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題名 高功能自閉症類群障礙兒童心智理論與執行功能之探究：與症狀嚴重度及適應行為之關聯性
Exploration of Theory of Mind and Executive Function in Children with High-Functioning Autism Spectrum Disorder : Relationship with Symptom Severity and Adaptive Function作者 陳昱伶
Chen, Yu-Ling貢獻者 姜忠信
Chiang, Chung-Hsin
陳昱伶
Chen, Yu-Ling關鍵詞 高功能自閉症類群障礙症
心智理論
執行功能
自閉症狀
適應功能
注意力不足過動症特徵
High-functioning autism spectrum disorder
Theory of mind
Executive function
Autistic symptom
Adaptive functioning
ADHD trait日期 2019 上傳時間 7-八月-2019 16:34:25 (UTC+8) 摘要 研究目的：本研究主要目的為探究高功能自閉症類群障礙（High-functioning Autism Spectrum Disorder, HFASD）兒童心智理論與執行功能之關聯性，並探索心智理論與執行功能表現能否反映其自閉症狀嚴重度及適應行為差異。此外，呼應自閉症類群障礙的異質性，嘗試以心智理論與執行功能表現描繪具注意力不足過動症特徵HFASD兒童之特性。研究方法：本研究共招募生理年齡7-10歲的66名HFASD兒童與40名一般發展兒童，接受一項心智理論作業（含諷刺及隱喻分測驗）與三項執行功能作業（強勢反應抑制、抑制分心物干擾及心智彈性），並評估其智力、自閉症症狀、注意力不足過動症症狀與適應行為表現。研究結果：相關性分析結果顯示，心智理論與執行功能作業之間顯著的相關性普遍存在於HFASD組，一般發展組則僅有強勢抑制反應時間與心智理論作業有顯著的負相關。缺損型態結果指出近四成HFASD兒童的心智理論與執行功能皆無缺損，僅心智理論缺損以及僅執行功能缺損的人數比例則相當；此外，具注意力不足過動症特徵的HFASD兒童更容易發生心智理論的缺損。行為症狀方面，不同缺損型態略能反映HFASD兒童的自閉症狀嚴重度，且心智理論與執行功能皆呈現缺損的HFASD兒童有更嚴重的溝通症狀；然而，此缺損型態無法反映出HFASD兒童的適應行為問題。總結：學齡HFASD兒童的心智理論與執行功能之間仍具有顯著的相關性，且心智理論與執行功能缺損型態可反映HFASD兒童部分的自閉症狀嚴重度，凸顯同時考量執行功能與心智理論的重要性。
Purposes: The purpose of the study was to explore the relationship of the Theory of Mind (ToM) and Executive Finction (EF) in children with High-functioning Autism Spectrum Disorder (HFASD), and explore whether the performance of ToM and EF can reflect severity of autistic symptom and adaptive function. In addition, concerning the heterogeneity within ASD, the study was also attempted to use ToM and EF to identify ADHD trait within HFASD.Methods: Sixty-six HFASD children and fourty typically development (TD) children were recruited, and all children were aged 7-10 years. Participants were assessed on a battery of tasks measuring ToM (including irony and metaphor) and EF (including inhibition control and cognitive flexibility). IQ, autism severity, ADHD trait and adaptive function were also measured.Results: Performance on ToM and EF tasks was significantly related to each other in the HFASD group, while there was only a significant negative correlation between ToM and reaction time of prepotent inhibition in the TD group. Examination of the pattern of EF-ToM impairments in the HFASD group, indicating nearly 40% children with HFASD demonstrated intact EF and ToM, while the propotions of impaired ToM and impaired EF were equivalent; furthermore, the children with HFASD combining with ADHD trait proned to demonstrate impaired ToM. The pattern of EF-ToM impairments can explain the severity of autistic symptom. HFASD children who demonstrated impaired EF and ToM also showed more symptoms in communication. However, the pattern of EF-ToM impairments cannot explain the adaptive function.Conclusions: A significant relationship were revealed between ToM and EF in the shool-aged children with HFASD. 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國立政治大學
心理學系
