早期社会交际技能作为自闭症谱系障碍症状严重程度的预测因素

IF 2.5 Q1 EDUCATION, SPECIAL Autism and Developmental Language Impairments Pub Date : 2017-11-01 DOI:10.1177/2396941517743418
Jan Lobban-Shymko, Nancie Im-Bolter, Nancy L. Freeman
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引用次数: 14

摘要

背景和目的自闭症谱系障碍的早期诊断在提供许多益处的同时,也带来了挑战。准确预测症状严重程度可以让临床医生自信地诊断和分配最合适的干预措施。很少有研究预测自闭症谱系障碍儿童的症状严重程度,这些儿童没有接受过显著水平的干预。方法本文件回顾研究在一组患有自闭症谱系障碍(n = 199)。结果在两个核心诊断特征(社会交际缺陷和限制性重复行为)中,社会交际技能最能预测症状的严重程度。此外,社交交流手势预测了年龄后症状的严重程度,适应性行为、限制性重复行为和功能性手势都得到了考虑。结论社交手势是预测自闭症谱系障碍幼儿未来症状严重程度的良好指标,与干预效果无关。含义以前,在自闭症谱系障碍儿童的语言和症状预测文献中,手势的社会方面一直缺失。未来仔细关注社交手势可能有助于早期诊断和更准确地预测症状和发展轨迹。
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Early social communicative skills as predictors of symptom severity in autism spectrum disorder
Background and aims Early diagnosis of autism spectrum disorder, while providing many benefits, also presents challenges. Accurately predicting symptom severity allows clinicians to confidently diagnose and assign the most appropriate intervention. Little available research predicts symptom severity in children with autism spectrum disorder who have not been exposed to significant levels of intervention. Methods The present file review study examined preverbal skills as predictors of symptom severity, approximately one year later, in a group of young children (18–64 months) with autism spectrum disorder (n = 199). Results Of the two core diagnostic features (social communicative deficits and restricted repetitive behaviors), social communicative skills best predicted symptom severity. Furthermore, social communicative gestures predicted symptom severity after age, adaptive behavior, restricted repetitive behaviors, and functional gestures had been accounted for. Conclusions Social communicative gestures are excellent predictors of future symptom severity independent of intervention effects in very young children with autism spectrum disorder. Implications Previously, the social aspect of gestures has been missing in the literature on language and symptom prediction in children with autism spectrum disorder. Careful attention to social communicative gestures in the future may help with early diagnosis and more accurate predictions of symptom and developmental trajectories.
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来源期刊
Autism and Developmental Language Impairments
Autism and Developmental Language Impairments Psychology-Clinical Psychology
CiteScore
3.20
自引率
0.00%
发文量
20
审稿时长
12 weeks
期刊最新文献
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