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Guest editorial 客人编辑
IF 1.2 Q3 Medicine Pub Date : 2021-08-03 DOI: 10.1108/aia-07-2021-0030
V. Chester
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引用次数: 0
Autistic traits in Indian general population and patient group samples: distribution, factor structure, reliability and validity of the Autism-Spectrum Quotient 印度普通人群和患者群体样本的自闭症特征:分布、因素结构、自闭症谱商的信度和效度
IF 1.2 Q3 Medicine Pub Date : 2021-07-26 DOI: 10.1108/aia-08-2020-0049
Asmita Karmakar, M. Bhattacharya, Susmita Chatterjee, Atanu Kumar Dogra
PurposeThe Autism-Spectrum Quotient (AQ) is a widely used tool to quantify autistic traits in the general population. This study aims to report the distribution, group differences and factor structure of autistic traits in Indian general population. The work also assesses the criterion validity of AQ across three patient group samples – autism spectrum disorder (ASD), obsessive-compulsive disorder and social anxiety disorder.Design/methodology/approachIn this study, psychometric properties of the adapted AQ were assessed among 450 neurotypical university students matched for age. Confirmatory factor analysis was done to see if the adapted AQ fits the original factor structure. Test–retest, internal consistency reliability and criterion validity were found out. Group differences (gender and field of study) in AQ were also assessed.FindingsAutistic traits were found to be continuously distributed in the population, and patterns of group differences were consistent with previous studies. The adapted AQ had five factors resembling the original factor structure with a good fit, and 38 items instead of the original 50 items. Acceptable reliability coefficients were demonstrated along with criterion validity across clinical groups.Originality/valueThis work is the first to present the pattern of distribution and factor structure of autistic traits among neurotypical adults from Eastern India, a culturally different population, as well as a reliable and valid tool to assess autistic traits in Bengali, a language with 300 million speakers. The findings add to the growing literature on AQ measurement and the concept of autism as a quantitative trait, examined outside of the western samples.
目的自闭症谱系商(Autism-Spectrum Quotient, AQ)是一种被广泛应用于量化一般人群自闭症特征的工具。本研究旨在报道印度普通人群自闭症特征的分布、群体差异和因子结构。这项工作还评估了三组患者样本——自闭症谱系障碍(ASD)、强迫症和社交焦虑障碍——中AQ的标准有效性。设计/方法/方法在本研究中,对450名与年龄相匹配的神经正常大学生进行了适应性AQ的心理测量特性评估。进行验证性因子分析,以确定调整后的AQ是否符合原因子结构。测试重测、内部一致性、信度和效度。还评估了AQ的组间差异(性别和研究领域)。发现孤独症性状在人群中呈连续分布,群体差异模式与前人研究一致。改进后的问答题因子结构与原题相似,有5个因子具有较好的拟合性,由原来的50个因子增加到38个。可接受的信度系数和标准效度在临床组中得到验证。原创性/价值本研究首次展示了来自文化不同的东印度的神经正常成年人中自闭症特征的分布模式和因素结构,并为评估拥有3亿人口的孟加拉语的自闭症特征提供了可靠和有效的工具。这些发现增加了越来越多的关于智商测量的文献,以及自闭症作为一种定量特征的概念,在西方样本之外进行了研究。
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引用次数: 1
Case study: impact of interdisciplinary interventions in a 9-year-old male child with autism spectrum disorder 个案研究:跨学科干预对一名患有自闭症谱系障碍的9岁男童的影响
IF 1.2 Q3 Medicine Pub Date : 2021-07-19 DOI: 10.1108/AIA-06-2020-0041
Vinita Berry, C. Sharma
PurposeThis study aims to highlight the need for an interdisciplinary intervention approach to bring noteworthy changes in children with an autism spectrum disorder. It proposes to study how holistic individualized therapeutic plans can promote functionality even in the adolescent age. This study aims to channelize the restricted abilities in a positive manner and make it, a strength for the child. Social-emotional development along with academic goals is also proposed.Design/methodology/approachThe paper is based on an exploratory study where participant observation was the main tool. Unstructured interviews with the therapists were conducted and the background history was taken. Documents and assessments related to the case were referred.FindingsThe paper provides empirical insight into the impact of an interdisciplinary intervention on autism spectrum disorder. It suggests that speech therapy, occupational therapy, special education and counseling taken up as a holistic approach and modified as per the needs and competence of the child prove to be effective. It also becomes evident that intervention can help the child to become functional and meaningful even if the intervention is started a little late in life. Consistency and intensity of interventions along with compassion play a very positive role in the life of children with autism.Research limitations/implicationsAs the approach taken describes one case in depth, there is less probability of generalization of results. Therefore, it suggests a wide scope of testing the proposed propositions further.Practical implicationsThis paper includes implications for the children with autism spectrum disorder, who: are not able to get early intervention for some reason and the ones who have special restricted abilities. It also is an inspiration for the service providers to develop comprehensive and interdisciplinary plans of intervention.Social implicationsThis will help parents who somehow miss providing interventions at an early age to be hopeful and to seek help. The results are encouraging so as to make children with autism spectrum disorder more functional and acceptable in their lives.Originality/valueThis paper worked on the identified needs of children with autism but found that their restricted abilities that are commonly found can be used and channelized positively to become a strength. There is a scope and hope to guide these children toward a functional life where they can connect with others around them and are accepted and included in society. Individualized and interdisciplinary interventions prove to make these children happier and confident.
