Pretend Play and Social Engagement in Toddlers at High and Low Genetic Risk for Autism Spectrum Disorder
Pretend Play and Social Engagement in Toddlers at High and Low Genetic Risk for Autism Spectrum Disorder
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DOI：
10.1007/s10803-016-2764-y
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发表时间：
2016-07-01
影响因子：
3.9
通讯作者：
Brownell, Celia A.
中科院分区：
文献类型：
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作者：
Campbell, Susan B.;Leezenbaum, Nina B.;Brownell, Celia A.
兄弟姐妹患有自闭症谱系障碍 (ASD) 的幼儿和兄弟姐妹发育正常的低风险 (LR) 幼儿在与父母自由玩耍时进行观察，并在 22 个月大时与检查者进行假装。在自由游戏期间评估了功能性游戏和假装游戏、儿童的社交参与度以及家长的敏感性。在引出的假装任务中评估了游戏的复杂性。与未经诊断的 LR 幼儿或高风险幼儿 (HR-noASD) 相比，患有 ASD 诊断的幼儿在不同环境中的假装游戏较少，与父母或检查者的社交参与也较少。较低水平的假装游戏和社交参与与高危人群中的症状严重程度相关，这反映了幼儿期出现的自闭症谱系障碍。
Toddlers with an older sibling with autism spectrum disorder (ASD) and low risk (LR) toddlers with typically-developing older siblings were observed during free play with a parent and elicited pretend with an examiner at 22-months. Functional and pretend play, children's social engagement, and parent sensitivity were assessed during free play. Complexity of play was assessed during the elicited pretend task. Toddlers with an ASD diagnosis showed less pretend play across contexts and less social engagement with parents or the examiner than either LR toddlers or high risk toddlers without a diagnosis (HR-noASD). Lower levels of pretend play and social engagement were associated with symptom severity within the high risk group, reflecting emerging ASD in toddlerhood.