Objective To explore the characteristics of attention and social development of boys with autism spectrum disordes(ASD),and to analyze the correlation between them. Methods Totally 37 boys with ASD were recruited from psychiatrist department for children and adolescents of Shanghai Mental Health Center from July 2015 to July 2016. All participants were assessed by Autism Behavior Checklist (ABC),Strengths and Difficulties Questionnaire Parents' Version (SDQ),and the social development and play part of Autism Diagnostic Interview-Revised (ADI-R). Results In ASD group,the sensory,relating,body and object use,language and social/self help subscale scores of ABC were positively correlated with SDQ emotional problems,hyperactivity/inattention,peer problems and total difficulties score (P<0.01). The scores of range of facial expression used to communicate,imitative social play,interest in children,offering comfort,quality of social overture and inappropriate facial expressions were negatively correlated with prosocial behavior subscale of SDQ (P<0.01). Conclusions ASD boys have significant defect in social and play abilities such as direct gaze,social smiling,group play with peers,showing and directing attention,seeking to share enjoyment with others. Early detection is helpful for screening and intervention.
Key words
autism spectrum disorder /
attention /
social development
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References
[1] 赵凌霄,范静怡. 孤独症谱系障碍儿童社会沟通与交往障碍的表现与发生机制[J].中国儿童保健杂志,2017,25(6):585-587.
[2] 张茜婷,李燕,魏华,等. 核心症状对孤独症谱系障碍儿童健康相关生命质量的影响[J].中国儿童保健杂志,2016,24(3):318-321.
[3] Freeman SF,Gulsrud A,Kasari C. Brief report: linking early joint attention and play abilities to later reports of friendships for children with ASD[J].J Autism Dev Disord,2015,45(7):2259-2266.
[4] 陈小燕,吴婕翎,李明,等. 2～3岁孤独症谱系障碍儿童与正常儿童叫名反应的比较[J].中国儿童保健杂志,2017,25(9):931-934.
[5] Mundy P,Jarrold W. Infant joint attention,neural networks and social cognition[J].Neural Netw,2010,23(8):985-997.
[6] 陈璐,张婷,李泉,等. 孤独症儿童共同注意的神经基础及早期干预[J].心理科学进展,2015,23(7):1205-1215.
[7] Krug DA,Arick J,Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior[J].J Child Psychol Psychiatry,1980,21(3): 221-229.
[8] 寇建华,夏黎明. 儿童长处和困难问卷(父母版)上海常模的信度和效度[J].上海精神医学,2005,57(1):25-28.
[9] 郭延庆,杨晓玲,刘靖,等. 孤独症诊断访谈量表(修订本)的诊断效度及信度研究[J].中华精神科杂志,2002,35(1): 42-45.
[10] Jones EA,Carr EG,Feeley KM. Multiple effects of joint attention intervention for children with autism[J].Behav Modif,2006,30(6):782-834.
[11] Sullivan M,Finelli J,Marvin A,et al. Response to joint attention in toddlers at risk for autism spectrum disorder:a prospective study[J].J Autism Dev Disord,2007,37(1):37-48.
[12] Hurwitz S,Watson LR. Joint attention revisited:Finding strengths among children with autism[J].Autism,2016,20(5):538-550.
[13] Sowden S,Koehne S,Catmur C,et al. Intact automatic imitation and typical spatial compatibility in autism spectrum disorder:challenging the broken mirror theory[J].Autism Res,2016,9(2):292-300.
[14] Wong C,Kasari C. Play and joint attention of children with autism in the preschool special education classroom[J].J Autism Dev Disord,2012,42(10):2152-2161.
[15] Vivanti G,Paj F,Hocking DR,et al. Social Attention,joint attention and sustained attention in autism spectrum disorder and williams syndrome:convergences and Divergences[J].J Autism Dev Disord,2017,47(6):1866-1877.
[16] Thomas MS,Davis R,Karmiloff-Smith A,et al. The over-pruning hypothesis of autism[J].Dev Sci,2016,19(2):284-305.
[17] Ninio A. Bids for joint attention by parent-child dyads and by dyads of young peers in interaction[J].J Child Lang,2016,43(1):135-156.
[18] Van Hecke AV,Mundy PC,Acra CF,et al. Infant joint attention,temperament,and social competence in preschool children[J].Child Dev,2007,78(1):53-69.
[19] 杜亚松. 孤独谱系障碍治疗、康复的研究进展[J].中国儿童保健杂志,2015,23(12):1233-1235.
[20] 静进. 孤独症谱系障碍儿童的康复教育现状及趋势[J].中国儿童保健杂志,2016,24(12):1233-1236.
[21] 傅毅堃,周爱琴,戴琼,等. 孤独症谱系障碍儿童综合干预年龄及持续时间对治疗效果影响的探讨[J].中国儿童保健杂志,2016,24(12):1312-1314.
[22] 陈玉美,陈卓铭,林珍萍,等. 孤独症谱系障碍儿童的共同注意力特点分析[J].临床儿科杂志,2017,35(2):102-105.
[23] Wieder S,Greenspan SI. Climbing the symbolic ladder in the DIR model through floor time/interactive play[J].Autism,2003,7(4):425-435.
[24] Hobson JA,Tarver L,Beurkens N,et al. The relation between severity of autism and caregiver-child interaction:a study in the context of relationship development intervention[J].J Abnorm Child Psychol,2016,44(4):745-755.
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