目的本研究旨在强调跨学科干预方法的必要性,以给自闭症谱系障碍儿童带来显著的变化。它建议研究如何整体个性化的治疗计划可以促进功能,甚至在青少年时期。本研究旨在积极疏导幼儿的能力局限,使之成为幼儿的一种力量。社会情感发展与学业目标同时进行。设计/方法/方法本文基于一项探索性研究,其中参与者观察是主要工具。对治疗师进行了非结构化访谈,并记录了背景历史。提交了与该案件有关的文件和评估。本研究提供了跨学科干预对自闭症谱系障碍影响的实证见解。它表明,语言治疗、职业治疗、特殊教育和咨询作为一种整体方法,并根据儿童的需要和能力进行修改,证明是有效的。同样明显的是,干预可以帮助孩子变得有功能和有意义,即使干预开始得有点晚。干预的一致性和强度以及同情心在自闭症儿童的生活中起着非常积极的作用。研究的局限性/意义由于所采用的方法只深入描述了一个案例,因此结果推广的可能性较小。因此,它建议进一步对所提出的命题进行广泛的测试。实际意义本研究包括对自闭症谱系障碍儿童的启示,这些儿童由于某种原因不能得到早期干预,以及那些有特殊限制能力的儿童。它也为服务提供者制定全面和跨学科的干预计划提供了灵感。社会意义:这将帮助那些在孩子很小的时候就错过干预措施的父母充满希望并寻求帮助。结果是令人鼓舞的,使自闭症谱系障碍儿童在他们的生活中更有功能和可接受性。原创性/价值这篇论文研究了自闭症儿童的明确需求,但发现他们通常发现的有限能力可以被积极地利用和引导,成为一种优势。有一个范围和希望引导这些孩子走向功能生活,他们可以与周围的人联系,并被接受和融入社会。事实证明,个性化和跨学科的干预使这些孩子更快乐、更自信。
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引用次数: 0
The concept of autism spectrum disorder: a study on knowledge sharing protocol among parents with autistic children in Ghana 自闭症谱系障碍的概念:加纳自闭症儿童父母知识共享协议的研究
IF 1.2 Q3 Medicine Pub Date : 2021-07-09 DOI: 10.1108/AIA-12-2020-0074
Bernard Kissi-Abrokwah, Kwame Kodua-Ntim
PurposeThe purpose of this paper is to identify knowledge sharing practices used among parents with children diagnosed with autism spectrum disorder (ASD).Design/methodology/approachThe study was based on qualitative philosophical foundations, where phenomenological case study design was used to make an in-depth understanding of how parents whose children are diagnosed with ASD shared knowledge among themselves. The population for this research consists of parents whose children have been diagnosed with ASD in Ghana. The study sampled for the study was 12 parents and was selected from 4 autism awareness centres in Ghana to obtain data through the use of focus group discussion and analysed with the aid of thematic analysis.FindingsThe study showed that the dimensions of knowledge sharing practices used by parents with autistic children were after-action review/lesson learnt, brainstorming, mentoring, coaching system, discussion forum, face-to-face meeting, documentation, peer assistance and storytelling. Finally, the study also revealed that knowledge sharing practices used by parents with autistic children help them in their daily engagement.Social implicationsAn aspect of the training of social workers should focus on how to assist parents, family and neighbours of children with ASD. The government through the needed ministries and agencies should create a social support system to assist parents and families with children with ASD. Counsellors should avail their services to parents with children with ASD as early as possible to avoid or ameliorate some of the emotional and psychological challenges of these parents.Originality/valueThe paper offers a comprehensive overview on how knowledge sharing transforms the individual to learn and accept autistic condition in Ghana.
