Correlates of social functioning in autism spectrum disorder: The role of social cognition

Correlates of social functioning in autism spectrum disorder: The role of social cognition
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DOI:
10.1016/j.rasd.2016.11.013
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发表时间:
2017-03-01
影响因子:
2.5
通讯作者:
Minshew, Nancy J.
Minshew, Nancy J.
中科院分区:
医学3区
文献类型:
--
作者:
Bishop-Fitzpatrick, Lauren;Mazefsky, Carla A.;Minshew, Nancy J.

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背景:根据定义,自闭症谱系障碍(ASD)患者在社会功能方面经历了显著的挑战,但在现有的研究中,很少有人确定ASD的社会功能的可修改的预测因子。本研究假设社会认知和运动功能缺陷可能有助于解释自闭症患者社会功能低下的原因。方法:利用108名9-27.5岁的自闭症患者和非智力障碍患者的横断面数据,评估社会认知和运动功能与社会功能的关系。结果:分层多元回归分析结果显示,在控制性别、年龄和智商的情况下,社会认知水平越高,社会功能越好,而运动功能水平越低。事后分析发现,在二阶错误信念任务上的较好表现与较高的社会适应行为水平和较低的社会问题水平相关。结论:我们的研究结果支持针对社会认知的干预措施的开发和测试,以改善自闭症患者的社会功能。教授泛化技能以帮助自闭症患者更好地理解社会情况并培养高级视角采取能力的干预措施有可能创造更持久的变化,因为它们的效果可以应用于广泛和多样的情况,而不仅仅是一组规定的排练情况。(C)爱思唯尔有限公司出版的2016年。
Background: Individuals with autism spectrum disorder (ASD) experience marked challenges with social function by definition, but few modifiable predictors of social functioning in ASD have been identified in extant research. This study hypothesized that deficits in social cognition and motor function may help to explain poor social functioning in individuals with ASD.Method: Cross-sectional data from 108 individuals with ASD and without intellectual disability ages 9 through 27.5 were used to assess the relationship between social cognition and motor function, and social functioning.Results: Results of hierarchical multiple regression analyses revealed that greater social cognition, but not motor function, was significantly associated with better social functioning when controlling for sex, age, and intelligence quotient. Post-hoc analyses revealed that better performance on second-order false belief tasks was associated with higher levels of socially adaptive behavior and lower levels of social problems.Conclusions: Our findings support the development and testing of interventions that target social cognition in order to improve social functioning in individuals with ASD. Interventions that teach generalizable skills to help people with ASD better understand social situations and develop competency in advanced perspective taking have the potential to create more durable change because their effects can be applied to a wide and varied set of situations and not simply a prescribed set of rehearsed situations. (C) 2016 Published by Elsevier Ltd.