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Acoustic features of vocalizations in typically developing and autistic infants in the first year 发育正常婴儿和患有自闭症婴儿第一年发声的声学特征
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-16 DOI: 10.1016/j.ridd.2024.104849

Background

We describe acoustic patterns across the five most prominent vocal types in typically developing infants (TD) and compare them with patterns in infants who develop autism (ASD) or a developmental disability (DD) not related to autism. Infant-directed speech (IDS) is a potentially important influence on such vocal acoustic patterns. Both acoustic patterns and effects of IDS are important for understanding the earliest origins of communication disorders.

Aims

To compare duration, pitch and loudness of infant vocalizations for three groups of infants (TD, ASD, DD) in circumstances with high or low amounts of IDS.

Methods and Procedures

Two five-minute segments from each of 1259 all-day recordings across the first year were coded and acoustically analyzed for three groups of infants (130 TD, 44 ASD, 21 DD). Duration, mean fundamental frequency, and root mean square amplitude were determined for >162,000 infant utterances.

Outcomes and Results

Cries were longest and loudest, and vowel-like sounds were shortest of the five vocal types in all groups. TD infants showed significant alterations in vocal acoustics during periods of high IDS.

Conclusions and Implications

Strong similarities in acoustic patterns occurred across the three groups, but only the TD group showed significant acoustic effects of IDS.
背景我们描述了典型发育期婴儿(TD)最突出的五种发声类型的声学模式,并将其与患自闭症(ASD)或与自闭症无关的发育障碍(DD)的婴儿的声学模式进行了比较。婴儿指导言语(IDS)可能会对此类发声模式产生重要影响。方法和程序对三组婴儿(130 名 TD、44 名 ASD 和 21 名 DD)第一年的 1259 份全天录音中每份录音中的两个五分钟片段进行编码和声学分析。结果在所有组别中,哭声最长、最响亮,元音类声音在五种发声类型中最短。结论与启示三组婴儿的声学模式非常相似,但只有 TD 组的婴儿表现出 IDS 对声学的显著影响。
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引用次数: 0
Temporal-sampling theory and language in Down syndrome: An empirical study 时间取样理论与唐氏综合症的语言:实证研究
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-15 DOI: 10.1016/j.ridd.2024.104856

Background

Temporal-sampling theory argues that difficulties in the processing of syllable stress auditory markers and in lexical stress discrimination contribute to explaining the language problems of children with developmental language disorder and of those with dyslexia. The theory has not been tested in other developmental disabilities.

Aims

This research sought to assess the potential of temporal-sampling theory as a framework to accounting for language difficulties in Down syndrome (DS).

Methods and procedures

Thresholds for auditory markers of lexical stress, lexical stress discrimination, and receptive vocabulary were studied in teenagers and young adults with DS and in peers with other intellectual disability (ID) of unknown origin matched on chronological age and non-verbal cognition.

Outcomes and results

Frequency and intensity thresholds were higher in participants with DS, and their lexical stress discrimination and receptive vocabulary skills were lower than those of the group with other ID. Lexical stress discrimination was predicted by intensity thresholds and group, while receptive vocabulary was only predicted by lexical stress discrimination.

Conclusions and implications

The results suggest that temporal-sampling theory is useful to explain language difficulties in individuals with DS or with other ID. This opens up new window opportunities for the design of language intervention programs in such populations.
背景时间取样理论认为,音节重音听觉标记处理和词汇重音辨别方面的困难有助于解释发育性语言障碍儿童和诵读困难儿童的语言问题。本研究旨在评估时间取样理论作为解释唐氏综合症(DS)语言障碍的框架的潜力。方法和程序研究了患有唐氏综合症的青少年和年轻成人,以及与他们年龄和非语言认知能力相匹配的其他原因不明的智力残疾(ID)的同龄人的词汇压力听觉标记、词汇压力辨别和接受词汇的阈值。结果表明,时间取样理论有助于解释 DS 或其他智障人士的语言障碍。这为设计针对此类人群的语言干预计划提供了新的机会。
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引用次数: 0
Investigating the impact of an AI-based play activities intervention on the quality of life of school-aged children with ADHD 研究基于人工智能的游戏活动干预对多动症学龄儿童生活质量的影响
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-15 DOI: 10.1016/j.ridd.2024.104858

Background

Attention-Deficit/Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that not only impacts children's behavior, learning, and social interactions but also their quality of life. Advances in artificial intelligence (AI) may provide new opportunities to improve the ADHD symptoms and quality of life of children with ADHD, especially through customized play activities that address their specific needs.