目的探讨自闭症谱系障碍(ASD)患儿家长之间的知识共享行为。设计/方法/方法本研究基于定性的哲学基础,使用现象学案例研究设计来深入了解被诊断为ASD的孩子的父母如何在他们之间分享知识。这项研究的人群包括加纳被诊断为自闭症谱系障碍的孩子的父母。本研究的研究样本是12位父母,从加纳的4个自闭症意识中心中选出,通过使用焦点小组讨论获得数据,并借助主题分析进行分析。研究结果显示,自闭症儿童家长分享知识的方式包括行动后检讨/经验教训、头脑风暴、辅导、辅导系统、讨论论坛、面对面会议、记录文件、同侪协助及讲故事。最后,该研究还揭示了自闭症儿童的父母使用的知识共享实践有助于他们的日常参与。社会影响社会工作者培训的一个方面应侧重于如何帮助自闭症儿童的父母、家庭和邻居。政府应该通过必要的部门和机构建立一个社会支持系统,帮助有自闭症儿童的父母和家庭。辅导员应尽早为有自闭症儿童的父母提供服务,以避免或改善这些父母的一些情感和心理挑战。原创性/价值本文全面概述了知识共享如何在加纳改变个人学习和接受自闭症的状况。
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引用次数: 1
Usefulness of current autism diagnostic or screening assessment tools in adults with intellectual disability (ID): systematic review of literature 当前自闭症诊断或筛查评估工具在智力残疾成年人中的有用性(ID):文献系统综述
IF 1.2 Q3 Medicine Pub Date : 2021-07-09 DOI: 10.1108/AIA-01-2021-0008
Solomon Shatananda, Abimbola Oyedokun, Mahesh M. Odiyoor, S. Jaydeokar, Saman Shahzad
PurposeThe purpose of the study is to identify and ascertain if there were any validated tools for diagnosing or screening autism spectrum disorder in adults with ID. The estimated prevalence of intellectual disability (ID) in the general population is about 10.37/1,000 population (Maulik et al., 2011). In total, 1 out of 4 individuals with ID suffers from an autism spectrum disorder (ASD) (Sappok et al., 2010). Early diagnosis and support for ASD is key to having a good quality of life. The diagnosis of ASD in people with an ID presents its own challenges and it is likely under-identification of ASD amongst adults with ID by about 20% to 30% (Emerson and Baines, 2010).Design/methodology/approachStudies were selected based on the following criteria: studies that reported either screening or diagnostic tools for ASD, participants had an ID i.e. a mean IQ of <70, adults i.e. participants were >18 years of age at the time of entry to the study and articles reported either sensitivity, specificity or area under the curve. Relevant studies that were published up to January 2020 were identified from EMBASE, PsychINFO, CINAHL and PubMed. In total, 75 papers were identified of which 15 papers met the criteria.FindingsThe screening or diagnostic tools currently in use is dependant on the degree of ID. A number of the tools had good psychometric properties and utility when used in people with specific degrees of ID or when used in combination with another screening or diagnostic tool. The authors could not identify a diagnostic tool that could be used across all levels of severity of ID unless used in combination. Hence, concluded that there is a need for a diagnostic tool with good psychometric properties for the assessment of ASD in adults with all degree of ID within a reasonable time period without the need for an additional tool to be used in conjunction.Originality/valueCurrently, the “gold standard” for diagnosing ASD is a lengthy and time-consuming process carried out by trained multi-disciplinary team members who assess historical, behavioural and parent/carer report to arrive at a diagnosis. There are a number of tools that have been developed to aid diagnosis. However, it is important to identify the tools that can optimise the procedures and are also time-efficient.
