用于自闭症筛查的典型西班牙裔婴幼儿的社交沟通特征

N. Linares-Orama, Hillary Fossas, Valeria Torres
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摘要

美国疾病控制和预防中心建议,所有儿童的首次自闭症谱系障碍(ASD)发育和行为筛查最早可在 9 个月大时完成。针对这一建议,本研究旨在利用早期社会交往量表(ESCS)中的技能,描述典型波多黎各西班牙裔儿童的手势和口语接受性和表达性社会交往行为。研究对象为 20 名 10-14 个月大的波多黎各婴幼儿。每名受试者均由一名受过训练的语言病理学研究生和一名菲利乌斯中心的语言病理学家进行检查和观察(使用视频和音频录音)。一名临床医生负责诱导,另一名临床医生负责观察每个儿童对ESCS项目的反应。最后,两位观察者对记录的过程进行分析和讨论,为观察到的能力赋值,每项技能的评分标准为 1 到 5 分(1 分=不执行;5 分=非常频繁地执行)。这些西语裔婴幼儿典型的社会交往能力的最强指标表明,在很小的时候,婴幼儿在母亲的陪伴下就会主动与陌生人交往,这是对他们移情倾向的一种肯定。医疗专业人员可通过观察典型的西班牙裔婴幼儿在社会交往方面的这些显著指标,来发现他们在交往技能方面存在的困难,并以此作为转介有自闭症风险的儿童的标志。
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Social Communication Traits in Typical Hispanic Infants and Toddlers for Use in Autism Screening
The Centers for Disease Control and Prevention recommend that the first Autism Spectrum Disorder (ASD) screening of development and behavior for all children can be completed as early as 9 months of age. To address this recommendation this study was aimed at describing the gestural and oral receptive and expressive social communicative behavior of typical Puerto Rican Hispanic children, using skills in the Early Social-Communication Scales (ESCS). Twenty Puerto Rican infants and toddlers, 10-14 months of age, were studied. Each participant was examined and observed (using video-audio recordings), by a trained speech-language pathology graduate student and a speech-language pathologist of the FILIUS Center. One clinician elicited while the other observed each child’s responses to the ESCS items. At the end, the recorded sessions were analyzed and discussed by the two observers to assign values to observed abilities on a scale of from 1 to 5 for each skill (1= does not execute; 5=very frequent execution). The strongest indicators of typical social communication in these Hispanic infants and toddlers demonstrate that, at that very early age, infants and toddlers are driven to interact with a stranger when accompanied by their mothers as a confirmation of their empathic dispositions. These strong indicators of social communication in typical Hispanic infants and toddlers can be observed by health professionals to identify difficulties in interaction skills as signs to refer children at-risk of autism.
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