Aims

This study examined the impact of AI-based play activities on the quality of life of 61 Saudi children aged between 8 and 12 years who had an ADHD diagnosis.

Methods

AI-based play activities intervention consisted of twelve 45-minute sessions, delivered to the experimental group over four weeks (three sessions per week). The control group did not receive any intervention. Children and parents completed the Pediatric Quality of Life Inventory (PedsQL) at pre-test, post-test and follow-up.

Results and outcomes

The experimental group exhibited significant improvements in all dimensions and total scores of PedsQL, with moderate to large effect sizes. These improvements were not observed in the control group. The beneficial effects of the AI-based play activities were maintained at the 7-weeks follow-up.

Conclusions

AI-based play interventions may enhance quality of life for children with ADHD, with sustained improvements observed after 7-weeks. Incorporating such interventions into educational and therapeutic settings could improve behavioral, social, and cognitive ADHD symptoms. Future research should explore broader applications and long-term effects of AI-based play activities interventions.
背景注意缺陷/多动障碍(ADHD)是一种普遍存在的神经发育障碍,不仅影响儿童的行为、学习和社会交往,还影响他们的生活质量。人工智能(AI)的进步可能会为改善多动症症状和多动症儿童的生活质量提供新的机会,特别是通过定制游戏活动来满足他们的特殊需求。这项研究考察了基于人工智能的游戏活动对61名年龄在8至12岁之间、被诊断为多动症的沙特儿童生活质量的影响。对照组不接受任何干预。儿童和家长在测试前、测试后和随访时填写了儿科生活质量量表(Pediatric Quality of Life Inventory,简称 PedsQL)。对照组则没有这些改善。结论基于人工智能的游戏干预可提高多动症儿童的生活质量,7 周后可观察到持续的改善。将此类干预纳入教育和治疗环境可改善多动症的行为、社交和认知症状。未来的研究应探索基于人工智能的游戏活动干预的更广泛应用和长期效果。
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引用次数: 0
Effects of long-term transcutaneous auricular vagus nerve stimulation on circadian vagal activity in people with Prader-Willi Syndrome: A case-series 长期经皮耳迷走神经刺激对普拉德-威利综合征患者昼夜节律迷走神经活动的影响:病例系列
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-13 DOI: 10.1016/j.ridd.2024.104855

Background

Prader-Willi Syndrome (PWS) is a genetic neurodevelopmental disorder marked by disruptions in circadian rhythms and autonomic nervous system (ANS) activity, hyperphagia, and episodes of emotional outbursts. Previous trials suggest that both invasive and non-invasive vagus nerve stimulation (VNS) can reduce emotional outbursts in PWS, potentially through its effects on vagal activity.

Aim

This case series investigated the effects of transcutaneous auricular VNS (taVNS) on cardiac markers of circadian vagal activity, specifically heart rate variability (HRV) and heart rate (HR), and their potential links to improvements in emotional outbursts.

Methods

Five individuals with PWS (mean age: 26.9 years; 3 males, 2 females) received four hours of daily taVNS for 12 months, followed by one month of two-hour daily sessions. Outcome measures included daily recording of emotional outbursts and every three months 24-h HRV and HR recordings. Mixed cosinor models were applied to analyze changes in circadian rhythms of HRV and HR. A linear mixed model was used to assess the predictive value of cardiac vagal activity on emotional outbursts.

Results

Circadian amplitudes of HRV and HR were significantly higher at the end of the treatment compared to baseline (all p’s < .01). There was a significant increase in the rhythm-adjusted mean of HRV (p < .01), while the rhythm-adjusted HR mean significantly decreased, both indicating increased cardiac vagal activity. Higher rhythm-adjusted mean HRV predicted a lower number of emotional outbursts.