目的本研究的目的是确定和确定是否有任何有效的工具来诊断或筛查患有自闭症的成年人的自闭症谱系障碍。据估计,普通人群中智力残疾(ID)的患病率约为10.37/ 1000 (Maulik et al., 2011)。总的来说,四分之一的ID患者患有自闭症谱系障碍(ASD) (Sappok et al., 2010)。ASD的早期诊断和支持是拥有良好生活质量的关键。对有ID的人进行ASD的诊断有其自身的挑战,在有ID的成年人中,ASD的识别可能不足20%到30% (Emerson和Baines, 2010)。设计/方法/方法根据以下标准选择研究:报告ASD筛查或诊断工具的研究,参与者在进入研究时具有ID,即平均智商为18岁,文章报告敏感性,特异性或曲线下面积。截至2020年1月发表的相关研究从EMBASE、PsychINFO、CINAHL和PubMed中确定。共有75篇论文被确定,其中15篇论文符合标准。目前使用的筛查或诊断工具取决于ID的程度。当用于具有特定ID程度的人或与其他筛选或诊断工具结合使用时,许多工具具有良好的心理测量特性和效用。作者无法确定一种诊断工具,可以用于所有严重程度的ID,除非联合使用。因此,我们得出结论,需要一种具有良好心理测量特性的诊断工具,在合理的时间内评估所有程度ID的成人ASD,而不需要额外的工具来联合使用。独创性/价值目前,诊断自闭症谱系障碍的“黄金标准”是一个漫长而耗时的过程,由训练有素的多学科团队成员进行,他们评估病史、行为和父母/照顾者的报告,以得出诊断。目前已经开发了许多辅助诊断的工具。然而,重要的是要确定能够优化程序并节省时间的工具。
{"title":"Usefulness of current autism diagnostic or screening assessment tools in adults with intellectual disability (ID): systematic review of literature","authors":"Solomon Shatananda, Abimbola Oyedokun, Mahesh M. Odiyoor, S. Jaydeokar, Saman Shahzad","doi":"10.1108/AIA-01-2021-0008","DOIUrl":"https://doi.org/10.1108/AIA-01-2021-0008","url":null,"abstract":"\u0000Purpose\u0000The purpose of the study is to identify and ascertain if there were any validated tools for diagnosing or screening autism spectrum disorder in adults with ID. The estimated prevalence of intellectual disability (ID) in the general population is about 10.37/1,000 population (Maulik et al., 2011). In total, 1 out of 4 individuals with ID suffers from an autism spectrum disorder (ASD) (Sappok et al., 2010). Early diagnosis and support for ASD is key to having a good quality of life. The diagnosis of ASD in people with an ID presents its own challenges and it is likely under-identification of ASD amongst adults with ID by about 20% to 30% (Emerson and Baines, 2010).\u0000\u0000\u0000Design/methodology/approach\u0000Studies were selected based on the following criteria: studies that reported either screening or diagnostic tools for ASD, participants had an ID i.e. a mean IQ of <70, adults i.e. participants were >18 years of age at the time of entry to the study and articles reported either sensitivity, specificity or area under the curve. Relevant studies that were published up to January 2020 were identified from EMBASE, PsychINFO, CINAHL and PubMed. In total, 75 papers were identified of which 15 papers met the criteria.\u0000\u0000\u0000Findings\u0000The screening or diagnostic tools currently in use is dependant on the degree of ID. A number of the tools had good psychometric properties and utility when used in people with specific degrees of ID or when used in combination with another screening or diagnostic tool. The authors could not identify a diagnostic tool that could be used across all levels of severity of ID unless used in combination. Hence, concluded that there is a need for a diagnostic tool with good psychometric properties for the assessment of ASD in adults with all degree of ID within a reasonable time period without the need for an additional tool to be used in conjunction.\u0000\u0000\u0000Originality/value\u0000Currently, the “gold standard” for diagnosing ASD is a lengthy and time-consuming process carried out by trained multi-disciplinary team members who assess historical, behavioural and parent/carer report to arrive at a diagnosis. There are a number of tools that have been developed to aid diagnosis. However, it is important to identify the tools that can optimise the procedures and are also time-efficient.\u0000","PeriodicalId":43640,"journal":{"name":"Advances in Autism","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41858017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differential diagnosis of autism spectrum disorder, intellectual disability and attention-deficit hyperactivity disorder (ADHD) 自闭症谱系障碍、智力残疾和注意力缺陷多动障碍(ADHD)的鉴别诊断
IF 1.2 Q3 Medicine Pub Date : 2021-07-05 DOI: 10.1108/AIA-01-2021-0002
M. Heyman, M. Galligan, Giselle Salinas, Elizabeth Baker, J. Blacher, K. Stavropoulos
