不同功能孤独症儿童能力发育特征研究

发布时间：2019-05-16 14:25

【摘要】：目的探索不同功能孤独症儿童能力发育特征及差异。方法 159例13~71月龄的孤独症儿童(高功能孤独症儿童85例,低功能孤独症儿童74例),采用修订版心理教育评定量表(PEP-R)中的功能发展量表,测评及分析其能力发育水平。结果同一年龄段内,不同功能孤独症儿童能力发育均存在明显不均衡,差异有统计学意义(H=41.68~113.51,P0.01),高功能孤独症儿童以认知理解障碍最突出,认知理解与认知表达发育不协调,而大肌肉发育基本正常;低功能孤独症儿童能力发育全方面落后,其中以模仿、认知理解及认知表达障碍最突出。随着年龄的增长,高功能孤独症儿童在模仿、知觉、认知理解、认知表达及总体发育商有逐步上升的趋势,差异有统计学意义(P均0.05);低功能孤独症儿童在认知理解及总体发育商上则有逐步下降的趋势,差异也有统计学意义(P均0.05)。结论孤独症儿童能力发育进展和次序存在异常;随着年龄增长,不同功能孤独症儿童的能力发育趋势存在明显差异。
[Abstract]:Objective To explore the characteristics and differences of the abilities of different functional autistic children. Methods 159 cases of autistic children (85 children with high-function autistic children and 74 low-functional autistic children) from 13 to 71 months of age were treated with the function development scale in the revised mental education rating scale (PEP-R). Results In the same age group, there was a statistically significant difference in the ability of children with different functional autism (H = 41.68-113.51, P0.01). The low-function autistic children's ability to develop is backward, with the most prominent in imitation, cognitive understanding and cognitive expression. With the increase of age, children with high-function autism have the tendency of gradually increasing in imitation, perception, cognitive understanding, cognitive expression and overall development quotient (P <0.05). Low-functional autistic children had a tendency to decrease in cognitive and overall development, and the difference was also of statistical significance (P <0.05). Conclusion The development and the order of the children's ability to develop autism are abnormal; with the increase of age, there is a clear difference in the developmental trend of the children with different functional autism.
【作者单位】：珠海市妇幼保健院儿童心理行为科;中山大学公共卫生学院妇幼系;珠海市妇幼保健院产科;
【基金】：珠海市科技计划项目(No.201311140051)
【分类号】：R749.94

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