Conclusion

The results suggest that taVNS may be effective by targeting ANS activity in individuals with PWS, contributing to improvements in behavioral regulation.
背景普拉德-威利综合征(Prader-Willi Syndrome,PWS)是一种遗传性神经发育障碍疾病,主要表现为昼夜节律和自主神经系统(ANS)活动紊乱、食欲亢进和情绪失控。以前的试验表明,有创和无创迷走神经刺激(VNS)可减少 PWS 患者的情绪爆发,这可能是通过其对迷走神经活动的影响实现的。本病例系列研究了经皮耳廓迷走神经刺激(taVNS)对昼夜节律迷走神经活动的心脏标记物(尤其是心率变异性和心率)的影响,以及它们与情绪失控改善之间的潜在联系。结果测量包括每天的情绪爆发记录以及每三个月一次的 24 小时心率变异和心率记录。应用混合余弦模型分析心率变异和心率的昼夜节律变化。结果与基线相比,治疗结束时心率变异和心率的昼夜节律振幅明显增加(所有 p's < .01)。心率变异的节律调整平均值明显增加(p <.01),而心率的节律调整平均值明显下降,这都表明心脏迷走神经活动增加。结果表明,taVNS 可有效针对 PWS 患者的自律神经系统活动,有助于改善行为调节。
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引用次数: 0
Does adapting a self-report instrument to improve its cognitive accessibility for people with intellectual disability result in a better measure? − A cognitive interview study 对自我报告工具进行改编,以提高其在认知上对智障人士的可及性,是否会带来更好的测量结果?- 认知访谈研究
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-12 DOI: 10.1016/j.ridd.2024.104851

Background and aims

We investigated whether improving the cognitive accessibility of a widely used self-report measure leads to better understanding and more accurate answers in a sample of adults with mild intellectual disability and borderline intellectual functioning.

Methods and procedures

We undertook a series of cognitive interviews before and after adaptation of the instructions and selected items of an existing self-report measure of adaptive functioning. Interview results and participant feedback were supplemented with quantitative comparisons between participant and carer scores.

Outcomes and results

Adaptation based on participant experiences and preferences combined with evidence-informed guidelines improved understanding and accuracy. Self-report and carer-report scores showed greater convergence after adaptation; this occurred because people with intellectual disabilities appeared to understand the self-report measure more effectively.

Conclusions and implications

The results show that adaptation of the self-report instrument to suit the needs and preferences of people with mild intellectual disability or borderline intellectual functioning leads to a more accessible measure and more reliable and valid results. Results also highlight the importance of complementing proxy reports with a first-person perspective in assessment as clients and informants may differ in their assessment of behavior and skills.
背景和目的我们调查了在轻度智障和边缘智力功能的成人样本中,改善一种广泛使用的自我报告测量方法的认知可及性是否会导致更好的理解和更准确的答案。方法和程序我们在对现有的适应功能自我报告测量方法的说明和选定项目进行调整前后,进行了一系列认知访谈。访谈结果和受试者的反馈通过受试者和照护者得分之间的定量比较得到了补充。结果根据受试者的经验和偏好进行调整,并结合循证指南,提高了理解力和准确性。结果表明,根据轻度智障者或边缘智障者的需求和偏好对自我报告工具进行调整,可使测量结果更易于使用,并且更加可靠有效。结果还强调了在评估中以第一人称视角补充代理报告的重要性,因为客户和信息提供者对行为和技能的评估可能会有所不同。
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引用次数: 0
Impact of the Quality of Life Supports Model on the inclusion of students with disabilities in higher education: A scoping review 生活质量支持模式对残疾学生融入高等教育的影响:范围综述。
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-10 DOI: 10.1016/j.ridd.2024.104850

Background

The Quality of Life Supports Model (QOLSM) is a well-suited framework for enhancing the inclusion of students with disabilities in higher education. No research aimed at assessing its impact has been identified.

Aims

This review aims to map the scientific literature to assess the current impact of QOLSM on higher education.

Methods and procedures

A Scoping Review of educational practices, policies, and cultures aimed at enhancing the quality of life for students with disabilities was conducted. Databases from EBSCOHost, ProQuest, and Scielo were employed to identify studies written in English or Spanish from 1978 to 2023. Four independent reviewers screened results for inclusion.

Outcomes and results

Out of 5361 records, 21 met the inclusion criteria. Students with developmental disabilities are the primary recipients of Quality-of-life support strategies. The reported educational practices were poorly aligned with the disability rights framework, the social-ecological model of disability, and the multidimensional Quality-of-Life construct. Specialized supports and mainstream settings were more common than generic supports and segregated settings.

