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简短报告:不同认知水平的自闭症谱系障碍幼儿的文兰适应行为量表

Brief report: the Vineland Adaptive Behavior Scales in young children with autism spectrum disorders at different cognitive levels.

作者信息

Perry Adrienne, Flanagan Helen E, Dunn Geier Jennifer, Freeman Nancy L

机构信息

TRE-ADD (Treatment, Research, and Education for Autism and Developmental Disorders), Thistletown Regional Centre, Toronto, ON, Canada.

出版信息

J Autism Dev Disord. 2009 Jul;39(7):1066-78. doi: 10.1007/s10803-009-0704-9. Epub 2009 Feb 21.

Abstract

Vineland Adaptive Behavior Scales (VABS) data were examined in a large sample of young children with ASD (n = 290) of varying cognitive levels. IQ was higher than VABS composite score among high functioning children only; the opposite pattern was found in lower IQ subgroups. Profile analysis of VABS domains across cognitive levels demonstrated different profiles in different subgroups. A characteristic "autism profile" was found for most subgroups for Age Equivalents but not Standard Scores. In a small set of matched pairs (n = 28) of children with autism versus MR, significantly different profiles were found, with Socialization and Communication lower in autism, but no differences were found between matched pairs of children with autism and PDD-NOS (n = 48). Correlations between age, cognitive level, and adaptive level were also reported, and regression analyses indicated that autism severity accounts for a modest amount of unique variance in Socialization and Daily Living Skills.

摘要

对一大群认知水平各异的自闭症幼儿(n = 290)的文兰适应行为量表(VABS)数据进行了检查。仅在高功能儿童中,智商高于VABS综合得分;在低智商亚组中发现了相反的模式。对不同认知水平的VABS领域进行的剖面分析表明,不同亚组有不同的剖面。在大多数亚组的年龄当量方面发现了一种特征性的“自闭症剖面”,但标准得分方面未发现。在一小部分自闭症儿童与智力障碍儿童的匹配对(n = 28)中,发现了显著不同的剖面,自闭症儿童的社交和沟通能力较低,但自闭症儿童与未特定型广泛性发育障碍(PDD - NOS)儿童的匹配对(n = 48)之间未发现差异。还报告了年龄、认知水平和适应水平之间的相关性,回归分析表明,自闭症严重程度在社交和日常生活技能方面占一定比例的独特方差。

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