An investigation of the effect of social reciprocity, social anxiety, and letter fluency on communicative behaviors in adults with autism spectrum disorder
An investigation of the effect of social reciprocity, social anxiety, and letter fluency on communicative behaviors in adults with autism spectrum disorder
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DOI：
10.1016/j.psychres.2020.113503
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发表时间：
2020-12-01
影响因子：
11.3
通讯作者：
Kosaka, Hirotaka
中科院分区：
文献类型：
--
作者：
Kimura, Yukari;Fujioka, Toru;Kosaka, Hirotaka
近年来，关注儿童的研究报告称，自闭症谱系障碍（ASD）的沟通困难与ASD固有的社会互惠困难有关，以及严重的社交焦虑和语言流畅性下降。然而，目前还没有关于成年期这些相关性和因果关系的报道。本研究的目的是揭示社交互惠，社交焦虑和字母流畅性对ASD成年人（n = 33，年龄18-43岁，平均年龄= 27.88岁）交际行为的影响，并将其与典型发育（TD）成年人（n = 35，19-40岁，平均年龄= 28.03岁）进行比较。我们使用结构方程模型验证了一个模型，其中社会互惠性不仅直接影响交际行为，而且还间接影响由社交焦虑和言语流畅性介导的交际行为。结构方程模型的结果表明，ASD和TD组之间的沟通行为模式不同，ASD组与假设模型的拟合优度高，而TD组的拟合优度低。这些发现表明，在ASD中，除了社交互惠问题外，社交焦虑（恐惧）是恶化交际行为困难的危险因素。
In recent years, research focusing on childhood has reported that communication difficulties in autism spectrum disorder (ASD) are related to the social reciprocity difficulties inherent to ASD, as well as severe social anxiety and decreased verbal fluency. However, there have been no reports regarding these correlations and causal relationships in adulthood. The aim of this study was to reveal the effects of social reciprocity, social anxiety, and letter fluency on communicative behaviors in adults with ASD (n = 33, aged 18-43 years, mean age = 27.88 years) and to compare these to typically developing (TD) adults (n = 35, 19-40 years, mean age = 28.03 years). We validated a model using structural equation modeling in which social reciprocity not only directly affected communicative behaviors, but also indirectly affected communicative behaviors mediated by social anxiety and verbal fluency. The results of the structural equation modeling showed that communicative behaviors patterns differed between the ASD and TD groups, as the ASD group had high goodness of fit with the hypothesis model while the TD group had low goodness of fit. These findings signify that in ASD, in addition to problems in social reciprocity, social anxiety (fear) is a risk factor for worsening communicative behaviors difficulties.