孤独症谱系障碍儿童认知信息加工特征  

Cognitive information processing characteristics of children with autism spectrum disorder

作　　者：孙辉 秦岭[2] 傅燕虹[2] 刘海润[2] 张鸿[2] 黄思艳 Sun Hui;Qin Ling;Fu Yanhong;Liu Hairun;Zhang Hong;Huang Siyan(Graduate School of Youjiang Medical University for Nationalities,Baise 533000,China;Guangxi Academy of Medical Sciences·Center for Cognitive and Sleep,People's Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]右江民族医学院研究生学院,百色533000 [2]广西医学科学院·广西壮族自治区人民医院认知睡眠中心,南宁530021

出　　处：《中华行为医学与脑科学杂志》2023年第11期976-980,共5页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：广西科学研究与技术开发计划课题((桂科攻)(1355005-5-5))。

摘　　要：目的基于Das-Naglieri认知功能评估系统(DN:CAS)对孤独症谱系障碍儿童进行认知信息加工过程的评估,研究其认知信息加工的特征。方法采用DN:CAS对32例孤独症谱系障碍儿童以及按照年龄、性别进行1∶1匹配的32例健康对照儿童进行测验,使用SPSS 26.0统计软件中Mann-WhitneyU test比较孤独症谱系障碍儿童与健康对照儿童总测验量表分及4个分测验量表分的差异。结果孤独症谱系障碍儿童与健康对照儿童的DN:CAS 4个分测验中的计划测验[23.50(19.00,25.00)分比30.50(27.00,35.75)分,Z=-5.014,P<0.01]、注意测验[25.50(20.25,27.75)分比33.00(28.00,36.00)分,Z=-4.317,P<0.01]以及总分[115.00(106.00,132.25)分比139.00(127.00,143.00)分,Z=-3.849,P<0.01]均差异有统计学意义。其中计划测验中的数字匹配[9.00(6.25,10.00)分比12.00(10.00,13.75)分,Z=-4.317,P<0.01]、计划编码[7.00(5.25,8.00)分比9.00(7.00,11.00)分,Z=-3.404,P<0.01]、计划连接[7.00(4.25,9.75)分比10.00(9.00,12.00)分,Z=-4.383,P<0.01],注意测验中的表达性注意[8.00(6.25,10.75)分比11.50(8.25,13.75)分,Z=-3.251,P<0.01]、数字检测[8.00(6.25,10.00)分比10.00(9.00,12.00)分,Z=-3.628,P<0.01]、接受性注意[8.00(6.00,9.00)分比10.00(9.00,13.00)分,Z=-3.351,P<0.01]评分两组间均差异有统计学意义。结论孤独症谱系障碍儿童存在计划和注意功能缺陷。Objective To evaluate the cognitive information processes in children with autism spectrum disorder(ASD)based on the Das-Naglieri Cognitive Assessment System(DN:CAS)and to explore the characteristics of these cognitive processes.Methods Thirty-two children with ASD and thirty-two healthy controls matched 1∶1 by gender and age were enrolled in this study.The cognition of all individuals was evaluated by the DN:CAS.SPSS 26.0 software was used for statistical analysis and Mann-Whitney U test was conducted to analyze the data.Results Compared with the healthy control group,children with ASD had significantly lower scores in planning subtest of DN:CAS(23.50(19.00,25.00)vs 30.50(27.00,35.75),Z=-5.014,P<0.01),attention subtest of DN:CAS(25.50(20.25,27.75)vs 33.00(28.00,36.00),Z=-4.317,P<0.01),and the DN:CAS total score(115.00(106.00,132.25)vs 139.00(127.00,143.00),Z=-3.849,P<0.01).And there were significant differences in matching numbers(9.00(6.25,10.00)vs 12.00(10.00,13.75),Z=-4.317,P<0.01),planned codes(7.00(5.25,8.00)vs 9.00(7.00,11.00),Z=-3.404,P<0.01),planned connections(7.00(4.25,9.75)vs 10.00(9.00,12.00),Z=-4.383,P<0.01)in planning and expressive attention(8.00(6.25,10.75)vs 11.50(8.25,13.75),Z=-3.251,P<0.01),number detection(8.00(6.25,10.00)vs 10.00(9.00,12.00),Z=-3.628,P<0.01),receptive attention(8.00(6.00,9.00)vs 10.00(9.00,13.00),Z=-3.351,P<0.01)in attention between ASD children and healthy controls.Conclusion ASD children have the planning and attention deficits.

关 键 词：孤独症谱系障碍 Das-Naglieri认知功能评估系统 认知加工过程 注意缺陷 

分 类 号：R749.94[医药卫生—神经病学与精神病学]