Верификация факторной структуры симптомов аутизма у детей 3–4 лет
Рекомендуемое оформление библиографической ссылки:
Наследов А.Д., Ткачева Л.О., Защиринская О.В., Мирошников С.А. Верификация факторной структуры симптомов аутизма у детей 3–4 лет // Российский психиатрический журнал. 2023. №4. С. 72-83.
В одномоментном ретроспективном исследовании с целью проверки диагностической ценности и верификация факторной структуры 7-шкальной методики диагностики аутизма у детей 3–4 лет приняло участие 926 детей (383 – с аутизмом, 200 – с задержкой психического развития, 343 – типично развивающихся). Была подтверждена конфигурационная, метрическая и строгая инвариантность 7-факторной шкалы для детей 3–4 лет с аутизмом. Выявлено, что каждая из 7 шкал обладает достаточно высокой ценностью для различения детей с аутизмом от детей типично развивающихся и с задержкой психического развития. Подтверждена высокая прогностическая ценность 7-факторной шкалы с помощью логистической регрессии. Общая точность предсказания составила 88,7% (чувствительность 84,9%, специфичность 91,5%). С применением моделирования структурными уравнениями были выделены 3 группы симптомов: коммуникативные нарушения, сенсорная дезинтеграция и расторможенность/гиперактивность. Показано, что сенсорные нарушения усиливают коммуникативные нарушения, влияя также на усиление расторможенности/гиперактивности. В то время как коммуникативные нарушения определяются нарушениями понимания речи, отстраненностью и эмоциональными нарушениями.
Ключевые слова аутизм; факторная модель аутизма; диагностика аутизма; 3–4-летние дети
1. Maenner MJ, Warren Z, Williams AR, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years – autism and developmental disabilities monitoring network, 11 sites, United States, 2020. MMWR Surveill Summ. 2023;72(2):1–14. DOI: https://doi.org/10.15585/mmwr.ss7202a1 2. Ashmawi NS, Hammoda MA. Early prediction and evaluation of risk of autism spectrum disorders. Cureus. 2022;14(3):e23465. DOI: https://doi.org/10.7759/cureus.23465 3. Zhang XC, Zhu LQ, Zhao XS, Li XK. Autism spectrum disorders: autistic phenotypes and complicated mechanisms. World J Pediatr. 2019;15(1):17–25. DOI: https://doi.org/10.1007/s12519-018-0210-2 4. Nasledov A, Miroshnikov S, Tkacheva L, et al. Application of psychometric approach for ASD evaluation in Russian 3–4-year-olds. Mathematics. 2021;9(14):1608. DOI: https://doi.org/10.3390/math9141608 5. Nasledov AD, Miroshnikov SA, Zashchirinskaia OV, et al. [Autism Scale application for identifying the risk of mental development disorders among children ages 3 and 4]. Sibirskii Psikhologicheskii Zhurnal [Siberian Journal of Psychology]. 2022;(83):166–85. (In Russ.) DOI: https://doi.org/10.17223/17267080/83/9 6. Nasledov AD, Miroshnikov SA, Tkacheva LO. [Factor Structure and Measurement Equivalence of the Autism Scale for Children 3–4 Years Old: Analysis of Binary Data]. Psychology. Journal of the Higher School of Economics. 2023;20(2):191–210. (In Russ.) DOI: https://doi.org/10.17323/1813-8918-2023-2-191-210 7. Nasledov A, Miroshnikov S, Tkacheva L, Fedorov S. Factor Structure of ASD Symptoms in Russian 3-4-Year-Olds. OBM Neurobiology. 2023;7(4):190. DOI: https://doi.org/10.21926/obm.neurobiol.2304190 8. Faktornaya struktura simptomov RAS dlya detei 3-4 let. URL: https://info23rnf.testpsy.net/tabF3-4.html (accessed on: 18.09.2023). 9. Byrne BM. Structural equation modeling with AMOS: Basic concepts, applications, and programming. 2nd ed. NY: Routledge/Taylor & Francis Group; 2010. 416 р. DOI: https://doi.org/10.4324/9780203805534 10. Mazefsky CA, Herrington J, Siegel M, et al. The role of emotion regulation in autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 2013;52(7):679–88. DOI: https://doi.org/10.1016/j.jaac.2013.05.006 11. Berkovits L, Eisenhower A, Blacher J. Emotion regulation in young children with autism spectrum disorders. J Autism Dev Disord. 