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广西地区儿童孤独症谱系特征及关联特征筛查工具研究
其他题名Study on Screening Tools for Spectrum and Association Characteristics of Childhood Autism in Guangxi
陈丽霞
导师李新影
2022-12
摘要近年来,据世界卫生组织统计,全球儿童孤独症谱系障碍患病率呈上升趋势。孤独症谱系障碍的影响较为深远,会严重干扰儿童的学习、人际交往及未来职业和生活。2009年Baron-Cohen基于孤独症谱系障碍的两方面核心特征即社会化特征(社交、沟通障碍)和非社会化特征(重复刻板行为、狭窄兴趣)提出了“共情一系统化”理论,该理论认为它用低于平均水平的共情来解释孤独症谱系障碍的社会性特征,又用达到平均水平甚至高于平均水平的系统化解释孤独症谱系障碍的非社会化特征,这个理论模型能够全面地解释ASD的所有核心特征。B aron-Cohen等人为了量化共情特征、系统化特征以及孤独症谱系特征而开发了相关孤独症测量工具共情商量表和系统化商量表以及孤独症谱系商量表,这些量表在普通人中进行了很多研究,很有说服力且具被修订后在多个国家使用。本研究正是以这三个量表为基础进行筛查研究。基于2021年国务院发布的《中国儿童发展纲要2021-2030)),将在全国建立覆盖城市与乡村的儿童健康相关的服务体系,促进影响儿童健康的疾病的早筛、早治。为帮助孤独症谱系障碍儿童实现早筛以便尽早减少孤独症障碍带来的不良影响,本研究选取广西地区为试点,运用共情商、系统化商及孤独症谱系商量表进行广西地区儿童孤独症谱系特征及关联特征的筛查研究,为广西地区儿童孤独症谱系障碍的早期筛查和早期预防奠定基础。本研究分两个子研究,研究一主要目的是对Auyeung等人(2009)开发的儿童共情商量表及儿童系统化商量表进行简体中文版修订,并基于修订的工具评估广西地区儿童的共情商、系统化商随年龄的发展变化规律,以便为儿童孤独症谱系障碍的早筛提供有效工具并为相关干预研究提供参考依据。研究二主要结合研究一的研究结果,以儿童孤独症谱系商、儿童共情商、儿童系统化商为心理测量指标、以儿童性别、年龄为生理指标并综合考虑家庭环境因素共同构建多元回归模型,以评估对儿童孤独症筛查有重要影响作用的预测因素,同时将研究一的共情商和系统化商量表的预测效果与孤独症谱系商量表的预测效果进行对比分析,以便为筛查工具的选用及该地区儿童的健康发展提供科学参考依据。 研究方法,首先检验儿童共情商量表、儿童系统化商量表的心理测量特性是否适合评估广西地区儿童的共情商和系统化商,并探索该地区儿童的共情商和系统化商随年龄的发展规律。其次,以儿童共情商、系统化商、孤独症谱系商等多元预测因素构建回归模型检测影响儿童孤独症谱系障碍发展的重要影响因素,同时评估共情商和系统化商量表与孤独症谱系商量表的预测效果。 研究结果,构建了信效度较好的三维儿童共情模型(包括:“认知共情”、“情感共情”、“社交技能”)和四维儿童系统化模型(包括:“结构偏好”、“细节关注偏好”、“规则偏好”、“技术敏感性”)。发现了该地区儿童共情商的关键发展区间及儿童系统化商随年龄变化的趋势。以儿童孤独症谱系商、儿童共情商、儿童系统化商为心理测量指标、以儿童性别、年龄为生理指标及家庭环境因素共同构建的多元回归模型对儿童孤独症预测具有良好的预测效果,并且得出了儿童共情商和系统化商对孤独症的预测效果与儿童孤独症谱系商的预测效果的对比结果。 研究结论,构建的三维儿童共情模型和四维儿童系统化模型能够很好地评估广西地区3一12岁儿童的共情商和系统化商。通过年龄发展分析,发现了该地区儿童共情商的关键发展区间及系统化商发展规律。构建的多元回归模型具有较好的预测效果,其中“AQ总分”、“儿童日常生活学习的主要陪伴者”、"EQ总分”、“父亲职业类型”这些多元预测因素对儿童孤独症的预测起着不同程度的影响作用,并且儿童孤独症谱系商的预测效果优于儿童共情商和系统化商的预测效果。
其他摘要In recent years, according to the World Health Organization, the global prevalence of autism spectrum disorders in children is on the rise. The impact of autism spectrum disorders is far-reaching, which will seriously interfere with children 's learning, interpersonal communication and future career and life. In 2009, Baron-Cohen proposed the ’empathy-systematization ’theory based on the two core characteristics of autism spectrum disorder, namely, socialization characteristics (social and communication disorders) and non-social characteristics (repeated stereotypes, narrow interests). The theory holds that it uses empathy below the average level to explain the social characteristics of autism spectrum disorder, and uses a systematic explanation of the average level or even higher than the average level to explain the non-social characteristics of autism spectrum disorder. Baron-Cohen et al. also developed the’ Empathy-Systematization’ Measure Tool for Autism Spectrum Disorders, the’ Empathy Quotient Scale’ and’ Systematization Quotient Scale’,as well as the’ Autism Spectrum Quotient Scale. ’These scales, which have been extensively studied among ordinary people, are convincing and have been revised for use in several countries. This study is based on these three scales. Based on the ”China Children 's Development Program 2021-2030”issued by the State Council in 2021,a child health-related service system covering urban and rural areas will be established nationwide to promote early screening and early treatment of diseases affecting children 's health. In order to help children with autism spectrum disorders to achieve early screening in order to reduce the negative impact of autism as soon as possible, this study selected Guangxi region as a pilot, the use of compassion quotient, systematic quotient and autism spectrum quotient scale of children in Guangxi region of autism spectrum characteristics and associated characteristics of screening research, for children in Guangxi region of autism spectrum disorders early screening and early prevention lay the foundation. This study is divided into two sub-studies. The main purpose of study 1 is to revise the children's empathy quotient scale and systematic quotient scale developed by Auyeung et al. (2009) according