PurposeProfessionals working with community populations are often presented with complicated cases where it is difficult to determine which diagnosis or diagnoses are appropriate. Differentiating among neurodevelopmental disorders such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder and intellectual disability can be a complex process, especially, as these disorders have some overlapping symptoms and often co-occur in young children. This series of case studies aims to present commonly overlapping symptoms in children who present to clinics with developmental concerns.Design/methodology/approachThis paper presents three case studies that were completed at a free community ASD screening clinic in Southern California.FindingsThe case studies have common presenting behaviors and symptoms (e.g. social communication difficulties) that often co-occur across diagnoses; explanations for the final diagnoses are given in each case.Research limitations/implicationsConclusions from these three cases cannot generalize to all children being seen in clinics for neurodevelopmental concerns.Practical implicationsThis series of case studies highlights commonly overlapping symptoms in children who present for differential diagnosis with social and/or behavioral concerns. Implications for educational placement and intervention are discussed.Social implicationsThese cases highlight the challenges involved in the differential and dual diagnostic process for young children with developmental concerns. Diagnostic considerations can affect later educational placement and opportunities for socialization.Originality/valueThis series of case studies provide practical information for clinicians about how to effectively differentiate between commonly occurring neurodevelopmental disorders, particularly given recent changes to the Diagnostic and Statistical Manual, 5th edition (DSM-5).
目的与社区人群合作的专业人员经常遇到复杂的病例,很难确定哪种或哪种诊断是合适的。区分自闭症谱系障碍(ASD)、注意力缺陷/多动障碍和智力残疾等神经发育障碍可能是一个复杂的过程,尤其是因为这些障碍有一些重叠的症状,并且经常在幼儿中同时发生。这一系列的案例研究旨在为患有发育问题的儿童提供常见的重叠症状。设计/方法/方法本文介绍了在南加州一家免费社区ASD筛查诊所完成的三个案例研究。结果:这些案例研究有常见的表现行为和症状(如社交困难),这些行为和症状经常在诊断过程中同时发生;在每种情况下都给出了对最终诊断的解释。研究局限性/含义这三个病例的结论不能推广到所有因神经发育问题在诊所就诊的儿童。实际意义这一系列案例研究强调了儿童常见的重叠症状,这些症状与社会和/或行为问题进行了鉴别诊断。讨论了对教育安置和干预的影响。社会影响这些案例突出了有发育问题的幼儿在鉴别和双重诊断过程中所面临的挑战。诊断因素可能会影响以后的教育安排和社会化机会。原创性/价值这一系列案例研究为临床医生提供了如何有效区分常见神经发育障碍的实用信息,特别是考虑到《诊断与统计手册》第5版(DSM-5)的最新变化。
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引用次数: 1
Stress in mothers of children with neurodevelopmental disorders 神经发育障碍儿童母亲的压力
IF 1.2 Q3 Medicine Pub Date : 2021-06-30 DOI: 10.1108/aia-12-2020-0073
Ghorban Hemati Alamdarloo, F. Majidi
PurposeMost parents experience stress when their children are diagnosed with some kind of disability. This paper aims to compare the level of stress among mothers of children with neurodevelopmental disorders.Design/methodology/approachResearch sample consisted of 150 mothers of children with neurodevelopmental disorders (50 mothers of children with autism spectrum disorder, 50 mothers of children with intellectual disability and 50 mothers of children with specific learning disorder selected by convenience sampling). The Stress Response Inventory was used for measuring stress. One-way analysis of variance, multivariate analysis of variance and Scheffe post hoc tests were used for data analysis.FindingsThe results showed that the stress of mothers of children with autism spectrum disorder was significantly higher than to the other groups of mothers. It was also observed that the stress of mothers of children with intellectual disability was significantly higher than the mothers of children with the specific learning disorder.Originality/valueTherefore, designing and implementing preventive and interventional programs to decrease the stress of mothers of children with neurodevelopmental disorders, especially mothers of children with autism spectrum disorder is necessary.