2017;47(1):68–79. DOI: https://doi.org/10.1007/s10803-016-2922-2 12. Jahromi LB, Meek SE, Ober-Reynolds S. Emotion regulation in the context of frustration in children with high functioning autism and their typical peers. J Child Psychol Psychiatry. 2012;53(12):1250–8. DOI: https://doi.org/10.1111/j.1469-7610.2012.02560.x 13. Blanchard A, Chihuri S, DiGuiseppi CG, Li G. Risk of self-harm in children and adults with autism spectrum disorder: A systematic review and meta-analysis. JAMA Netw Open. 2021;4(10):e2130272. DOI: https://doi.org/10.1001/jamanetworkopen.2021.30272 14. Charlton AS, Smith IC, Mazefsky CA, White SW. The role of emotion regulation on co-occurring psychopathology in emerging adults with ASD. J Autism Dev Disord. 2020;50(7):2585–92. DOI: https://doi.org/10.1007/s10803-019-03983-5 15. Conner CM, Golt J, Shaffer R, et al. Emotion dysregulation is substantially elevated in autism compared to the general population: Impact on psychiatric services. Autism Res. 2021;14(1):169–81. DOI: https://doi.org/10.1002/aur.2450 16. Vogindroukas I, Stankova M, Chelas EN, Proedrou A. Language and speech characteristics in autism. Neuropsychiatr Dis Treat. 2022;18:2367–77. DOI: https://doi.org/10.2147/NDT.S331987 17. Gillespie-Lynch K, Sepeta L, Wang Y, et al. Early childhood predictors of the social competence of adults with autism. J Autism Dev Disord. 2012;42(2):161–74. DOI: https://doi.org/10.1007/s10803-011-1222-0 18. Key AP, D'Ambrose Slaboch K. Speech processing in autism spectrum disorder: An integrative review of auditory neurophysiology findings. J Speech Lang Hear Res. 2021;64(11):4192–212. DOI: https://doi.org/10.1044/2021_JSLHR-20-00738 19. McWeeny S, Norton ES. Understanding event-related potentials (ERPs) in clinical and basic language and communication disorders research: a tutorial. Int J Lang Commun Disord. 2020;55(4):445–57. DOI: https://doi.org/10.1111/1460-6984.12535 20. Tenenbaum EJ, Amso D, Abar B, Sheinkopf SJ. Attention and word learning in autistic, language delayed and typically developing children. Front Psychol. 2014;5:490. DOI: https://doi.org/10.3389/fpsyg.2014.00490 21. Stewart ME, Petrou AM, Ota M. Categorical Speech Perception in Adults with Autism Spectrum Conditions. J Autism Dev Disord. 2018;48(1):72–82. DOI: https://doi.org/10.1007/s10803-017-3284-0 22. Ahtam B, Braeutigam S, Bailey A. Semantic processing in autism spectrum disorders is associated with the timing of language acquisition: A magnetoencephalographic study. Front Hum Neurosci. 2020;14:267. DOI: https://doi.org/10.3389/fnhum.2020.00267 23. Xie F, Pascual E, Oakley T. Functional echolalia in autism speech: Verbal formulae and repeated prior utterances as communicative and cognitive strategies. Front Psychol. 2023; 14:1010615. DOI: https://doi.org/10.3389/fpsyg.2023.1010615 24. van Santen JP, Sproat RW, Hill AP. Quantifying repetitive speech in autism spectrum disorders and language impairment. Autism Res. 2013;6(5):372–83. DOI: https://doi.org/10.1002/aur.1301 25. Ip A, Zwaigenbaum L, Brian JA. Post-diagnostic management and follow-up care for autism spectrum disorder. Paediatr Child Health. 2019;24(7):461–77. DOI: https://doi.org/10.1093/pch/pxz121 26. Chan MMY, Han YMY. Differential mirror neuron system (MNS) activation during action observation with and without social-emotional components in autism: a meta-analysis of neuroimaging studies. Mol Autism. 