to the sample of children aged 3一12 years in Guangxi, and to evaluate the development and changes of children 's empathy quotient and systematic quotient with age in Guangxi based on the revised tool, so as to provide an effective tool for early screening of children with autism spectrum disorders and provide a reference for intervention. The main purpose of study 2 is to construct a multivariate model to evaluate the predictive factors that have an important impact on children 's autism screening by taking children 's autism spectrum quotient, children 's empathy quotient and children 's systematic quotient as psychological measurement indicators, children 's gender and age as physiological indicators and considering family environmental factors. At the same time, the predictive effect of the empathy quotient and systematic quotient scale of study 1 is compared with the predictive effect of the autism spectrum quotient scale, so as to provide scientific reference for the selection of screening tools and the healthy development of children in the region. Research methods, first test whether the psychological measurement characteristics of children 's empathy quotient scale and children 's systematic quotient scale are suitable for evaluating children's empathy quotient and systematic quotient in Guangxi, and explore the development law of children 's empathy quotient and systematic quotient with age in this area. Secondly, a regression model was constructed based on multiple predictors such as children's empathy quotient, systematic quotient, and autism spectrum quotient to detect important influencing factors affecting the development of children 's autism spectrum disorders, and to evaluate the predictive effect of empathy quotient and systematic quotient scale and autism spectrum quotient scale. The results of the study constructed a three-dimensional children's empathy model with good reliability and validity (including:’ cognitive empathy’,’emotional empathy ,,’social skills’)and a four-dimensional children 's systematic model (including:’ structural preference’,’detail attention preference’,’rule preference’,’technical sensitivity’).The key interval of development period of children’s empathy quotient and the changing trend of children’s systematic quotient with age were found. The multiple evaluation model, which is constructed by taking children 's autism spectrum quotient, children 's empathy quotient and children 's systematic quotient as psychological measurement indicators, children 's gender and age as physiological indicators and family environmental factors, has a good predictive effect on the prediction of children 's autism tendency, and obtains the comparative analysis results of the predictive effect of children's empathy quotient and systematic quotient to autism and the predictive effect of children 's autism spectrum quotient. Conclusion: The three-dimensional children 's empathy model and the four-dimensional children 's systematic model can well evaluate the compassion quotient and systematic quotient of children aged 3一12 in Guangxi. Through age development analysis, the key development intervals of children 's empathy quotient in the region were found. The constructed multiple regression prediction model has a certain predictive effect. Among them, the multiple predictors of’ AQ total score’,’main companions of children 's daily life learning’,’EQ total score’,and’ father 's occupation type’ have different degrees of influence on the prediction of children 's autism, and the predictive effect of children's autism spectrum quotient is better than that of children 's empathy quotient and systematic quotient.
关键词孤独症谱系障碍 共情 系统化 自闭症 孤独症谱系商
学位类型硕士
语种中文
学位名称理学硕士
学位专业健康心理学
学位授予单位中国科学院大学
学位授予地点中国科学院心理研究所
文献类型学位论文
条目标识符https://ir.psych.ac.cn/handle/311026/45080
专题健康与遗传心理学研究室
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陈丽霞. 广西地区儿童孤独症谱系特征及关联特征筛查工具研究[D]. 中国科学院心理研究所. 中国科学院大学,2022.
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