Early social attention impairments in autism: Social orienting, joint attention, and attention to distress
Early social attention impairments in autism: Social orienting, joint attention, and attention to distress
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DOI：
10.1037/0012-1649.40.2.271
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发表时间：
2004-03-01
影响因子：
4
通讯作者：
Liaw, J
中科院分区：
文献类型：
--
作者：
Dawson, G;Toth, K;Liaw, J
本研究探讨自闭症患者的社会注意障碍（社会定向、共同注意、对他人痛苦的注意）及其与语言能力的关系。3 - 4岁的自闭症谱系障碍（ASD; n = 72），3- 4岁的发育迟缓的儿童（n = 34），和12- 46个月大的典型发育的儿童（n = 39），匹配的心理年龄，进行了比较的措施，社会定向，联合注意，注意到另一个的痛苦。自闭症儿童在所有这些领域的表现都明显不如对照组。研究发现，联合注意力和社会定向方面的综合障碍最能区分患有ASD的幼儿和没有ASD的幼儿。结构方程模型表明，联合注意是最好的预测并发语言能力。社会定向和对痛苦的注意通过与共同注意的关系间接地与语言相关。这些结果有助于澄清自闭症社会注意力障碍的性质，为发展机制提供线索，并提出早期干预的目标。
This study investigated social attention impairments in autism (social orienting, joint attention, and attention to another's distress) and their relations to language ability. Three- to four-year-old children with autism spectrum disorder (ASD; n = 72), 3- to 4-year-old developmentally delayed children (n = 34), and 12- to 46-month-old typically developing children (n = 39), matched on mental age, were compared on measures of social orienting, joint attention, and attention to another's distress. Children with autism performed significantly worse than the comparison groups in all of these domains. Combined impairments in joint attention and social orienting were found to best distinguish young children with ASD from those without ASD. Structural equation modeling indicated that joint attention was the best predictor of concurrent language ability. Social orienting and attention to distress were indirectly related to language through their relations with joint attention. These results help to clarify the nature of social attention impairments in autism, offer clues to developmental mechanisms, and suggest targets for early intervention.