暴露于高雄激素血症或高血糖状态的儿童更容易被诊断为自闭症谱系障碍(ASD)。本系统综述和荟萃分析旨在评估多囊卵巢综合征(PCOS)或妊娠期糖尿病(GD)与ASD之间的关系。在Web of Science、PubMed和Scopus中检索1980-2023年的数据,使用特定的搜索词“妊娠糖尿病”、“多囊卵巢综合征”、“神经发育障碍”和“自闭症谱系障碍”进行系统回顾。采用通用反方差法将调整后的或粗糙的效应测度与随机效应模型合并。结果以相对危险度(RR)表示,置信区间为95%。只有来自北半球的研究被发现。所有的文章分别评估了GD (n = 16)或PCOS(8)与ASD之间的关系。总体分析显示,诊断为GD的妇女的后代患ASD的风险增加[RR = 1.23 (95% CI 1.13-1.34), n = 14],诊断为PCOS的妇女的后代患ASD的风险增加[RR = 1.35 (95% CI 1.17-1.56), n = 6]。在一项敏感性分析中,GD和肥胖的母亲患自闭症的风险尤其高。虽然GD和PCOS都与后代的ASD有关,但需要在其他地理区域进行研究。未来的研究应该探讨多囊卵巢综合征中不同的雄激素水平和GD诊断的时间如何影响观察到的关联。需要进一步的研究来证实这些关联,解决潜在的混淆变量,并探索这些母亲的状况是否直接或间接地导致自闭症风险。
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引用次数: 0
Examining Associations Between Social Experiences and Loneliness Among Autistic Youth 研究自闭症青少年的社会经历与孤独之间的关系。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-20 DOI: 10.1002/aur.70115
Natalie Libster, Julie Lounds Taylor, Shuting Zheng, Somer Bishop, Ryan Adams

To develop targeted interventions aimed at reducing loneliness among autistic youth, it is critical to understand which social experiences are associated with loneliness in this population. The current study examined associations between loneliness, social interaction/solitary experiences (i.e., time spent interacting and alone, feelings during time spent interacting and alone) and peer experiences (i.e., victimization, being ignored, and being included) among autistic youth. Autistic youth (N = 241) between 15 and 26 years old (M = 18.7) completed online surveys that measured their levels of loneliness and the degrees to which they were victimized, ignored, and included by peers. Furthermore, at 9 PM each day for 7 consecutive days, participants were prompted via a smartphone app to report events that occurred within five specific time frames throughout that day. Youth reported how long they participated in each event, whether they were interacting with others or alone, and for the longest lasting activity in each time frame, the degree to which they experienced positive and negative feelings. Results revealed that more negative feelings when interacting and when alone were associated with increased loneliness, whereas more positive feelings when alone were associated with reduced loneliness. Neither time spent interacting nor time spent alone was significantly associated with loneliness. Greater frequency of being ignored was also associated with increased loneliness. Therefore, rather than focusing on the amount of time autistic youth spend interacting and alone, it is equally important for future interventions to consider ways to increase youth's satisfaction with the quantity and quality of their social interactions.

为了制定有针对性的干预措施,旨在减少自闭症青少年的孤独感,了解哪些社会经历与这一人群的孤独感有关是至关重要的。目前的研究调查了自闭症青少年的孤独感、社会互动/孤独经历(即,花在互动和独处上的时间,花在互动和独处上的感受)和同伴经历(即受害、被忽视和被包容)之间的联系。15岁至26岁的自闭症青年(N = 241) (M = 18.7)完成了在线调查,测量了他们的孤独程度以及他们被同伴伤害、忽视和包容的程度。此外,连续7天,每天晚上9点,参与者通过智能手机应用程序报告当天五个特定时间段内发生的事件。年轻人报告了他们参与每项活动的时间,无论他们是与他人互动还是独自一人,以及在每个时间框架内持续时间最长的活动,他们体验到积极和消极情绪的程度。结果显示,当互动和独处时,更多的消极情绪与孤独感的增加有关,而独处时,更多的积极情绪与孤独感的减少有关。无论是花在互动上的时间还是花在独处上的时间都与孤独感没有显著关联。被忽视的频率越高,孤独感也会增加。因此,与其关注自闭症青少年花在互动和独处上的时间,还不如考虑如何提高青少年对社交互动的数量和质量的满意度,这对未来的干预同样重要。
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引用次数: 0
Quality of Life in Autistic Children: Discrepancies Between Self- and Caregiver-Proxy Reports and Associations With Individual Characteristics 自闭症儿童的生活质量:自我和照顾者代理报告之间的差异以及与个体特征的关联。
IF 5.6 2区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2025-08-18 DOI: 10.1002/aur.70108
Emily C. Skaletski, Rebekah M. Rodriguez, Sharon G. Gartland, Karla K. Ausderau, Lauren Bishop, James J. Li, Brittany G. Travers

Quality of life (QoL) is important for everyone and has been identified as a priority for autistic people. However, studies typically focus on caregiver-proxy-reported QoL and its related individual characteristics, even though self- and caregiver-proxy-reported QoL may differ in autistic children. In 74 autistic children (5.04–10.99 years old, intelligence quotient [IQ] 47–141), we sought to determine the level of agreement between self- and caregiver-proxy-reported QoL and determine if self- and caregiver-proxy-reported QoL are differently related to personal characteristics such as age, IQ, autism features, attention-deficit/hyperactivity disorder (ADHD) features, sleep difficulties, and sensory features. Findings suggested poor inter-rater agreement (ICC = 0.16) between self- and caregiver-proxy-reported QoL. Across both self- and caregiver-proxy reports, sensory features and sleep difficulties related to QoL, but age and IQ did not. We also found an interaction effect of reporter on the relation between QoL and both autism and ADHD features, with these associations driven by caregiver-proxy-reported QoL. These findings emphasize the importance of measuring both self- and caregiver-proxy-reported QoL to provide complementary perspectives. Moreover, these results underscore the importance of understanding a child's sensory features and sleep difficulties, as these two areas were similarly related to both self- and caregiver-proxy-reported QoL.

生活质量(QoL)对每个人都很重要,并已被确定为自闭症患者的优先事项。然而,研究通常集中在照顾者代理报告的生活质量及其相关的个体特征上,尽管自闭症儿童的自我和照顾者代理报告的生活质量可能有所不同。在74名自闭症儿童(5.04-10.99岁,智商[IQ] 47-141)中,我们试图确定自我和照顾者代理报告的生活质量之间的一致程度,并确定自我和照顾者代理报告的生活质量是否与个人特征(如年龄、智商、自闭症特征、注意缺陷/多动障碍(ADHD)特征、睡眠困难和感觉特征)有不同的关系。研究结果显示,自我和照护者代理报告的生活质量之间的评分者间一致性差(ICC = 0.16)。在自我和照顾者代理的报告中,感觉特征和睡眠困难与生活质量有关,但年龄和智商无关。我们还发现报告者对生活质量与自闭症和ADHD特征之间的关系存在交互作用,这些关联是由照顾者代理报告的生活质量驱动的。这些发现强调了测量自我和照护者代理报告的生活质量的重要性,以提供互补的观点。此外,这些结果强调了理解儿童的感官特征和睡眠困难的重要性,因为这两个领域与自我和照顾者代理报告的生活质量相似。
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Autism Research
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