Attentional skills during the first 6 months of age in autism spectrum disorder
Attentional skills during the first 6 months of age in autism spectrum disorder
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DOI：
10.1097/00004583-200210000-00014
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发表时间：
2002-10-01
影响因子：
13.3
通讯作者：
Palacio-Espasa, F
中科院分区：
文献类型：
--
作者：
Maestro, S;Muratori, F;Palacio-Espasa, F
目的：探讨家庭录像对自闭症谱系障碍（ASD）早期注意质量的影响。方法：将15例ASD患儿6个月前的家庭影像与15例正常患儿的家庭影像进行比较。诊断是在儿童三岁后由两名高级儿童和青少年精神病学家根据DSM-IV使用症状清单进行的。两组的影片被混合起来，并由盲人观察者通过婴儿注意力技能评估网格进行评分，该网格由13个项目组成，分为三个发展领域。结果：通过多变量方差分析，发现两组在社会注意和社会行为领域的项目存在显著差异；相反，在非社会注意方面没有差异。结论：作者对ASD早期出现的注意力障碍提出了一些假设，其中儿童的自发注意力主要转向非社会刺激而不是社会刺激。强调了这一发现对早期诊断和治疗的重要性。
Objective: To study the quality of early attention in autism spectrum disorder (ASD) through home movies. Method: Fifteen home movies from the first 6 months of life of children who later received a diagnosis of ASD were compared with home movies of 15 normal children. The diagnosis was performed after the third year of life of children by two senior child and adolescent psychiatrists using a checklist of symptoms according to the DSM-IV. The films of the two groups were mixed and rated by blind observers through a Grid for the Assessment of Attentional Skills in Infants, composed of 13 items grouped into three developmental areas. Results: Using multivariate analysis of variance, the authors found significant differences between the two groups for the items in the social attention and the social behavior areas; on the contrary, there were no differences in nonsocial attention. Conclusions: The authors pose some hypotheses about a specific early-appearing impairment of attention in ASD in which children shift their spontaneous attention mainly toward nonsocial stimuli rather than toward social stimuli. The importance of this finding for early diagnosis and treatment is underlined.