Conclusions and implications

This review highlights the currently limited impact of the QOLSM in fostering the inclusion of students with disabilities in higher education. Conducting a systematic review or meta-analysis is not recommended at this stage.
背景:生活质量支持模式(QOLSM)是一个非常适合加强残疾学生融入高等教育的框架。目的:本综述旨在对科学文献进行梳理,以评估 QOLSM 目前对高等教育的影响:对旨在提高残疾学生生活质量的教育实践、政策和文化进行了范围界定。我们使用了 EBSCOHost、ProQuest 和 Scielo 数据库,以确定 1978 年至 2023 年期间用英语或西班牙语撰写的研究。四位独立审稿人对结果进行了筛选,以纳入研究:在 5361 条记录中,有 21 条符合纳入标准。发育障碍学生是生活质量支持策略的主要接受者。所报告的教育实践与残疾人权利框架、残疾的社会生态模式以及多维生活质量构建不甚一致。特殊支持和主流环境比一般支持和隔离环境更为常见:本综述强调了 "QOLSM "目前在促进残疾学生融入高等教育方面的有限影响。现阶段不建议进行系统回顾或荟萃分析。
{"title":"Impact of the Quality of Life Supports Model on the inclusion of students with disabilities in higher education: A scoping review","authors":"","doi":"10.1016/j.ridd.2024.104850","DOIUrl":"10.1016/j.ridd.2024.104850","url":null,"abstract":"<div><h3>Background</h3><div>The Quality of Life Supports Model (QOLSM) is a well-suited framework for enhancing the inclusion of students with disabilities in higher education. No research aimed at assessing its impact has been identified.</div></div><div><h3>Aims</h3><div>This review aims to map the scientific literature to assess the current impact of QOLSM on higher education.</div></div><div><h3>Methods and procedures</h3><div>A Scoping Review of educational practices, policies, and cultures aimed at enhancing the quality of life for students with disabilities was conducted. Databases from EBSCOHost, ProQuest, and Scielo were employed to identify studies written in English or Spanish from 1978 to 2023. Four independent reviewers screened results for inclusion.</div></div><div><h3>Outcomes and results</h3><div>Out of 5361 records, 21 met the inclusion criteria. Students with developmental disabilities are the primary recipients of Quality-of-life support strategies. The reported educational practices were poorly aligned with the disability rights framework, the social-ecological model of disability, and the multidimensional Quality-of-Life construct. Specialized supports and mainstream settings were more common than generic supports and segregated settings.</div></div><div><h3>Conclusions and implications</h3><div>This review highlights the currently limited impact of the QOLSM in fostering the inclusion of students with disabilities in higher education. Conducting a systematic review or meta-analysis is not recommended at this stage.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future care planning of adults with childhood-onset neurodevelopmental disabilities: A scoping review 儿童期神经发育障碍成人的未来护理规划:范围综述。
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-10 DOI: 10.1016/j.ridd.2024.104843
<div><h3>Background</h3><div>Advances in medicine have increased the life expectancy of adults with neurodevelopmental disabilities (ND). These individuals often reside with aging family caregivers, who also experience age-related health issues. However, many caregivers lack future care plans for their adult children. Thus, there is a pressing need for practical solutions for family-centered future care planning (FCP).</div></div><div><h3>Aims</h3><div>To summarize the literature on the key components of FCP for adults with ND and their familial caregivers.</div></div><div><h3>Methods and procedures</h3><div>This scoping review adhered to the Joanna Briggs Institute guidelines. It utilized search terms related to ND and FCP and conducted searches in four databases. Data were analyzed thematically.</div></div><div><h3>Outcomes and results</h3><div>The initial search generated over unique 9000 articles. The review identified facilitators, such as preferences, family-centered approaches, advocacy, and formal support, which promote effective FCP. Barriers to FCP included caregiver hesitancy, limited resources, the emotional nature of future care planning. Recommendations for addressing these challenges included policy and practice support, healthcare professional education and training, and the active involvement of clients and caregivers in FCP discussions.</div></div><div><h3>Conclusions and implications</h3><div>This review contributes to the understanding of FCP for adults with ND and offers insights for improving family-centered care planning processes.</div></div><div><h3>What this paper adds?</h3><div>This paper contributes to the literature by highlighting the pressing need for comprehensive future care planning (FCP) for adults with neurodevelopmental disabilities (ND) and their aging caregivers. With increasing life expectancy for adults with ND, there is a growing population of aging caregivers who often lack proactive FCP. The review identifies common FCP facilitators, barriers, and recommendations, emphasizing the emotional and financial challenges caregivers face. On the macro level, distrust of the public sector, a crisis-driven healthcare system, and a lack of funding and information present significant challenges. On the micro level, emotional attachment to adult children with ND can lead to family instabilities, uncertainties about the "right decision," and feelings of helplessness and guilt among caregivers. It underscores the importance of taking a family-centered approach, involving the adult with ND, and providing healthcare professionals with the necessary education and support to guide caregivers through the FCP process. The paper also highlights the limited existing interventions and calls for further research to address this critical issue. By reviewing a broad range of studies, the paper sets the stage for future research and practice in this area. It offers valuable insights into the components of FCP that can inform recom
