Bidirectional influences of caregiver utterances and supported joint engagement in children with and without autism spectrum disorder.

Bidirectional influences of caregiver utterances and supported joint engagement in children with and without autism spectrum disorder.
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DOI:
10.1002/aur.1928
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发表时间:
2018-05
期刊:
Autism research : official journal of the International Society for Autism Research
影响因子:
--
通讯作者:
Yoder P
Yoder P
中科院分区:
其他
文献类型:
--
作者:
Bottema-Beutel K;Lloyd B;Watson L;Yoder P

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本研究探讨了照顾者谈话和照顾者儿童联合参与类别之间的顺序关联。顺序关联量化一个事件(诸如特定类型的护理者谈话)在预先指定的时间窗口中跟随另一个事件(诸如特定类型的关节接合)的程度,同时控制顺序的偶然发生。虽然无法支持强有力的因果关系的结论,顺序分析的要求,关键事件发生在一个封闭的时间序列排除了替代解释的关联,摘要级的相关性不能。我们对98个双胞胎儿童的观察数据进行了序贯分析,其中50个包括自闭症谱系障碍(ASD)儿童。各组的心理年龄是匹配的,所有人都刚刚开始发展口语词汇。支持联合参与和照顾者后续的话语之间的顺序关联更强的ASD的二人组相比,二人组与典型的发展中国家的儿童。此外,顺序关联的话语与儿童的注意力集中,其次是高阶支持联合参与(HSJE)之间的强于话语之间的照顾者的注意力和HSJE的焦点,在两组。最后,后续指令之间的顺序关联其次是HSJE强于后续评论其次是HSJE,再次在两组儿童。
This study examined sequential associations between pairs of caregiver talk and caregiver-child joint engagement categories. Sequential associations quantify the extent to which one event (such as a particular type of caregiver talk) follows another event (such as a particular type of joint engagement) in a pre-specified time window, while controlling for the chance occurrence of the sequence. Although unable to support strong conclusions about causality, the requirement of sequential analysis that key events occur within a close temporal sequence rules out alternative explanations for associations that summary-level correlations cannot. We applied sequential analysis to observational data on 98 caregiver-child dyads, fifty of which included a child with autism spectrum disorder (ASD). Groups were matched on mental age, and all were just beginning to develop spoken vocabulary. Sequential associations between supported joint engagement and caregiver follow-in utterances were stronger in ASD dyads as compared to dyads with typically developing children. Further, sequential associations between utterances related to the child’s focus of attention followed by higher order supported joint engagement (HSJE) were stronger than between utterances that related to the caregiver’s focus of attention and HSJE, across both groups. Finally, sequential associations between follow-in directives followed by HSJE were stronger than between follow-in comments followed by HSJE, again across both groups of children.
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