Motor skills predict adaptive behavior in autistic children and adolescents.
Motor skills predict adaptive behavior in autistic children and adolescents.
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DOI：
10.1002/aur.2708
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发表时间：
2022-06
期刊：
影响因子：
4.7
通讯作者：
Miller, Haylie L.
中科院分区：
文献类型：
--
作者：
Fears, Nicholas E.;Palmer, Stephanie A.;Miller, Haylie L.
有充分的证据表明，智商（IQ）是自闭症适应性行为评分的一个不良预测因子，自闭症儿童的适应性行为评分低于基于其IQ评分的预测。运动技能的差异可以解释他们适应行为得分的变化。目前的研究探讨了运动技能如何解释自闭症个体的低适应行为得分，以及智商的哪些个体组成部分（即，言语理解和知觉推理）和运动技能（即，手动灵巧性、瞄准和捕捉以及平衡）可以驱动该效果。我们研究了45名自闭症儿童和青少年的智商，运动技能，校准的严重程度和适应行为评分之间的关联。使用t检验，我们发现全量表智商和适应行为得分之间存在显著差异（p <0.001），表明我们的参与者的适应行为得分低于他们的全量表智商预期。使用线性回归，我们调查了运动技能是否预测自闭症儿童和青少年的适应行为，发现运动技能得分与适应行为得分相关（p = 0.022）。为了进一步研究这些关联，我们使用另一种线性回归来研究智商和运动技能的各个组成部分如何预测自闭症儿童和青少年的适应行为得分。我们的结果表明，手部灵巧度评分与适应行为评分相关（p = 0.036）。这些发现清楚地说明了需要进一步了解自闭症个体的适应行为的困难和运动技能困难的潜在作用，可能是这些困难的基础。自闭症儿童的适应行为得分较低（例如，日常生活技能、社交技能、沟通）比智力分数（例如，语言和知觉技能）沿着运动技能的困难。运动技能可以解释适应行为和智力之间的差距。我们发现运动技能与自闭症儿童和青少年的适应行为有关。特别是，手部协调与适应行为有关。我们需要更好地了解自闭症患者的运动技能如何影响他们的适应行为，以提供有效的支持。
It is well‐documented that intelligence quotient (IQ) is a poor predictor of adaptive behavior scores in autism, with autistic children having lower adaptive behavior scores than would be predicted based on their IQ scores. Differences in motor skills may explain the variability in their adaptive behavior scores. The current study examined how motor skills might explain autistic individuals' low adaptive behavior scores and which individual components of IQ (i.e., verbal comprehension and perceptual reasoning) and motor skills (i.e., manual dexterity, aiming and catching, and balance) may drive this effect. We examined the associations between IQ, motor skills, calibrated severity, and adaptive behavior scores in 45 autistic children and adolescents. Using a t‐test, we found a significant difference (p <0.001) between full‐scale IQ and adaptive behavior scores, indicating that our participants' adaptive behavior scores were lower than would be expected given their full‐scale IQ. Using a linear regression, we investigated whether motor skills predicted adaptive behavior in autistic children and adolescents and found that motor skills scores were associated with adaptive behavior scores (p = 0.022). To further investigate these associations, we used another linear regression to examine how individual components of IQ and motor skills predicted adaptive behavior scores in autistic children and adolescents. Our results indicated that manual dexterity scores were associated with adaptive behavior scores (p = 0.036). These findings clearly illustrate the need for further understanding of autistic individuals' difficulties with adaptive behavior and the potential role of motor skill difficulties that may underlie these difficulties. Autistic children have lower adaptive behavior scores (e.g., daily living skills, social skills, communication) than intelligence scores (e.g., verbal and perceptual skills) along with difficulties with motor skills. Motor skills may explain the gap between adaptive behavior and intelligence. We found motor skills were associated with adaptive behavior in autistic children and adolescents. In particular, hand coordination was associated with adaptive behavior. We need to better understand how autistic individuals' motor skills impact their adaptive behavior to provide effective supports.
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