目的当孩子被诊断患有某种残疾时,大多数父母都会感到压力。本文旨在比较患有神经发育障碍儿童的母亲的压力水平。设计/方法/方法研究样本包括150名神经发育障碍儿童的母亲(50名自闭症谱系障碍儿童的母亲,50名智力障碍儿童的母亲和50名特殊学习障碍儿童的母亲,采用方便抽样法选择)。应力反应量表用于测量应力。数据分析采用单因素方差分析、多因素方差分析和Scheffe事后检验。研究结果表明,患有自闭症谱系障碍儿童的母亲的压力明显高于其他组的母亲。智力障碍儿童母亲的压力显著高于特殊学习障碍儿童母亲的压力。因此,设计和实施预防和干预方案,以减轻神经发育障碍儿童的母亲,特别是自闭症谱系障碍儿童的母亲的压力是必要的。
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引用次数: 2
The relationship between autistic characteristics, social engagement and executive function in a typical sample 一个典型样本中孤独症特征、社会参与和执行功能的关系
IF 1.2 Q3 Medicine Pub Date : 2021-06-28 DOI: 10.1108/aia-10-2020-0058
Nicolle Robertson, A. Qureshi, R. Monk
PurposeThis study aims to represent a first attempt to examine in a non-clinical population the interplay between social engagement, executive function (EF) and theory of mind (ToM) within a social motivation theory framework.Design/methodology/approachA total of 170 participants (135 female; mean age = 19.01 and standard deviation = 1.27) completed measures of ToM (Faux Pas task), autistic traits (Autism Spectrum Quotient), social engagement (reward dependence subscale of the Temperament and Character Inventory), sociability and EF (both subscales of the Adult Temperament Questionnaire).FindingsPath analyses found that EF, sociability and social engagement were negatively associated with autistic traits both directly and indirectly. Results indicate that EF may impact sociability and social engagement and their interaction may relate to the degree of autistic traits shown in a typical sample. However, ToM (as measured by the Faux Pas test) was not related to any of the other variables.Originality/valueSociability, social engagement and effortful control deficits may be linked to higher levels of autistic traits. These factors appear to form a hierarchy of factors underpinning autism spectrum disorder, with EF contributing to all aspects, followed by sociability and social engagement at a higher level. Future research examining in clinical populations the utility of a more integrated model of social motivation that incorporates EF appears warranted.
目的本研究旨在首次尝试在社会动机理论框架下,在非临床人群中研究社会参与、执行功能(EF)和心理理论(ToM)之间的相互作用。设计/方法/方法共170名参与者(女性135名;平均年龄= 19.01,标准差= 1.27)完成了ToM(失礼任务)、自闭症特征(自闭症谱系商)、社交参与(气质与性格量表的奖励依赖子量表)、社交能力和EF(成人气质问卷的两个子量表)的测试。FindingsPath分析发现,EF、社交能力和社会参与与自闭症特征直接或间接呈负相关。结果表明,EF可能会影响社交能力和社会参与,并且它们的相互作用可能与典型样本中显示的自闭症特征的程度有关。然而,ToM(通过失礼测试测量)与任何其他变量无关。社交能力、社会参与和努力控制缺陷可能与较高水平的自闭症特征有关。这些因素似乎形成了一个支持自闭症谱系障碍的因素层次,EF对所有方面都有贡献,其次是更高层次的社交能力和社会参与。未来的研究将在临床人群中检验一个包含EF的更综合的社会动机模型的效用。
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引用次数: 1
Teaching a child with autism to request help only when needed 教自闭症儿童只在需要时寻求帮助
IF 1.2 Q3 Medicine Pub Date : 2021-06-25 DOI: 10.1108/aia-09-2020-0052
Mo Chen, Shelley Kreibich, Jolene K Hyppa-Martin
PurposeChildren with autism spectrum disorders (ASD) or other developmental disabilities are often reported to have challenges in well generalizing the newly learned communicative skills such as requesting help. Not requesting help when it is needed can hinder engagement and learning, whereas requesting help could also be socially inappropriate. This paper aims to offer a demonstration of applying general case instruction to teach a young child diagnosed with ASD to request help only when needed while concurrently increasing the child’s independence in task completion.Design/methodology/approachThe demonstration adopted within-participant AB designs for one 5-year-old boy with ASD, with data collected across three tasks targeted for intervention and the other three tasks targeted for generalization probes throughout both the baseline and intervention phases. Dependent measures consisted of independent help request and independent task completion. Visual analysis was used to describe the results.FindingsResults showed that the child with ASD learned to ask for help on difficult educational activities, while concurrently increasing his independence on these tasks; generalized the skill of requesting help by asking for help when he encountered other challenging novel tasks; and independently completed easy educational activities without requesting help.Originality/valueThe findings from this study may add to the limited literature that explored the generalization performance across tasks/activities in young learners with ASD, while demonstrating the feasibility of designing and applying general case instruction framework to enhance generalization performance for one individual learner.
