自闭症谱系障碍儿童与社交沟通障碍儿童的发育概况:试点研究

IF 2 4区 医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-10-15 DOI:10.3390/children11101241
Clara Dame, Marine Viellard, Sara-Nora Elissalde, Hugo Pergeline, Pauline Grandgeorge, Laure-Anne Garie, Federico Solla, Sonia De Martino, Elodie Avenel, Xavier Salle-Collemiche, Arnaud Fernandez, François Poinso, Elisabeth Jouve, Jokthan Guivarch
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引用次数: 0

摘要

背景:目的:比较自闭症儿童和社交沟通障碍儿童在适应、感官、沟通和认知方面的情况:方法:采用费雪精确检验法或曼-惠特尼检验法对九名 SCD 儿童和十名 ASD 儿童的评估结果进行比较。评估内容包括维尼兰适应行为量表、自闭症诊断观察表(ADOS)、感官简表、毕晓普儿童交流检查表、语用学评估和韦氏儿童智力量表 IV:ASD组的ADOS总分和第二项小计 "受限和重复行为 "明显高于SCD组(P = 0.022)。ASD 组 "社交 "领域的维尼兰标准分(平均值:51 +/- 19)明显低于 SCD 组(平均值:80 +/-28)(p = 0.037)。与 SCD 组相比,ASD 组的工作记忆指数得分也明显较低(p = 0.013):虽然 ASD 和 SCD 在沟通和实用困难方面有相似之处,但也发现了一些区别,例如在执行功能和对社交的影响方面,这可能与 SCD 缺乏 RRBIs 有关。这些研究结果突显了在诊断评估过程中,由于缺乏鉴别工具,这种命名上的分离所带来的挑战。
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Developmental Profile of Children with Autism Spectrum Disorder Versus Social Communication Disorder: A Pilot Study.

Background: Social Communication Disorder (SCD), introduced in the DSM-5, is distinguished from Autism Spectrum Disorder (ASD) by the absence of restricted and repetitive behaviors or interests (RRBIs).

Aim: To compare the adaptive, sensory, communication, and cognitive profiles of children with ASD and SCD.

Methods: The assessments of nine children with SCD and ten with ASD were compared with either Fisher's Exact Test or the Mann-Whitney Test. Assessments included the Vineland Adaptive Behavior Scales, the Autism Diagnostic Observation Schedule (ADOS), the Short Sensory Profile, Bishop's Children's Communication Checklist, a pragmatics evaluation, and the Wechsler Intelligence Scale for Children IV.

Results: The total ADOS score and the second subtotal "Restricted and Repetitive Behaviors" were significantly higher (p = 0.022) in the ASD group than in the SCD group. The Vineland standard score for the "Socialization" domain was significantly lower (p = 0.037) in the ASD group (mean: 51 +/- 19) than in the SCD group (mean: 80 +/- 28). The working memory index score was also significantly lower (p = 0.013) in the ASD group compared to the SCD group.

Conclusions: While ASD and SCD share similarities in communication and pragmatic difficulties, some distinctions have been identified, e.g. in executive functioning and the impact on socialization, which may be linked to the absence of RRBIs in SCD. These findings highlight the challenges posed by this nosographic separation during diagnostic evaluations due to the scarcity of discriminative tools.

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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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