2020;11(1):72. DOI: https://doi.org/10.1186/s13229-020-00374-x 27. Forgeot d'Arc B, Devaine M, Daunizeau J. Social behavioural adaptation in Autism. PLoS Comput Biol. 2020;16(3):e1007700. DOI: https://doi.org/10.1371/journal.pcbi.1007700 28. Kwan C, Gitimoghaddam M, Collet JP. Effects of social isolation and loneliness in children with neurodevelopmental disabilities: A scoping review. Brain Sci. 2020;10(11):786. DOI: https://doi.org/10.3390/brainsci10110786 29. Maitland CA, Rhodes S, O'Hare A, Stewart ME. Social identities and mental well-being in autistic adults. Autism. 2021;25(6):1771–83. DOI: https://doi.org/10.1177/13623613211004328 30. Chevallier C, Kohls G, Troiani V, et al. The social motivation theory of autism. Trends Cogn Sci. 2012;16(4):231–9. DOI: https://doi.org/10.1016/j.tics.2012.02.007 31. Baum SH, Stevenson RA, Wallace MT. Behavioral, perceptual, and neural alterations in sensory and multisensory function in autism spectrum disorder. Prog Neurobiol. 2015;134:140–60. DOI: https://doi.org/10.1016/j.pneurobio.2015.09.007 32. Melo C, Ruano L, Jorge J, et al. Prevalence and determinants of motor stereotypies in autism spectrum disorder: A systematic review and meta-analysis. Autism. 2020;24(3):569–90. DOI: https://doi.org/10.1177/1362361319869118 33. Schulz SE, Stevenson RA. Sensory hypersensitivity predicts repetitive behaviours in autistic and typically-developing children. Autism. 2019;23(4):1028–41. DOI: https://doi.org/10.1177/1362361318774559 34. Péter Z, Oliphant ME, Fernandez TV. Motor stereotypies: A pathophysiological review. Front Neurosci. 2017;11:171. DOI: https://doi.org/10.3389/fnins.2017.00171 35. Ausderau K, Sideris J, Furlong M, et al. National survey of sensory features in children with ASD: Factor structure of the sensory experience questionnaire (3.0). J Autism Dev Disord. 2014;44(4):915–25. DOI: https://doi.org/10.1007/s10803-013-1945-1 36. Fetta A, Carati E, Moneti L, et al. Relationship between sensory alterations and repetitive behaviours in children with autism spectrum disorders: A parents' questionnaire based study. Brain Sci. 2021;11(4):484. DOI: https://doi.org/10.3390/brainsci11040484 37. Boyd BA, Baranek GT, Sideris J, et al. Sensory features and repetitive behaviors in children with autism and developmental delays. Autism Res. 2010;3(2):78–87. DOI: https://doi.org/10.1002/aur.124 38. Schmitt LM, White SP, Cook EH, et al. Cognitive mechanisms of inhibitory control deficits in autism spectrum disorder. J Child Psychol Psychiatry. 2018;59(5):586–95. DOI: https://doi.org/10.1111/jcpp.12837 39. Cremone-Caira A, Trier K, Sanchez V, et al. Inhibition in developmental disorders: A comparison of inhibition profiles between children with autism spectrum disorder, attention-deficit/hyperactivity disorder, and comorbid symptom presentation. Autism. 2021;25(1):227–43. DOI: https://doi.org/10.1177/1362361320955107 40. Craig F, Margari F, Legrottaglie AR, et al. A review of executive function deficits in autism spectrum disorder and attention-deficit/hyperactivity disorder. Neuropsychiatr Dis Treat. 2016;12:1191–202. DOI: https://doi.org/10.2147/NDT.S104620 41. Colombi C, Ghaziuddin M. Neuropsychological characteristics of children with mixed autism and ADHD. Autism Res Treat. 2017;2017:5781781. DOI: https://doi.org/10.1155/2017/5781781 42. Marotta R, Risoleo MC, Messina G, et al. The Neurochemistry of Autism. Brain Sci. 2020;10(3):163. DOI: https://doi.org/10.3390/brainsci10030163 43. Pavăl D. A Dopamine hypothesis of autism spectrum disorder. Dev Neurosci. 2017;39(5):355–60. DOI: https://doi.org/10.1159/000478725 44. Sprenger L, Bühler E, Poustka L, et al. Impact of ADHD symptoms on autism spectrum disorder symptom severity. Res Dev Disabil. 2013;34(10):3545–52. DOI: https://doi.org/10.1016/j.ridd.2013.07.028
DOI: http://dx.doi.org/10.34757/1560-957X.2023.27.4.008
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