高BAP特质家长早期同步手势接触对孤独症儿童语言技能的影响

The impact of early synchronized gestures by parents with more pronounced broader autism phenotype traits on language skills of children with autism spectrum disorder

  • 摘要:
    目的  探讨在孤独症谱系家庭中,父母早期互动中的泛孤独症表型(BAP)特征对手势使用及孤独症谱系障碍(ASD)儿童语言能力的影响。
    方法 共纳入49组ASD儿童家庭和33组典型发育儿童家庭。亲子互动在儿童18至24月龄时记录,分别对其进行亲子互动期间父母不同手势类型的记录和编码,并对儿童进行语言及非语言技能评估。
    结果 多重线性回归分析显示,具有较高BAP特征的ASD父母,较少使用同步手势及消歧手势,同步手势的使用对儿童语言能力具有正向预测作用。中介模型显示,ASD父母同步手势的运用,在父母BAP特征和儿童语言能力间起部分中介作用。
    结论 具有明显BAP特质的ASD父母,在其亲子互动中手势的运用具有个性化特点,因此,在实施家庭干预中,可以考虑针对不同手势类型进行个性化指导;指导明显特质BAP父母提升同步手势,可能可以作为未来关键行为指导指标。

     

    Abstract:
    Objective  To investigate the impact of broad autism phenotype (BAP) characteristics in early parent-child interactions on gesture use and the language abilities of children with Autism Spectrum Disorder (ASD) within families affected by ASD.
    Methods  A total of 49 families of children with ASD and 33 families of typically developing (TD) children were recruited. Parent-child interactions were recorded when the children were aged 18 to 24 months. Different types of parental gestures during interactions were recorded and coded, and the children’s language and nonverbal skills were assessed.
    Results  Multiple linear regression analysis showed that ASD parents with higher BAP traits used fewer synchronous gestures and disambiguating gestures. The use of synchronous gestures positively predicted children’s language abilities. Mediation analysis revealed that parental synchronous gestures partially mediated the relationship between parental BAP traits and children’s language abilities in ASD families.
    Conclusions ASD parents with prominent BAP traits exhibit individualized characteristics in gesture use during parent-child interactions. Therefore, individualized guidance targeting different gesture types should be considered in family-based interventions. Guiding BAP-positive ASD parents to enhance synchronous gesture use may serve as a key behavioral guidance indicator in future interventions.

     

/

返回文章
返回