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Repetitive Behavior Profiles in Asperger Syndrome and High-Functioning Autism

机译:阿斯伯格综合症和高功能自闭症的重复行为特征

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摘要

Although repetitive behaviors are a core diagnostic domain for autism spectrum disorders, research in this area has been neglected. This study had two major aims (1) to provide a detailed characterization of repetitive behaviors in individuals with Asperger Syndrome (AS), high-functioning autism (HFA), and typically developing controls (TD); and (2) to examine whether differences in repetitive behavior profiles could provide evidence for the external validity of AS separate from HFA. Specifically, it was hypothesized that circumscribed interests would be more prevalent and cause more impairment in the AS group than the HFA group, while the reverse would be true for other categories of repetitive behavior. The parent(s) of 61 children and adolescents (19 with AS, 21 with HFA, and 21 TD) completed two interviews focused specifically on lifetime and current repetitive behavior symptoms. No reliable differences in repetitive behavior between AS and HFA children were found. Results suggested that circumscribed interests differ in developmental course from the three other DSM-IV-TR categories of repetitive behavior. Internal consistency among the four DSM-IV-TR categories of repetitive behavior was high, α=.84, providing evidence for a unitary repetitive behaviors factor. The importance of expanding research in the repetitive behavior domain is highlighted as part of the necessary integration of behavioral and neurobiological approaches to understanding the etiology of autism.
机译:尽管重复行为是自闭症谱系障碍的核心诊断领域,但这一领域的研究却被忽略了。这项研究有两个主要目标(1)详细描述患有阿斯伯格综合症(AS),高功能自闭症(HFA)和典型发展中对照(TD)的个体的重复行为; (2)检查重复行为特征的差异是否可以为独立于HFA的AS的外部有效性提供证据。具体而言,有假设认为,与HFA组相比,在AS组中,受限制的利益更为普遍,并导致更多的损害,而对于其他类别的重复性行为,情况恰恰相反。 61名儿童和青少年的父母(其中19名患有AS,21名患有HFA和21 TD)完成了两次访谈,重点关注一生和当前的重复性行为症状。在AS和HFA儿童之间,在重复行为方面没有可靠的差异。结果表明,限制的兴趣在发展过程中不同于其他三种DSM-IV-TR重复行为类别。在四个DSM-IV-TR重复行为类别之间的内部一致性很高,α= .84,为单一重复行为因素提供了证据。强调在重复性行为领域扩大研究的重要性是将行为学和神经生物学方法整合在一起以理解自闭症病因的一部分。

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