Neuropsychological Profiles of Children with Asperger Syndrome and Autism

Neuropsychological Profiles of Children with Asperger Syndrome and Autism
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阿斯伯格综合症和自闭症儿童的神经心理学概况

DOI:
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发表时间:
1999
期刊:
影响因子:
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通讯作者:
M. Prior
M. Prior
中科院分区:
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文献类型:
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作者:
Janine Manjiviona;M. Prior

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这项研究探讨了通过使用神经心理学特征来提高儿童自闭症和阿斯伯格综合症之间的诊断鉴别的可能性。对两组临床诊断为阿斯伯格综合症(N35)或自闭症(N21)的儿童进行了神经心理学组合测试,以评估这两组儿童在韦氏智商图谱、大脑半球的优势和劣势以及执行功能方面可能存在的差异。临床诊断为阿斯伯格综合征和自闭症的儿童并没有根据他们的神经心理学特征进行区分。他们之间的主要区别是阿斯伯格综合症的整体智商较高,这在很大程度上是由于优越的语言能力。使用DSM-IV/ICD-10标准也检验了差异:根据早期存在或不存在语言延迟的病史对儿童进行分组。两组之间在任何神经认知测量上都没有发现差异,也没有支持目前声称支持区分诊断状态的神经心理学理论。目前在临床实践中的诊断鉴别可能主要受儿童估计的言语智商水平的影响。
This study examined the possibility that diagnostic differentiation between children with autism and Asperger syndrome may be enhanced through the use of neuropsychological profiles. Two groups of children, clinically diagnosed as having Asperger syndrome (n35) or autism (n21), were tested with a neuropsychological battery to assess the propositions that these groups might differ in terms of Wechsler IQ profiles, brain hemispheric strengths and weaknesses, and executive functioning. Clinically diagnosed children with Asperger syndrome and autism were not differentiated on the basis of their neuropsychological profiles. The major difference between them was the overall higher IQ in Asperger syndrome, which was largely due to superior verbal abilities. Differences were also examined using DSM-IV/ICD-10 criteria: children were grouped according to the early history of presence or absence of language delay. No differences between the groups on any neurocognitive measure were found and there was no support for current neuropsychological theories purporting to support differential diagnostic status. It appears that current diagnostic differentiation in clinical practice may be primarily influenced by the child’s estimated verbal IQ level.
DOI: 10.1111/j.1469-7610.1991.tb00351.x
发表时间: 1991-11-01
影响因子: 7.6
作者:
OZONOFF, S;PENNINGTON, BF;ROGERS, SJ
通讯作者: ROGERS, SJ