背景:医学的进步延长了神经发育障碍(ND)成人的预期寿命。这些人通常与年迈的家庭照顾者生活在一起,他们也会遇到与年龄相关的健康问题。然而,许多照顾者缺乏对成年子女的未来照顾计划。因此,以家庭为中心的未来照护规划(FCP)迫切需要切实可行的解决方案。目的:总结有关针对 ND 成人及其家庭照护者的未来照护规划主要内容的文献:本次范围界定综述遵循乔安娜-布里格斯研究所(Joanna Briggs Institute)的指导方针。它使用了与 ND 和 FCP 相关的检索词,并在四个数据库中进行了检索。对数据进行了专题分析:最初的搜索产生了超过 9000 篇文章。综述确定了促进因素,如偏好、以家庭为中心的方法、倡导和正式支持,这些因素促进了有效的家庭支持项目。家庭护理规划的障碍包括护理者犹豫不决、资源有限、未来护理规划的情感性质。应对这些挑战的建议包括政策和实践支持、医疗保健专业教育和培训,以及让客户和照护者积极参与未来照护规划的讨论:本综述有助于了解 ND 成人的 FCP,并为改善以家庭为中心的护理规划流程提供了见解。本文有何补充?本文强调了神经发育障碍(ND)成人及其年迈的照护者对全面的未来照护规划(FCP)的迫切需求,从而为相关文献做出了贡献。随着神经发育障碍成人预期寿命的延长,老年护理者的人数也在不断增加,但他们往往缺乏积极的未来护理规划。综述指出了常见的家庭保健计划促进因素、障碍和建议,强调了照顾者面临的情感和经济挑战。在宏观层面上,对公共部门的不信任、危机驱动的医疗保健系统以及资金和信息的缺乏带来了巨大的挑战。在微观层面上,对患有 ND 的成年子女的情感依恋会导致家庭不稳定、对 "正确决定 "的不确定性,以及照顾者的无助感和负罪感。本文强调了采取以家庭为中心的方法、让患有 ND 的成人参与进来以及为医疗保健专业人员提供必要的教育和支持以指导照护者完成 FCP 过程的重要性。本文还强调了现有干预措施的局限性,并呼吁进一步开展研究以解决这一关键问题。通过回顾广泛的研究,本文为该领域未来的研究和实践奠定了基础。它对 FCP 的组成部分提出了宝贵的见解,可为医护专业人员、护理人员和 ND 患者提供建议,以加强护理的连续性。这样做的目的是弥补现有文献中的不足,尤其是缺乏以护理人员为参考的全面 FCP 建议。
{"title":"Future care planning of adults with childhood-onset neurodevelopmental disabilities: A scoping review","authors":"","doi":"10.1016/j.ridd.2024.104843","DOIUrl":"10.1016/j.ridd.2024.104843","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Advances in medicine have increased the life expectancy of adults with neurodevelopmental disabilities (ND). These individuals often reside with aging family caregivers, who also experience age-related health issues. However, many caregivers lack future care plans for their adult children. Thus, there is a pressing need for practical solutions for family-centered future care planning (FCP).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Aims&lt;/h3&gt;&lt;div&gt;To summarize the literature on the key components of FCP for adults with ND and their familial caregivers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods and procedures&lt;/h3&gt;&lt;div&gt;This scoping review adhered to the Joanna Briggs Institute guidelines. It utilized search terms related to ND and FCP and conducted searches in four databases. Data were analyzed thematically.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Outcomes and results&lt;/h3&gt;&lt;div&gt;The initial search generated over unique 9000 articles. The review identified facilitators, such as preferences, family-centered approaches, advocacy, and formal support, which promote effective FCP. Barriers to FCP included caregiver hesitancy, limited resources, the emotional nature of future care planning. Recommendations for addressing these challenges included policy and practice support, healthcare professional education and training, and the active involvement of clients and caregivers in FCP discussions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions and implications&lt;/h3&gt;&lt;div&gt;This review contributes to the understanding of FCP for adults with ND and offers insights for improving family-centered care planning processes.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;What this paper adds?&lt;/h3&gt;&lt;div&gt;This paper contributes to the literature by highlighting the pressing need for comprehensive future care planning (FCP) for adults with neurodevelopmental disabilities (ND) and their aging caregivers. With increasing life expectancy for adults with ND, there is a growing population of aging caregivers who often lack proactive FCP. The review identifies common FCP facilitators, barriers, and recommendations, emphasizing the emotional and financial challenges caregivers face. On the macro level, distrust of the public sector, a crisis-driven healthcare system, and a lack of funding and information present significant challenges. On the micro level, emotional attachment to adult children with ND can lead to family instabilities, uncertainties about the \"right decision,\" and feelings of helplessness and guilt among caregivers. It underscores the importance of taking a family-centered approach, involving the adult with ND, and providing healthcare professionals with the necessary education and support to guide caregivers through the FCP process. The paper also highlights the limited existing interventions and calls for further research to address this critical issue. By reviewing a broad range of studies, the paper sets the stage for future research and practice in this area. It offers valuable insights into the components of FCP that can inform recom","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding sex/gender differences in intelligence profiles of children with Autism: A comprehensive WISC meta-analysis 了解自闭症儿童智力特征的性别差异:WISC 综合荟萃分析。
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-09 DOI: 10.1016/j.ridd.2024.104854