104752020資料來源 http://thesis.lib.nccu.edu.tw/record/#G1047520201 資料類型 thesis dc.contributor.advisor 姜忠信 zh_TW dc.contributor.advisor Chiang, Chung-Hsin en_US dc.contributor.author (作者) 陳昱伶 zh_TW dc.contributor.author (作者) Chen, Yu-Ling en_US dc.creator (作者) 陳昱伶 zh_TW dc.creator (作者) Chen, Yu-Ling en_US dc.date (日期) 2019 en_US dc.date.accessioned 7-八月-2019 16:34:25 (UTC+8) - dc.date.available 7-八月-2019 16:34:25 (UTC+8) - dc.date.issued (上傳時間) 7-八月-2019 16:34:25 (UTC+8) - dc.identifier (其他 識別碼) G1047520201 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/124864 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 心理學系 zh_TW dc.description (描述) 104752020 zh_TW dc.description.abstract (摘要) 研究目的：本研究主要目的為探究高功能自閉症類群障礙（High-functioning Autism Spectrum Disorder, HFASD）兒童心智理論與執行功能之關聯性，並探索心智理論與執行功能表現能否反映其自閉症狀嚴重度及適應行為差異。此外，呼應自閉症類群障礙的異質性，嘗試以心智理論與執行功能表現描繪具注意力不足過動症特徵HFASD兒童之特性。研究方法：本研究共招募生理年齡7-10歲的66名HFASD兒童與40名一般發展兒童，接受一項心智理論作業（含諷刺及隱喻分測驗）與三項執行功能作業（強勢反應抑制、抑制分心物干擾及心智彈性），並評估其智力、自閉症症狀、注意力不足過動症症狀與適應行為表現。研究結果：相關性分析結果顯示，心智理論與執行功能作業之間顯著的相關性普遍存在於HFASD組，一般發展組則僅有強勢抑制反應時間與心智理論作業有顯著的負相關。缺損型態結果指出近四成HFASD兒童的心智理論與執行功能皆無缺損，僅心智理論缺損以及僅執行功能缺損的人數比例則相當；此外，具注意力不足過動症特徵的HFASD兒童更容易發生心智理論的缺損。行為症狀方面，不同缺損型態略能反映HFASD兒童的自閉症狀嚴重度，且心智理論與執行功能皆呈現缺損的HFASD兒童有更嚴重的溝通症狀；然而，此缺損型態無法反映出HFASD兒童的適應行為問題。總結：學齡HFASD兒童的心智理論與執行功能之間仍具有顯著的相關性，且心智理論與執行功能缺損型態可反映HFASD兒童部分的自閉症狀嚴重度，凸顯同時考量執行功能與心智理論的重要性。 zh_TW dc.description.abstract (摘要) Purposes: The purpose of the study was to explore the relationship of the Theory of Mind (ToM) and Executive Finction (EF) in children with High-functioning Autism Spectrum Disorder (HFASD), and explore whether the performance of ToM and EF can reflect severity of autistic symptom and adaptive function. In addition, concerning the heterogeneity within ASD, the study was also attempted to use ToM and EF to identify ADHD trait within HFASD.Methods: Sixty-six HFASD children and fourty typically development (TD) children were recruited, and all children were aged 7-10 years. Participants were assessed on a battery of tasks measuring ToM (including irony and metaphor) and EF (including inhibition control and cognitive flexibility). IQ, autism severity, ADHD trait and adaptive function were also measured.Results: Performance on ToM and EF tasks was significantly related to each other in the HFASD group, while there was only a significant negative correlation between ToM and reaction time of prepotent inhibition in the TD group. Examination of the pattern of EF-ToM impairments in the HFASD group, indicating nearly 40% children with HFASD demonstrated intact EF and ToM, while the propotions of impaired ToM and impaired EF were equivalent; furthermore, the children with HFASD combining with ADHD trait proned to demonstrate impaired ToM. The pattern of EF-ToM impairments can explain the severity of autistic symptom. HFASD children who demonstrated impaired EF and ToM also showed more symptoms in communication. However, the pattern of EF-ToM impairments cannot explain the adaptive function.Conclusions: A significant relationship were revealed between ToM and EF in the shool-aged children with HFASD. Autism severity can be partially explained by the pattern of EF-ToM impairments. The results indicated the importance roles of both the EF and ToM to explain the heterogeneity of HFASD. en_US dc.description.tableofcontents 目次第一章 緒論第一節 研究動機……………………………………………………………...1第二節 名詞釋義……………………………………………………………...3第二章 文獻回顧第一節 自閉症類群障礙症的介紹……………………………………………….5壹、自閉症類群障礙症之核心特徵與現行臨床診斷準則……………….5貳、現行診斷議題………………………………………………………………...7第二節 心智理論……………….