目的据报道,患有自闭症谱系障碍(ASD)或其他发育障碍的儿童在推广新学到的沟通技能(如请求帮助)方面经常面临挑战。在需要的时候不请求帮助可能会阻碍参与和学习,而请求帮助也可能不适合社交。本文旨在提供一个应用一般案例教学的示范,教被诊断为自闭症谱系障碍的幼儿只有在需要时才请求帮助,同时提高儿童完成任务的独立性。设计/方法/方法在参与者AB设计中为一名患有ASD的5岁男孩采用的演示,在基线和干预阶段,收集了三项干预任务和其他三项泛化探针任务的数据。依赖性措施包括独立的帮助请求和独立的任务完成。使用视觉分析来描述结果。结果显示,自闭症谱系障碍儿童学会了在困难的教育活动中寻求帮助,同时提高了他在这些任务上的独立性;当他遇到其他具有挑战性的新颖任务时,通过寻求帮助来概括请求帮助的技能;独立完成简单的教育活动,无需求助。原创性/价值本研究的发现可能会为探索ASD年轻学习者在任务/活动中的泛化表现的有限文献增添新的内容,同时证明设计和应用通用案例教学框架以提高单个学习者泛化表现的可行性。
{"title":"Teaching a child with autism to request help only when needed","authors":"Mo Chen, Shelley Kreibich, Jolene K Hyppa-Martin","doi":"10.1108/aia-09-2020-0052","DOIUrl":"https://doi.org/10.1108/aia-09-2020-0052","url":null,"abstract":"\u0000Purpose\u0000Children with autism spectrum disorders (ASD) or other developmental disabilities are often reported to have challenges in well generalizing the newly learned communicative skills such as requesting help. Not requesting help when it is needed can hinder engagement and learning, whereas requesting help could also be socially inappropriate. This paper aims to offer a demonstration of applying general case instruction to teach a young child diagnosed with ASD to request help only when needed while concurrently increasing the child’s independence in task completion.\u0000\u0000\u0000Design/methodology/approach\u0000The demonstration adopted within-participant AB designs for one 5-year-old boy with ASD, with data collected across three tasks targeted for intervention and the other three tasks targeted for generalization probes throughout both the baseline and intervention phases. Dependent measures consisted of independent help request and independent task completion. Visual analysis was used to describe the results.\u0000\u0000\u0000Findings\u0000Results showed that the child with ASD learned to ask for help on difficult educational activities, while concurrently increasing his independence on these tasks; generalized the skill of requesting help by asking for help when he encountered other challenging novel tasks; and independently completed easy educational activities without requesting help.\u0000\u0000\u0000Originality/value\u0000The findings from this study may add to the limited literature that explored the generalization performance across tasks/activities in young learners with ASD, while demonstrating the feasibility of designing and applying general case instruction framework to enhance generalization performance for one individual learner.\u0000","PeriodicalId":43640,"journal":{"name":"Advances in Autism","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49539150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awareness and perception of medical genetic services among Malaysian parents of autism spectrum disorders children: the lessons to be learned 马来西亚自闭症谱系障碍儿童父母对医学遗传服务的认识和认知:需要吸取的教训
IF 1.2 Q3 Medicine Pub Date : 2021-06-21 DOI: 10.1108/aia-08-2020-0047
F. Amini, Kok Wah Yee, S. Soh, Abdulateef Alhadeethi, R. Amini, Edmond Siah Chye Ng
PurposeAutism spectrum disorder (ASD) is a group of complex neurodevelopmental disorders with uncertain etiology. Evidence shows that genetic testing can explain about 20% of cases. This study aims to assess the level of awareness and perception of medical genetic services among Malaysian parents with ASD children.Design/methodology/approachA cross-sectional survey using an interviewer-administered questionnaire was done among 111 parents of children with ASD from August 2017 to September 2019 in two clinics in Malaysia.FindingsA majority of children with ASD (80.20%) were male and diagnosed at the age of 3–4 years old (47.80%). When the autistic child was born, most mothers and fathers were aged 26–30 (40.50%) and 31–35 years old (42.30%), respectively. Another child with ASD in nuclear and extended families was reported for 11.70% and 13.50%, respectively. Only 24.30% have seen a professional genetic consultant, and 19.8% have done genetic testing for affected children. The mean score of awareness of genetic services for ASD was 2.48 ± 3.30. Having medical insurance and another child with ASD in the nuclear family was significantly associated with a higher level of awareness (p = 0.01 and p < 0.001, respectively). Most of the participants have a positive perception of these services.Originality/valueRegardless of demographic factors, participants have poor awareness of genetic services for ASD, likely because the primary physician did not recommend it upon diagnosis. Increasing health-care providers’ knowledge about the current potential of genetic testing for ASD and educational campaigns for the public are critical components of using available genetic tests to improve ASD management.