Background

Intelligence assessment in children with autism spectrum disorders (ASD) often sparks debates about sex/gender differences. Specifically, the question arises whether girls exhibit lower performance on intelligence scales compared to boys. This meta-analysis examines nine studies (N=1105; 809 boys and 296 girls) to quantify sex/gender differences on the Wechsler Intelligence Scale for Children (WISC) in children with ASD, comparing their results to typically developing children.

Method and procedures

Random-effects meta-analyses on WISC indices and subtests were conducted to address the heterogeneity across effect sizes. Results for children with ASD were compared to those of typically developing children.

Outcomes and results

Findings revealed no significant differences in general intellectual functioning (full-scale IQ), verbal comprehension, working memory, or processing speed between boys and girls in children with ASD. Boys showed an advantage only in the perceptual reasoning index. At the subtest level, boys outperformed on certain tasks, while girls excelled in others.

Conclusions and implications

The observed pattern of differences in the ASD population aligns quantitatively with those in typically developing populations. Differences, if present, are specific to certain indices rather than general intelligence. These insights contribute to a nuanced understanding of gender-related cognitive variations in the context of ASD.
背景:自闭症谱系障碍(ASD)儿童的智力评估经常引发有关性/性别差异的争论。具体来说,问题在于女孩在智力量表上的表现是否低于男孩。本荟萃分析考察了九项研究(N=1105;809名男孩和296名女孩),以量化自闭症儿童在韦氏儿童智力量表(WISC)上的性别差异,并将其结果与发育正常的儿童进行比较:对WISC指数和分测验进行随机效应荟萃分析,以解决效应大小的异质性问题。将患有自闭症的儿童的结果与发育正常儿童的结果进行比较:研究结果表明,患有 ASD 的男孩和女孩在一般智力功能(全面智商)、言语理解能力、工作记忆或处理速度方面没有明显差异。男孩仅在感知推理指数方面表现出优势。在子测试层面,男孩在某些任务中表现优异,而女孩则在其他任务中表现突出:在 ASD 群体中观察到的差异模式在数量上与典型发育人群中的差异模式一致。即使存在差异,也是特定指标的差异,而不是一般智力的差异。这些见解有助于深入理解在 ASD 背景下与性别相关的认知差异。
{"title":"Understanding sex/gender differences in intelligence profiles of children with Autism: A comprehensive WISC meta-analysis","authors":"","doi":"10.1016/j.ridd.2024.104854","DOIUrl":"10.1016/j.ridd.2024.104854","url":null,"abstract":"<div><h3>Background</h3><div>Intelligence assessment in children with autism spectrum disorders (ASD) often sparks debates about sex/gender differences. Specifically, the question arises whether girls exhibit lower performance on intelligence scales compared to boys. This meta-analysis examines nine studies (N=1105; 809 boys and 296 girls) to quantify sex/gender differences on the Wechsler Intelligence Scale for Children (WISC) in children with ASD, comparing their results to typically developing children.</div></div><div><h3>Method and procedures</h3><div>Random-effects meta-analyses on WISC indices and subtests were conducted to address the heterogeneity across effect sizes. Results for children with ASD were compared to those of typically developing children.</div></div><div><h3>Outcomes and results</h3><div>Findings revealed no significant differences in general intellectual functioning (full-scale IQ), verbal comprehension, working memory, or processing speed between boys and girls in children with ASD. Boys showed an advantage only in the perceptual reasoning index. At the subtest level, boys outperformed on certain tasks, while girls excelled in others.</div></div><div><h3>Conclusions and implications</h3><div>The observed pattern of differences in the ASD population aligns quantitatively with those in typically developing populations. Differences, if present, are specific to certain indices rather than general intelligence. These insights contribute to a nuanced understanding of gender-related cognitive variations in the context of ASD.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vulnerability to depression and resolution in mothers of children with cerebral palsy 脑瘫儿童母亲的抑郁易感性和解决方法。
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-08 DOI: 10.1016/j.ridd.2024.104852

