自闭症谱系障碍儿童父母的人格特征和神经认知功能。

Xiaojing Li, Qiang Wang, Yuejing Wu, Sherrie Wang, Yi Huang, Tao Li
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引用次数: 9

摘要

背景:儿童自闭症谱系障碍的患病率不断上升,家庭负担巨大,已引起学术界和社会的关注。目的:研究中国自闭症谱系障碍(ASD)患儿家长的人格特征和神经认知功能,并与发育良好患儿家长进行比较。方法:本研究招募符合《精神障碍诊断与统计手册- iv》(DSM-IV)孤独症谱系障碍诊断标准的中国儿童41例。采用艾森克人格问卷(EPQ)和一套神经心理测试对79名亲生父母进行评估。正常对照组由80位发育良好的孩子的父母组成,他们按年龄和性别配对。结果:我们发现,ASD患儿家长P量表EPQ得分显著高于发育良好患儿家长(t=1.68, P =0.039),而E、L量表得分显著低于发育良好患儿家长(t=1.84, P =0.035;t = 2.07, p = 0.023)。我们还发现,自闭症儿童的父母比正常对照组花了更长的时间来完成线索制作测试(TMT) A部分和B-M部分(t=1.57, p=0.013;t = 0.83, p = 0.019)。结论:与发育良好儿童的父母相比,ASD儿童的父母更容易表现出冷漠、刻板、固执、内向和沉默。他们表现出较少的新奇和寻求刺激的行为,社交技巧和成熟度也有限。虽然自闭症儿童父母的一般认知功能(包括智商)相对完整,但他们的计划、灵活性和视觉处理功能却受到损害。
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Personality Characteristics and Neurocognitive Functions in Parents of Children with Autism Spectrum Disorder.

Background: The increasing prevalence of autism spectrum disorder in children and the huge family burdens have caused concern in the academic field as well as society.

Aim: To study the personality characteristics and neurocognitive functions in the Chinese parents of children with autism spectrum disorder (ASD) and compare them with the parents of well-developed children.

Method: This study recruited 41 Chinese children who met the diagnostic criteria of autism spectrum disorder according to Diagnostic and Statistical Manual of mental disorders-IV (DSM-IV). Their 79 biological parents were evaluated by means of Eysenck Personality Questionnaire (EPQ) and a set of neuropsychological tests. The normal control group consisted of 80 parents of well-developed children, and they were matched by age and gender.

Results: We found that the EPQ scores in the P scale for parents of children with ASD were significantly higher than the parents of well-developed children (t=1.68, p=0.039), while their scores in E scale and L scale were significantly lower (t=1.84, p=0.035; t=2.07, p=0.023). We also identified that the parents of children with ASD took significantly longer time than the normal control to complete Trail Making Test (TMT) Part A and Part B-M (t=1.57, p=0.013; t=0.83, p=0.019).

Conclusion: Compared to the parents of well-developed children, the parents of children with ASD were more likely to be unconcerned, rigid, stubborn, introverted, and reticent. They displayed less novelty and thrill-seeking behaviors, and had limited social skills and maturity. Although the general cognitive functions including IQ were relatively intact in the parents of children with ASD, there were impairments in their planning, flexibility and visual processing functions.

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