目的自闭症谱系障碍(ASD)是一组病因不明的复杂神经发育障碍。有证据表明,基因检测可以解释大约20%的病例。本研究旨在评估患有自闭症谱系障碍儿童的马来西亚父母对医疗遗传服务的认识和认知水平。设计/方法/方法2017年8月至2019年9月,在马来西亚的两家诊所对111名自闭症谱系障碍儿童的父母进行了横断面调查,采用访谈者管理的问卷。发现大多数ASD儿童(80.20%)是男性,在3-4岁时被诊断为ASD 自闭症儿童出生时,大多数父母的年龄分别为26-30岁(40.50%)和31-35岁 年龄(42.30%)。据报道,核心家庭和大家庭中另一名患有ASD的儿童分别占11.70%和13.50%。只有24.30%的人看过专业的基因顾问,19.8%的人为受影响的儿童做过基因检测。ASD的遗传服务意识平均得分为2.48 ± 3.30.核心家庭中有医疗保险和另一个患有ASD的孩子与更高的意识水平显著相关(分别为p=0.01和p<0.001)。大多数参与者对这些服务有积极的看法。原创性/价值无论人口统计学因素如何,参与者对自闭症谱系障碍的遗传服务的认识都很差,这可能是因为初级医生在诊断时没有推荐。增加医疗保健提供者对自闭症谱系障碍基因检测当前潜力的了解,并为公众开展教育活动,是利用现有基因检测改善自闭症谱系疾病管理的关键组成部分。
{"title":"Awareness and perception of medical genetic services among Malaysian parents of autism spectrum disorders children: the lessons to be learned","authors":"F. Amini, Kok Wah Yee, S. Soh, Abdulateef Alhadeethi, R. Amini, Edmond Siah Chye Ng","doi":"10.1108/aia-08-2020-0047","DOIUrl":"https://doi.org/10.1108/aia-08-2020-0047","url":null,"abstract":"\u0000Purpose\u0000Autism spectrum disorder (ASD) is a group of complex neurodevelopmental disorders with uncertain etiology. Evidence shows that genetic testing can explain about 20% of cases. This study aims to assess the level of awareness and perception of medical genetic services among Malaysian parents with ASD children.\u0000\u0000\u0000Design/methodology/approach\u0000A cross-sectional survey using an interviewer-administered questionnaire was done among 111 parents of children with ASD from August 2017 to September 2019 in two clinics in Malaysia.\u0000\u0000\u0000Findings\u0000A majority of children with ASD (80.20%) were male and diagnosed at the age of 3–4 years old (47.80%). When the autistic child was born, most mothers and fathers were aged 26–30 (40.50%) and 31–35 years old (42.30%), respectively. Another child with ASD in nuclear and extended families was reported for 11.70% and 13.50%, respectively. Only 24.30% have seen a professional genetic consultant, and 19.8% have done genetic testing for affected children. The mean score of awareness of genetic services for ASD was 2.48 ± 3.30. Having medical insurance and another child with ASD in the nuclear family was significantly associated with a higher level of awareness (p = 0.01 and p < 0.001, respectively). Most of the participants have a positive perception of these services.\u0000\u0000\u0000Originality/value\u0000Regardless of demographic factors, participants have poor awareness of genetic services for ASD, likely because the primary physician did not recommend it upon diagnosis. Increasing health-care providers’ knowledge about the current potential of genetic testing for ASD and educational campaigns for the public are critical components of using available genetic tests to improve ASD management.\u0000","PeriodicalId":43640,"journal":{"name":"Advances in Autism","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43682310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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Advances in Autism
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