【摘要】 目的:探讨孤独症儿童社会适应性与心理推理能力和执行功能之间的关系。方法:选择符合美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)孤独症诊断标准的6.0~12.9岁儿童38例,采用儿童适应行为评定量表、中国韦氏儿童智力量表修订本,以及心理推理能力、执行功能测查,评定孤独症儿童的适应行为商(ADQ)、智商、心理推理能力和执行功能情况。结果:ADQ为(85.4±20.9),其独立因子T分(40.2±17.3),认知因子T分(43.3±15.7),社会自制因子T分(42.0±16.0)。总智商为(102.1±24.0)。控制年龄和智商因素后,心理推理能力测试中一级错误信念得分与社会责任分量表评分、社会自制因子T分呈正相关(r=0.50、0.45,Ps<0.05)。执行功能中,复杂图形即刻细节评分和延迟细节评分均与社会责任分量表评分呈负相关(r=-0.46、-0.47,Ps<0.05),Stroop第2试所需时间、第4试所需时间、第4试错误个数、数字字母连线错误个数均与经济活动分量表评分呈负相关(r=-0.63、-0.57、-0.45、-0.57,Ps<0.05),第2试所需时间与个人取向分量表评分和社会自制因子T分呈负相关(r=-0.46、-0.50,Ps<0.05)。结论:孤独症儿童的社会适应性与心理推理能力和执行功能呈中度相关,心理推理能力和执行功能越好,社会适应性越好。更多还原

【Abstract】 Objective: To explore the relation of social adaptability to theory of mind( Tom) and executive function( EF) in Chinese children w ith autism. Method: Thirty-eight children aged 6. 0- 12. 9 years and meeting the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition( DSM-IV) criteria for autism w ere recruited. They w ere assessed w ith the Children ’ s Adaptive Behavior Rating Scale, Chinese Wechsler Intelligence Scale for Children( C-WISC), Tom test and EF task, then their adaptive quotient( ADQ), intelligence quotient,scores of theory of mind and executive function w ere obtained. Results: In this sample, the ADQ w as( 85. 4 ±20. 9),the T scores of independent factor,cognitive factor and social self-control factor w ere separately( 40. 2 ±17. 3),( 43. 3 ± 15. 7) and( 42. 0 ± 16. 0). The median total intelligence quotient w as( 102. 1 ± 24. 0). After controlling for age and intelligence quotient,the score of first false belief understanding w as positively correlated w ithsocial responsibility subsclale score and social self-control factor score( r = 0. 50,0. 45, Ps < 0. 05). In executive function test,scores of immediate and delayed recall for details of Rey complex figure recall task w ere negatively correlated w ith social responsibility subscale score( r =- 0. 46,- 0. 47,Ps < 0. 05). In Stroop tests,the second test time,the forth test time,the forth test error number and alpha numeric connection error number w ere negatively correlated w ith economic activity subscale score( r =- 0. 63,- 0. 57,- 0. 45,- 0. 57,Ps < 0. 05). The second test time of Stroop w as negatively correlated w ith the scores of individual choose subscale and social self-control factor( r =- 0. 46,- 0. 50,Ps < 0. 05). Conclusion: It suggests that social adaptability may be related to theory of mind and executive function. The autistic children w ith better theory of mind and executive function have better social adaptability.更多还原