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孤独症谱系障碍儿童言语与情绪调节能力的关系研究
其他题名The relationship between verbal behavior and emotion regulation in children with autism spectrum disorder
郑晓霏
导师李新影
2022-06
摘要孤独症谱系障碍(Autism Spectrum Disorder, ASD)是一种发病于儿童早期 的广泛性发育障碍,其核心特征是社会交往和交流障碍以及狭隘兴趣和重复刻板 行为。ASD 儿童常常面临巨大的适应障碍,很难融入群体并在成年后实现独立 生活。以往研究表明,ASD 常伴随情绪调节困难,情绪调节 (Emotion Regulation) 问题可能是解释 ASD 儿童多种情绪和行为问题高发生率的潜在共同因素。以往 研究结果显示,言语技能对情绪调节的发展至关重要,但儿童期言语能力的发展 是否有助于更有效的情绪调节这一结论并未在 ASD 儿童群体中得到证实。因此, 本研究将对 ASD 儿童言语与情绪调节能力的关系进行探究,为 ASD 儿童的情绪 调节干预提供实证参考。 研究一通过 ALSOLIFE 评估系统测量了 700 位学龄前 ASD 儿童与 202 位学 龄前普通发育 (Typically Developing, TD) 儿童的言语和情绪调节能力,比较了 ASD 儿童与 TD 儿童言语和情绪调节能力的差异,并考察了样本类型在言语和 情绪调节能力关系间的调节作用。研究结果表明,ASD 儿童的言语能力和情绪 调节能力得分显著低于 TD 儿童;言语能力与情绪调节能力正相关,且样本类型 在言语能力和情绪调节间存在显著调节作用,在 ASD 儿童群体中,言语能力与 情绪调节能力的关系更紧密。 研究二对 1638 位 3 至 6 岁学龄前 ASD 儿童前后两次的情绪调节能力得分 进行了差异检验,结果显示,间隔 1-3 个月即可观察到 ASD 儿童情绪调节能力 得分的显著提高,且随着时间间隔增加,ASD 儿童两次情绪调节能力得分的差 值呈现增大的趋势;进一步通过逐步分层回归方法对四个言语成分,即提要求、 命名、对话、听从指令能力的发展变化对情绪调节能力发展变化的影响进行分析, 发现提要求、命名和对话能力的变化可以显著正向预测 ASD 儿童情绪调节能力 的变化,听从指令能力的变化对情绪调节能力的发展变化没有显著影响;最后通 过交叉滞后模型对 ASD 儿童言语和情绪调节能力间的纵向关系进行验证,纵向 分析表明,T1 的提要求、命名、对话和听从指令能力均能显著预测 T2 的情绪调 节能力,且 T1 的情绪调节能力对 T2 的提要求、命名、对话、听从指令能力也均 有显著的正向影响,但言语对情绪调节能力的预测效果更大。 综上,本研究得到以下结论:(1) ASD 儿童的言语和情绪调节能力显著差于 TD 儿童,但 ASD 儿童言语能力对情绪调节能力的影响更大;(2) ASD 儿童的情 绪调节能力随时间发展呈现出显著提升的趋势;(3) 提要求、命名与对话能力的 发展变化对 ASD 儿童情绪调节能力的发展变化有显著正向影响;(4) ASD 儿童 提要求、命名、对话及听从指令四个言语行为与情绪调节能力间可以相互预测, 但言语行为对情绪调节能力的影响更大。以上结果暗示了通过言语干预提高ASD 儿童情绪调节能力的可能性。本研究为学龄前 ASD 儿童言语与情绪调节能力间 的关系提供了实证支持,并对学龄前 ASD 儿童的情绪调节干预具有一定的参考 价值。
其他摘要Autism Spectrum Disorder (ASD) is a pervasive developmental disorder that occurs in early childhood and is characterized by impairments in social interaction and social communication, as well as restrictive, repetitive patterns of behavior, interests, or activities. Children with ASD often face significant adjustment barriers, making it difficult to integrate into groups and achieve independent living as adults. Previous studies have shown that ASD is often complicated by difficulties in emotion regulation, and the problem of emotion regulation may be a potential common factor explaining the high incidence of multiple emotional and behavioral problems in children with ASD. However, there is few interventions of emotion regulation for preschool or younger children with ASD. Findings in non-ASD children have shown that verbal skills are critical for the development of emotion regulation and that the development of verbal abilities in childhood contributes to more effective emotion regulation, but this conclusion has not been confirmed in the ASD group of children. Therefore, this study will explore the relationship between verbal competence and emotion regulation ability of ASD children, and provide an empirical reference for emotion regulation intervention in ASD children. In study 1, the ALSOLIFE assessment system was used to measured the verbal abilities and emotion regulation ability of 700 preschool ASD children and 202 preschool TD children. We compared the differences in verbal competence and emotion regulation abilities of ASD children and TD children. The moderating effect of sample type on the relationship between verbal competence and emotion regulation ability was also investigated. The results