Background

This study investigated associations between Self-Criticism and Dependency as factors of vulnerability to depression and maternal resolution. Resolution entails parental cognitive and emotional acceptance of the child's developmental disability.

Methods

Our sample included 100 mothers whose children had a diagnosis of cerebral palsy. The Reaction to Diagnosis Interview, the Depressive Experiences Questionnaire and the Depression Scale were administered.

Results

The results showed that unresolved mothers scored higher on the dimensions of Self-Criticism and Dependency compared to their resolved counterparts. The hierarchical cluster analysis yielded three maternal profiles based on the scores obtained on the dimensions of vulnerability to depression, regardless of maternal resolution status. The first profile was labeled Low Vulnerability and was characterized by low scores on Self-Criticism and Dependency. The second profile was labeled Dependent and it included mothers with higher scores on Dependency and lower scores on Self-Criticism. The third profile comprised mothers with higher scores on both Self-Criticism and Dependency. The smallest proportion of unresolved mothers belonged to the third, most vulnerable profile labeled Double Vulnerability.

Discussion

We discussed the implications of the obtained results in light of a need for psychotherapeutic interventions that would focus on individual differences when providing support to parental resolution.
研究背景本研究调查了作为抑郁症易感因素的自我批评和依赖性与母亲解决之间的关联。解决意味着父母在认知和情感上接受孩子的发育障碍:我们的样本包括 100 名子女被诊断为脑瘫的母亲。方法:我们的样本包括 100 名其子女被诊断为脑瘫的母亲,对她们进行了诊断反应访谈、抑郁经历问卷和抑郁量表:结果表明,在自我批评和依赖性方面,未解决问题的母亲得分高于解决问题的母亲。分层聚类分析根据母亲在抑郁易感性维度上的得分得出了三种母亲特征,与母亲的解压状态无关。第一种情况被称为 "低脆弱性",其特点是自我批评和依赖性得分较低。第二种情况被称为依赖型,包括依赖性得分较高而自我批评得分较低的母亲。第三种情况是自我批评和依赖性得分都较高的母亲。第三种情况是最脆弱的,被称为 "双重脆弱":我们讨论了所得结果的影响,认为在为父母解决问题提供支持时,有必要采取注重个体差异的心理治疗干预措施。
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引用次数: 0
Obstacle negotiation while dual-tasking in children with Developmental Coordination Disorder (DCD): An augmented-reality approach 发育协调障碍(DCD)儿童在执行双重任务时的障碍协商:增强现实方法
IF 2.9 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2024-10-04 DOI: 10.1016/j.ridd.2024.104853

Background

Children with Developmental Coordination Disorder (DCD) exhibit deficits in predictive motor control, balance, and aspects of cognitive control, which are important for safely negotiating obstacles while walking. As concurrent performance of cognitive and motor tasks (dual-tasking) may exacerbate these deficits, we examined motor and cognitive dual-tasking differences between children with DCD and their typically developing (TD) peers during obstacle negotiation.

