Please use this identifier to cite or link to this item: https://ah.lib.nccu.edu.tw/handle/140.119/67625
題名: 高功能自閉症類群障礙及對立反抗障礙男童的執行功能與社會功能
Executive function and social function among boys with high-functioning autism spectrum disorder, oppositional defiant disorder, and their comorbidity
作者: 徐玉容
Hsu, Yu Jung
貢獻者: 高淑芬<br>姜忠信
Gau, Shur Fen<br>Chiang, Chung Hsin
徐玉容
Hsu, Yu Jung
關鍵詞: 高功能自閉症類群障礙
對立反抗障礙
執行功能
社會功能
high-functioning autism spectrum disorder
oppositional defiant disorder
executive function
social function
日期: 2013
上傳時間: 21-Jul-2014
摘要: 高功能自閉症類群障礙(HFASD)及對立反抗障礙(ODD)之間存在高共病率,且都表現出顯著的執行功能缺損及社交困難,同時共病此兩種障礙之兒童存在顯著較嚴重的行為問題及功能缺損,亦為家庭及學校帶來沉重的教養壓力。為瞭解此二種障礙之間的共病關係,本研究以劍橋神經心理學測驗評估執行功能、兒童行為檢核量表評估社交行為表現、兒童青少年社會適應量表評估社會情境適應情形、社會反應量表評估社會認知表現,在排除其他共病影響,並控制年齡、智商、注意力不足過動症狀、父母社經地位及教育程度的影響下,同時比較只患有HFASD、只患有ODD、同時共病HFASD與ODD、一般發展男童等四組8至15歲男童(每組21人)之執行功能及社會功能表現,並進一步探究這兩種障礙中執行功能與社會功能之間的關係,以瞭解此二種障礙之間的共病關係是否來自於相似的執行功能缺損。\n結果顯示,三組臨床組男童均表現出不同的執行功能表現,患有HFASD的男童未表現出明顯的執行功能困難,患有ODD的男童有顯著的認知彈性及抑制控制缺損,同時共病HFASD與ODD的男童則存在明顯的抑制控制困難;同時共病兩種障礙的男童在社交互動行為及社會適應功能上比只患有一種障礙的男童表現出更廣泛且顯著的困難;三組臨床組在認知功能及社會功能之間的相關亦存在顯著差異,HFASD的社會功能表現可能與計劃能力較相關,ODD的社會功能表現則可能與抑制控制能力較相關,共病HFASD及ODD的社會功能表現則與全面的執行功能表現均有相關。總結而言,本研究結果支持HFASD及ODD為彼此獨立不同但高度相關的兩種障礙,同時共病兩種障礙時會在執行功能及社會功能均呈現獨特的表現形態,且可能在行為層次中表現出更廣泛且嚴重的社會功能缺損,而執行功能可能並非影響兩種障礙共病之核心機制。
Children with high-functioning autism spectrum disorder (HFASD) or oppositional defiant disorder (ODD) had significant executive dysfunction and social deficits, and high comorbidity between these two disorders. This study compared executive functions and social functions in boys with HFASD, ODD, and their comorbidity to see whether there are shared deficits between the two disorders. The relationships between executive function and social function are also explored. Executive functions, measured by Cambridge Neuropsychological testing automated battery, social behavioral problems, measured by Children Behavior Checklist, social adaptation, measured by Social Adjustment Inventory for Children and Adolescents, and social cognition, measured by Social Reponsiveness Scale, were compared among 4 groups (n = 21 for each group): (1) HFASD only; (2) HFASD with ODD; (3) ODD only; and (4) typically developed. \nChildren with HFASD only had no profound executive function deficits. Children with ODD only had more difficulty in cognitive flexibility and inhibition control. Children with HFASD+ODD had significant inhibition control deficits. Children with HFASD+ODD showed more significant and pervasive deficits in social behavior and social adaptation. Besides, the social deficits of HFASD are correlated with their ability of planning, whereas the social deficits of ODD are correlated with their ability of inhibition control. However, the social deficits of HFASD combined ODD are correlated with all executive function abilities. It may suggest that there were different pathways for the social deficits of these two disorders. Overall, the findings suggest that HFASD and ODD are the two independent but highly-correlated disorders. Their comorbidity showed unique executive function and social function phenotype, pervasive and profound social deficits. And the social deficits in HFASD or ODD were affected by different factors, that beyond executive functions.
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描述: 碩士
國立政治大學
心理學研究所
100752004
102
資料來源: http://thesis.lib.nccu.edu.tw/record/#G0100752004
資料類型: thesis
Appears in Collections:學位論文

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