showed that the verbal competence and emotion regulation ability of ASD children were significantly lower than those of TD children. Verbal competence was positively correlated with emotion regulation ability, and the sample type had a significant moderating effect between verbal competence and emotion regulation. In children with ASD, verbal competence is more closely related to emotion regulation ability. In study 2, we examined the difference in emotion regulation ability scores of 1638 preschool ASD children aged 3 to 6 years old between time 1 (T1) and time 2 (T2). The results showed that significant differences could be observed at intervals of 1-3 months and other longer intervals. With the increase of time interval, the difference of scores between the two emotion regulation ability scores of ASD children showed an increasing trend. Further, through the step-by-step hierarchical regression, the influence of the development and changes of the four verbal components, namely the mand, tact, intraverbal, and follow instructions, on the development and change of the emotion regulation ability was investigated. It was found that the changes of mand, tact and intraverbal can significantly and positively predict the changes of the emotion regulation ability of ASD children, but the change of the ability to follow instructions has no significant effect on the development of emotion regulation ability. The longitudinal relationship between verbal components and emotion regulation ability was verified by cross-lagged model. Longitudinal analysis showed that the mand, tact, intraverbal, and follow instructions at T1 could significantly predict the ability of emotion regulation in T2, and the ability of emotion regulation in T1 also positively influences the mand, tact, intraverbal, and follow instructions, and follow instructions of T2. But verbal competence had a stronger effect on emotion regulation. In conclusion, the following conclusions can be drawn from this study: (1) compared with TD children, ASD children's verbal competence and emotion regulation abilities are significantly worse, but ASD children's verbal competence has a greater impact on emotion regulation ability; (2) the emotion regulation ability of ASD children showed a significant improvement over time; (3) the developmental changes of mand, tact and intraverbal have a significant impact on the developmental changes of emotion regulation in children with ASD; (4) the four verbal behaviors concluding mand, tact, intraverbal, and follow instructions interact with emotion regulation ability of ASD children. The above results suggest the possibility of improving emotion regulation ability in children with ASD through verbal intervention. This study provides empirical support for the relationship between verbal competence and emotion regulation ability in preschool children with ASD, and has certain reference value for the emotion regulation intervention in preschool children with ASD.
关键词孤独症谱系障碍 言语 情绪调节
学位类型硕士
语种中文
学位名称理学硕士
学位专业应用心理
学位授予单位中国科学院大学
学位授予地点中国科学院心理研究所
文献类型学位论文
条目标识符http://ir.psych.ac.cn/handle/311026/43209
专题健康与遗传心理学研究室
推荐引用方式
GB/T 7714
郑晓霏. 孤独症谱系障碍儿童言语与情绪调节能力的关系研究[D]. 中国科学院心理研究所. 中国科学院大学,2022.
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