CAJ | 학술논문

目的：探讨孤独症儿童社会适应性与心理推理能力和执行功能之间的关系。方法：选择符合美国精神障碍诊断与统计手册第4版（DSM-Ⅳ）孤独症诊断标准的6.0～12.9岁儿童38例，采用儿童适应行为评定量表、中国韦氏儿童智力量表修订本，以及心理推理能力、执行功能测查，评定孤独症儿童的适应行为商（ADQ）、智商、心理推理能力和执行功能情况。结果：ADQ 为（85.4±20.9），其独立因子 T 分（40.2±17.3），认知因子 T 分（43.3±15.7），社会自制因子 T 分（42.0±16.0）。总智商为（102.1±24.0）。控制年龄和智商因素后，心理推理能力测试中一级错误信念得分与社会责任分量表评分、社会自制因子 T 分呈正相关（r ＝0.50、0.45，Ps ＜0.05）。执行功能中，复杂图形即刻细节评分和延迟细节评分均与社会责任分量表评分呈负相关（r ＝－0.46、－0.47，Ps ＜0.05），Stroop 第2试所需时间、第4试所需时间、第4试错误个数、数字字母连线错误个数均与经济活动分量表评分呈负相关（r ＝－0.63、－0.57、－0.45、－0.57，Ps ＜0.05），第2试所需时间与个人取向分量表评分和社会自制因子 T 分呈负相关（r ＝－0.46、－0.50，Ps ＜0.05）。结论：孤独症儿童的社会适应性与心理推理能力和执行功能呈中度相关，心理推理能力和执行功能越好，社会适应性越好。
목적：탐토고독증인동사회괄응성여심리추리능력화집행공능지간적관계。방법：선택부합미국정신장애진단여통계수책제4판（DSM-Ⅳ）고독증진단표준적6.0～12.9세인동38례，채용인동괄응행위평정량표、중국위씨인동지역량표수정본，이급심리추리능력、집행공능측사，평정고독증인동적괄응행위상（ADQ）、지상、심리추리능력화집행공능정황。결과：ADQ 위（85.4±20.9），기독립인자 T 분（40.2±17.3），인지인자 T 분（43.3±15.7），사회자제인자 T 분（42.0±16.0）。총지상위（102.1±24.0）。공제년령화지상인소후，심리추리능력측시중일급착오신념득분여사회책임분량표평분、사회자제인자 T 분정정상관（r ＝0.50、0.45，Ps ＜0.05）。집행공능중，복잡도형즉각세절평분화연지세절평분균여사회책임분량표평분정부상관（r ＝－0.46、－0.47，Ps ＜0.05），Stroop 제2시소수시간、제4시소수시간、제4시착오개수、수자자모련선착오개수균여경제활동분량표평분정부상관（r ＝－0.63、－0.57、－0.45、－0.57，Ps ＜0.05），제2시소수시간여개인취향분량표평분화사회자제인자 T 분정부상관（r ＝－0.46、－0.50，Ps ＜0.05）。결론：고독증인동적사회괄응성여심리추리능력화집행공능정중도상관，심리추리능력화집행공능월호，사회괄응성월호。
Objective:To explore the relation of social adaptability to theory of mind (Tom)and executive function (EF)in Chinese children with autism.Method:Thirty-eight children aged 6.0 -12.9 years and meeting the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition (DSM-IV)criteria for autism were re-cruited.They were assessed with the Children's Adaptive Behavior Rating Scale,Chinese Wechsler Intelligence Scale for Children (C-WISC),Tom test and EF task,then their adaptive quotient (ADQ),intelligence quotient, scores of theory of mind and executive function were obtained.Results:In this sample,the ADQ was (85.4 ± 20.9),the T scores of independent factor,cognitive factor and social self-control factor were separately (40.2 ± 17.3),(43.3 ±15.7)and (42.0 ±16.0).The median total intelligence quotient was (102.1 ±24.0).After con-trolling for age and intelligence quotient,the score of first false belief understanding was positively correlated with social responsibility subsclale score and social self-control factor score (r =0.50,0.45,Ps <0.05).In executive function test,scores of immediate and delayed recall for details of Rey complex figure recall task were negatively correlated with social responsibility subscale score (r =-0.46,-0.47,Ps <0.05).In Stroop tests,the second test time,the forth test time,the forth test error number and alpha numeric connection error number were negatively cor-related with economic activity subscale score (r =-0.63,-0.57,-0.45,-0.57,Ps <0.05).The second test time of Stroop was negatively correlated with the scores of individual choose subscale and social self-control factor (r =-0.46,-0.50,Ps <0.05).Conclusion:It suggests that social adaptability may be related to theory of mind and executive function.The autistic children with better theory of mind and executive function have better social a-daptability.