Interests in high-functioning autism are more intense, interfering, and idiosyncratic than those in neurotypical development.
Interests in high-functioning autism are more intense, interfering, and idiosyncratic than those in neurotypical development.
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DOI：
10.1017/s0954579413000072
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发表时间：
2013-08
影响因子：
3.3
通讯作者：
Wallace GL
中科院分区：
文献类型：
--
作者：
Anthony LG;Kenworthy L;Yerys BE;Jankowski KF;James JD;Harms MB;Martin A;Wallace GL
虽然有限的兴趣是自闭症的特征，但这些兴趣与中性化（NT）发展过程中表达的兴趣有何不同仍不清楚。本研究使用一种新的测量方法--兴趣量表（IS），比较了76名NT个体和109名高功能自闭症谱系障碍（HF-ASD）患者在年龄、智商和性别比方面进行分组匹配的兴趣。参与者和他们的父母/照顾者完成诊断措施（自闭症诊断访谈-修订版[ADI-R]，自闭症诊断观察计划[ADOS];仅HF-ASD），认知测试（韦氏智商量表）和问卷调查（重复行为量表-修订版[RBS-R]，执行功能行为评定量表[BRIEF]和社会反应量表[SRS]），以及IS。HF-ASD和NT个体在兴趣领域的数量上没有差异，但兴趣类型差异很大。HF-ASD个体比NT个体有更强烈和干扰的兴趣。仅使用强度评分，77.5%的个体在判别函数分析中被正确分类（NT或HF-ASD）。在HF-ASD患者中，IS评分与ADOS、BRIEF、RBS-R和SRS评分显著相关，但与ADI-R评分、智商、性别、年龄或精神药物使用无关。兴趣的类型和强度，而不是数量，区分高功能ASD儿童和NT儿童。
Though circumscribed interests are pathognomonic with autism, how these interests differ from those expressed during neutotypical (NT) development remains unknown. Using a novel measure, the Interests Scale (IS), this study compares interests between 76 NT individuals and 109 individuals with high-functioning autism spectrum disorder (HF-ASD) matched group-wise on age, IQ and gender ratio. Participants and their parents/caregivers completed diagnostic measures (Autism Diagnostic Interview-Revised [ADI-R], Autism Diagnostic Observation Schedule [ADOS]; HF-ASD only), cognitive tests (Wechsler IQ Scales), and questionnaires (the Repetitive Behavior Scale-Revised [RBS-R], the Behavior Rating Inventory of Executive Function [BRIEF], and the Social Responsiveness Scale [SRS]), in addition to the IS. HF-ASD and NT individuals did not differ in number of interest areas, but the types of interests differed considerably. HF-ASD individuals had significantly more intense and interfering interests than NT individuals. Using only the intensity score, 77.5% of individuals were correctly classified (NT or HF-ASD) in a discriminant function analysis. Among individuals with HF-ASD, IS scores were significantly related to ADOS, BRIEF, RBS-R and SRS scores, but not to ADI-R scores, IQ, gender, age or psychotropic medication use. The type and intensity, but not the number, of interests distinguish high-functioning children with ASD from NT children.