Methods

34 children aged 6–12 years (16 TD, 18 DCD) walked along a 12 m path, stepping over an obstacle (30 % or 50 % of leg length) at its mid-point. On dual-task trials, participants completed a simple or complex (cognitive) visual discrimination task presented via an augmented reality headset. Proportional dual-task costs (pDTCs) were measured on cognitive and gait outcomes over three phases: pre-obstacle, obstacle step-over, and post-obstacle.

Results

During the obstacle step-over phase, both groups increased their leading leg clearance when dual-tasking, while the DCD group had larger pDTC than TD for the high obstacle under simple stimulus conditions (viz simple-high combination). The complex cognitive task produced larger pDTCs than the simple one on leading leg clearance and post-obstacle gait variability.

Conclusions

In general, both DCD and TD groups showed similar pDTCs under complex conditions, while the specific deficit in DCD under the simple-high combination suggests a (default) compensatory strategy during step-over when attention is diverted to a secondary task. Competing cognitive and motor demands during obstacle negotiation present a potential safety risk for children.
背景:患有发育协调障碍(DCD)的儿童在预测性运动控制、平衡和认知控制方面表现出缺陷,而这些方面对于在行走过程中安全地绕过障碍非常重要。由于同时执行认知和运动任务(双重任务)可能会加剧这些缺陷,因此我们研究了发育协调障碍儿童和发育正常(TD)儿童在障碍协商过程中的运动和认知双重任务差异。方法:34 名 6-12 岁的儿童(16 名 TD,18 名 DCD)沿着一条 12 米长的路径行走,在中点跨过障碍物(腿长的 30% 或 50%)。在双重任务试验中,参与者通过增强现实耳机完成简单或复杂(认知)的视觉辨别任务。在障碍前、障碍跨步和障碍后三个阶段,测量了认知和步态结果的双任务成本比例(pDTC):在障碍跨越阶段,两组人在执行双重任务时都增加了前腿间隙,而在简单刺激条件下(即简单-高组合),DCD 组在高障碍上的 pDTC 比 TD 组大。在前腿间隙和障碍后步态变异性方面,复杂认知任务比简单认知任务产生更大的pDTC:总的来说,在复杂条件下,DCD 组和 TD 组显示出相似的 pDTC,而 DCD 组在简单-高组合条件下的特定缺陷表明,在跨步时,当注意力转移到次要任务时,存在(默认)补偿策略。在障碍协商过程中,认知需求和运动需求相互竞争,给儿童带来了潜在的安全风险。
{"title":"Obstacle negotiation while dual-tasking in children with Developmental Coordination Disorder (DCD): An augmented-reality approach","authors":"","doi":"10.1016/j.ridd.2024.104853","DOIUrl":"10.1016/j.ridd.2024.104853","url":null,"abstract":"<div><h3>Background</h3><div>Children with Developmental Coordination Disorder (DCD) exhibit deficits in predictive motor control, balance, and aspects of cognitive control, which are important for safely negotiating obstacles while walking. As concurrent performance of cognitive and motor tasks (dual-tasking) may exacerbate these deficits, we examined motor and cognitive dual-tasking differences between children with DCD and their typically developing (TD) peers during obstacle negotiation.</div></div><div><h3>Methods</h3><div>34 children aged 6–12 years (16 TD, 18 DCD) walked along a 12 m path, stepping over an obstacle (30 % or 50 % of leg length) at its mid-point. On dual-task trials, participants completed a simple or complex (cognitive) visual discrimination task presented via an augmented reality headset. Proportional dual-task costs (pDTCs) were measured on cognitive and gait outcomes over three phases: pre-obstacle, obstacle step-over, and post-obstacle.</div></div><div><h3>Results</h3><div>During the obstacle step-over phase, both groups increased their leading leg clearance when dual-tasking, while the DCD group had larger pDTC than TD for the high obstacle under simple stimulus conditions (viz simple-high combination). The complex cognitive task produced larger pDTCs than the simple one on leading leg clearance and post-obstacle gait variability.</div></div><div><h3>Conclusions</h3><div>In general, both DCD and TD groups showed similar pDTCs under complex conditions, while the specific deficit in DCD under the simple-high combination suggests a (default) compensatory strategy during step-over when attention is diverted to a secondary task. Competing cognitive and motor demands during obstacle negotiation present a potential safety risk for children.</div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Research in Developmental Disabilities
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