دورية أكاديمية

Emotional development in adults with autism and intellectual disabilities: a retrospective, clinical analysis.

التفاصيل البيبلوغرافية
العنوان: Emotional development in adults with autism and intellectual disabilities: a retrospective, clinical analysis.
المؤلفون: Tanja Sappok, Jan Budczies, Sven Bölte, Isabel Dziobek, Anton Dosen, Albert Diefenbacher
المصدر: PLoS ONE, Vol 8, Iss 9, p e74036 (2013)
بيانات النشر: Public Library of Science (PLoS), 2013.
سنة النشر: 2013
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Medicine, Science
الوصف: Individuals with intellectual disability (ID) are at risk for additional autism spectrum disorders (ASD). A large amount of research reveals deficits in emotion-related processes that are relevant to social cognition in ASD. However, studies on the structure and level of emotional development (ED) assessing emotional maturity according to the normative trajectory in typically developing children are scares. The level of ED can be evaluated by the 'Scheme of Appraisal of Emotional Development' (SAED), a semi-structured interview with a close caregiver. The SAED assesses the level of emotional developmental based on a five stage system in 10 domains, for example, 'interaction with peers' or 'object permanence', which are conducive to the overall emotional developmental level. This study examined the ED as measured by the SAED in 289 adults (mean age: 36 years) with ID with and without additional ASD. A lower level in ED was observed in ASD/ID combined that corresponded to the ED of typically developing children aged 1.5-3 years versus an ED with a corresponding age of 3-7 years in ID individuals without ASD. Moreover, distinct strengths in 'object permanence', and weaknesses in 'interaction', 'verbal communication', 'experience of self', 'affect differentiation', 'anxiety', and 'handling of material objects' led to a characteristic pattern of ED in ASD. SAED domains with highest discriminative power between ID individuals with and without ASD (5/10) were used to predict ASD group membership. The classification using a selection of SAED domains revealed a sensitivity of 77.5% and a specificity of 76.4%. ASD risk increased 2.7-fold with every SAED level. The recognition of delayed and uneven pattern of ED contributes to our understanding of the emotion-related impairments in adults with ID and ASD these individuals. Assessment of intra-individual ED could add value to the standard diagnostic procedures in ID, a population at risk for underdiagnosed ASD.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1932-6203
78663938
العلاقة: https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24066092/pdf/?tool=EBITest; https://doaj.org/toc/1932-6203Test
DOI: 10.1371/journal.pone.0074036
الوصول الحر: https://doaj.org/article/153367cce68a4329af786639381ecbceTest
رقم الانضمام: edsdoj.153367cce68a4329af786639381ecbce
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:19326203
78663938
DOI:10.1371/journal.pone.0074036