简要报告:不同认知能力的自闭症青年之间的社会关系

IF 2.2 4区 医学 Q1 EDUCATION, SPECIAL Research in Autism Spectrum Disorders Pub Date : 2024-11-28 DOI:10.1016/j.rasd.2024.102524
Dena Gohari, Jamie Park, Hillary Schiltz, Catherine Lord
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引用次数: 0

摘要

自闭症的特点是社交困难,但许多自闭症患者重视和渴望社会关系。鉴于对成年自闭症的研究有限,特别是在认知能力较低的人群中,本研究的目的是1)比较自我报告和信息提供者报告的社会关系(熟人、友谊和人际关系困难),2)比较认知能力较强(MCA)和认知能力较差(LCA)的自闭症年轻人之间的社会关系。方法纳入101例自闭症青年(年龄=25.90;SD = 1.41;82.0 %男性;79.8% (白人)和他们的线人。对被试进行访谈,并对社会与情绪功能访谈(SEF)的人际困难和社会关系部分进行分析。参与者被分为MCA (IQ≥70)或LCA (IQ<70)。结果MCA样本中,自述者和自述者的SEF得分均呈正相关,中位数无显著差异。在家庭以外的社会环境(例如,在工作中)和更抽象的概念(例如,关系质量)中出现了较弱和不显著的关联。尽管认知能力影响了极端的SEF分数(例如,拥有自我发起的互惠友谊),但根据线人的报告,LCA和MCA的年轻人有许多共同的社交困难。结论本研究是为数不多的以成年期和LCA青年为研究对象的社会关系和自闭症的研究之一。结果表明,举报人报告提供了有关该人群社会关系更具体方面的有用信息。许多患有自闭症的年轻人,尤其是LCA的年轻人,可能会从额外的社会支持中受益,然而,协作考虑哪种类型的社会经验和关系对每个人来说都是理想和可行的,这也是至关重要的。需要更多针对LCA自闭症年轻人的研究和干预。
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Brief report: Social relationships among autistic young adults with varying cognitive abilities

Background

Autism is characterized by social difficulties, yet many autistic people value and desire social relationships. Given the limited research on autism in adulthood, particularly among those with lower cognitive ability, this study aimed 1) to compare self- vs informant-report of social relationships (acquaintances, friendships, and interpersonal difficulties) and 2) to compare social relationships, between more cognitively able (MCA) and less cognitively able (LCA) autistic young adults.

Method

Participants included 101 autistic young adults (Mage=25.90; SD=1.41; 82.0 % male; 79.8 % White) and their informants. Participants were interviewed, and the Interpersonal Difficulties and Social Relationships sections of the Social and Emotional Functioning Interview (SEF) were analyzed. Participants were classified as MCA (IQ≥70) or LCA (IQ<70).

Results

For the MCA sample, informant and self-report SEF scores were all positively correlated and did not have significantly different median values. Weaker and non-significant associations emerged for social contexts outside of the home (e.g., at work) and more abstract concepts (e.g., quality of relationships). Although cognitive ability impacted the extreme SEF scores (e.g., having self-initiated reciprocal friendships), many social difficulties were shared by LCA and MCA young adults, according to informant reports.

Conclusions

This study is one of few on social relationships and autism to focus on adulthood and include LCA young adults. Results indicate that informant-report provides useful information on more concrete aspects of social relationships in this population. Many autistic young adults, and LCA young adults in particular, may benefit from additional social supports, yet it is also essential to collaboratively consider what types of social experiences and relationships are desired and feasible for each person. More research and intervention tailored to LCA autistic young adults are needed.
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来源期刊
CiteScore
4.20
自引率
8.00%
发文量
108
期刊介绍: Research in Autism Spectrum Disorders (RASD) publishes high quality empirical articles and reviews that contribute to a better understanding of Autism Spectrum Disorders (ASD) at all levels of description; genetic, neurobiological, cognitive, and behavioral. The primary focus of the journal is to bridge the gap between basic research at these levels, and the practical questions and difficulties that are faced by individuals with ASD and their families, as well as carers, educators and clinicians. In addition, the journal encourages submissions on topics that remain under-researched in the field. We know shamefully little about the causes and consequences of the significant language and general intellectual impairments that characterize half of all individuals with ASD. We know even less about the challenges that women with ASD face and less still about the needs of individuals with ASD as they grow older. Medical and psychological co-morbidities and the complications they bring with them for the diagnosis and treatment of ASD represents another area of relatively little research. At RASD we are committed to promoting high-quality and rigorous research on all of these issues, and we look forward to receiving many excellent submissions.
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