……………………………………….....9壹、一般發展兒童的心智理論發展……………………………………………..9貳、ASD兒童的心智理論發展……………………………………………..…...11參、心智理論與自閉症狀及適應行為表現之關聯性研究.....…………….13第三節 執行功能…………………………………………………………..17壹、一般發展兒童與ASD兒童的執行功能發展..………………………….17貳、執行功能與自閉症狀及適應行為表現之關聯性研究……..……….22第四節 心智理論與執行功能之關聯性…………………………….………….25壹、 ToM與EF關聯性之假設與實徵研究……………………….....………25貳、 ASD兒童ToM與EF關聯性之實徵研究……………………………..……31參、 ASD兒童的ToM與EF表現對自閉症狀及適應行為之關係……….…35第五節 研究問題……………………………………………………………………36第三章 研究方法第一節 研究對象……………………………….…………………………………39第二節 研究流程……………………………….…………………………………40第三節 研究工具……………………………….…………………………………41第四章 研究結果第一節 研究對象基本特質……………………….……………………………..48第二節 研究對象之臨床症狀與適應行為表現….…………………..……50第三節 研究對象執行功能與心智理論之作業表現……………………..55第四節 執行功能與心智理論作業表現之相關性…………………………59第五節 執行功能與心智理論之缺損型態………….……………………….66第六節 EF-ToM缺損型態與自閉症狀嚴重度、適應行為的關係……70第五章 討論第一節 研究對象特徵討論……………………….……………………………78第二節 HFASD的認知作業表現……………….………………………………80第三節 執行功能與心智理論之關聯性……….………………………………82第四節 EF-ToM缺損型態與行為症狀之關聯性…………………………..87第五節 具ADHD特徵之HFASD兒童………….………………………………89第六節 結論與未來研究方向………….…………………………………………91參考文獻……………………………………………………………………………….94附錄一 心智理論作業諷刺、隱喻分測驗題目與標準作答反應………..110 zh_TW dc.format.extent 3386676 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G1047520201 en_US dc.subject (關鍵詞) 高功能自閉症類群障礙症 zh_TW dc.subject (關鍵詞) 心智理論 zh_TW dc.subject (關鍵詞) 執行功能 zh_TW dc.subject (關鍵詞) 自閉症狀 zh_TW dc.subject (關鍵詞) 適應功能 zh_TW dc.subject (關鍵詞) 注意力不足過動症特徵 zh_TW dc.subject (關鍵詞) High-functioning autism spectrum disorder en_US dc.subject (關鍵詞) Theory of mind en_US dc.subject (關鍵詞) Executive function en_US dc.subject (關鍵詞) Autistic symptom en_US dc.subject (關鍵詞) Adaptive functioning en_US dc.subject (關鍵詞) ADHD trait en_US dc.title (題名) 高功能自閉症類群障礙兒童心智理論與執行功能之探究：與症狀嚴重度及適應行為之關聯性 zh_TW dc.title (題名) Exploration of Theory of Mind and Executive Function in Children with High-Functioning Autism Spectrum Disorder : Relationship with Symptom Severity and Adaptive Function en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 李竹芳（2009）。高功能泛自閉症學童執行功能與侷限重複症狀之初探。碩士論文，私立中原大學心理學研究所，未出版，桃園縣。林怡安（2017）。高功能自閉症類群障礙兒童的執行功能之探究：與症狀嚴重度、適應行為及行為問題表現之關聯性。碩士論文，國立政治大學心理學研究所臨床心理學組，未出版，台北市。許君翎（2007）。注意力缺陷/過動疾患兒童與高功能自閉症兒童在心智理論能力上的差異。碩士論文，輔仁大學心理學研究所臨床心理學組，未出版，台北市。陳心怡（1999）。「簡式」魏氏兒童智力量表之建立—四個分測驗之組合。測驗年刊，46(2)，13-32。陳心怡、廖永堃、陳榮華、朱建軍（2011）。臺灣兒童於 1997 至 2007 年智能進步狀況分析：弗林效應之探討。教育科學研究期刊，56(1)，167-191。陳榮華（1997）。魏氏兒童智力量表第三版（中文版）指導手冊。台北：中國行為科學社。陳榮華、陳心怡（2007）。魏氏兒童智力量表第四版（中文版）技術和解釋手冊。台北：中國行為科學社。鄒啟蓉（2005）。學齡前幼兒 “錯誤信念” 發展研究。特殊教育研究學刊，(29)，25-47。劉昱志、劉士愷、商志雍、林健禾、杜長齡、高淑芬（2006）。 注意力缺陷過動症中文版 Swanson, Nolan, and Pelham, Version IV (SNAP-IV) 量表之常模及信效度。臺灣精神醫學，20(4)，290-304。鄧宇捷（2017）。高功能自閉症類群障礙兒童心智理論能力表現之研究。碩士論文，國立政治大學心理學研究所臨床心理學組，未出版，台北市。Adams, N. 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