期刊論文
高功能自閉症類群障礙兒童的適應行為表現與智力和症狀嚴重度之關係探究

DOI:10.6129/CJP.202109_63(3).0004

中華心理學刊 民 110,63 卷,3 期,285-308

Chinese Journal of Psychology 2021, Vol.63, No.3, 285-308


葉佩文(高雄醫學大學心理學系)林姿伶 (國立清華大學教育與心智科學研究中心);姜忠信(國立政治大學心理學系及國立政治大學心智、大腦與學習研究中心)

 

摘要

本研究目的為探討不同智力程度的高功能自閉症類群障礙(High-Functioning Autism Spectrum Disorder, HFASD)學齡兒童的適應行為表現,並探討其與智力和症狀嚴重度二者之關聯性。研究方法:研究對象 為 68 名生理年齡介於 7-12 歲的 HFASD 兒童,依據其智力高低區分為資優 HFASD 組(intellectual gifted HFASD, 簡稱 IG_HFASD,33 名)和一般 HFASD 組(Non-intellectual gifted HFASD,簡稱 Non-IG_HFASD,35 名),並使用中文版文蘭適應行為量表第二版來比較兩組兒童在適應行為表現的差異。除了智力,本研究亦以問卷、訪談和評估者觀察形式測量症狀嚴重度來檢視與各組的適應行為表現之相關性。研究結果:IG_HFASD 組在溝通領域的適應行為表現比 Non-IG_HFASD 組好,在其他領域則沒有差異。在不分組下進行相關分析發現智力與 HFASD 兒童的溝通領域適應行為有顯著正相關,症狀嚴重度則與社會化領域適應行為存在負相關。分組後顯示 IG_HFASD 組的症狀嚴重度與日常生活技能和社會化領域適應行為可達至中度負相關,但智力未與任何適應行為之間存在相關;Non-IG_HFASD 組則是非語文智力與社會化領域適應行為有明顯的正相關。研究結論:智力仍與 HFASD 學童的適應行為有所關聯,尤其在溝通領域較為明顯。症狀嚴重度則相對與其日常生活技能和社會化領域較有關聯。但智力和症狀嚴重度與一般智力和資優 HFASD 學童的適應行為之關聯程度並不一致。

關鍵詞:高功能自閉症類群障礙症、症狀嚴重度、智力、適應行為


Adaptive Behavior Profiles and Their Association with Cognitive Ability and Symptom Severity in Children with High Functioning Autism Spectrum Disorder

Pei-Wen Yeh (Department of Psychology, Kaohsiung Medical University), Tzu-Ling Lin (Research Center for Education and Mind Science, National Tsing Hua University) & Chung-Hsin Chiang (Department of Psychology, National ChengChi University & Research Center for Mind, Brain and Learning, National ChengChi University)

 

Abstract

This study explores the profiles of adaptive behaviors in school-going children with high-functioning autism spectrum disorder (HFASD) and their relationship with intelligence quotient (IQ) and the severity of ASD symptoms. Methods: Sixty-eight seven- to 12-year-old children with HFASD were divided into intellectually gifted (IG_ HFASD) and non-intellectually gifted (Non-IG_HFASD) groups based on their IQ. The groups’ adaptive behaviors were compared by the Vineland Adaptive Behavior Scales-Second Edition. The correlations between these behaviors and IQ as well as the severity of ASD symptoms were also examined in each group. Results: The IG_HFASD group performed significantly better than the Non-IG_HFASD group in the Communication domain. There were no differences between the groups in other domains of behavior. According to the observation assessment, the Non-IG_HFASD group had more repetitive/stereotypical behaviors than the IG_HFASD group. Among all the children, there was a positive correlation between IQ and the Communication domain, and a negative one between severity and Socialization domains. Examining the correlations in each group revealed that the IG_HFASD group had a moderately negative one between severity and the Daily Living as well as Socialization domains; no significant correlations were found between their IQ and any adaptive behaviors. In contrast, in the Non-IG_HFASD group, non-verbal intelligence was mainly associated with the Socialization domain.Conclusion: IQ is mainly associated with the Communication domain of adaptive behaviors in children with HFASD. The severity of ASD symptoms plays an important role in the Socialization domain and other subdomains. Notably, the two groups show distinct levels of correlations between adaptive behaviors and IQ as well as severity.

Keywords: high-functioning autism spectrum disorder (HFASD), severity, intelligence quotient, adaptive behavior

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