摘要
目的探讨学龄孤独症谱系障碍(ASD)儿童隐喻理解能力与心理推测能力之间的关系。方法选取2023年8月至2024年11月就读于杭州市多所特殊教育机构的6~10岁ASD儿童50例(ASD组),以及年龄、性别匹配的典型发育(TD)儿童50例(TD组),采用视觉图片范式测试隐喻理解能力(含概念、外形、外貌和混合隐喻),采用意外内容和意外地点任务测试心理推测能力。结果ASD组隐喻理解总分显著低于TD组(Z=-5.625,P<0.001),主要表现在外形、外貌和混合隐喻中(|Z|>5.625,P<0.01);心理推测能力显著低于TD组(|Z|>5.255,P<0.001)。相关性分析显示,隐喻理解总分(r=0.352,P<0.05)、外形隐喻分(r=0.299,P<0.05)和混合隐喻分(r=0.330,P<0.05)与心理推测能力总分正相关;线性回归分析显示,心理推测能力总分可正向预测隐喻总分(β=0.310,P<0.05)、外形隐喻分(β=0.103,P<0.05)和混合隐喻分(β=0.330,P<0.05)。结论ASD儿童隐喻理解能力发育落后,可能与心理推测能力缺陷相关。
Objective To investigate the relationship between metaphor comprehension and theory of mind in school-aged children with autism spectrum disorder(ASD).Methods A total of 50 children with ASD(ASD group)and 50 age-and gender-matched typically developing(TD)children(TD group)were recruited from special education institutions in Hangzhou between August,2023 and November,2024.Metaphor comprehension was assessed using a visual picture paradigm,covering conceptual,shape,appearance and mixed metaphors.The theory of mind was assessed using unexpected content/place tasks.Results The total score of metaphor comprehension was lower in ASD group than in TD group(Z=-5.625,P<0.001),particularly for shape,appearance and mixed metaphors(|Z|>5.625,P<0.01);as well as the scores of theory of mind(|Z|>5.255,P<0.001).There was positive correlation between the total score of theory of mind and total score(r=0.352,P<0.05),shape score(r=0.299,P<0.05)and mixed score(r=0.330,P<0.05)of metaphor comprehension.Regression analyses showed that the total score of theory of mind positively predicted total score(β=0.310,P<0.05),shape score(β=0.103,P<0.05)and mixed score(β=0.330,P<0.05)of metaphor comprehension.Conclusion Children with ASD delayed in metaphor comprehension,which associates with deficits in theory of mind.
作者
李凡
林珂瑜
肖永涛
LI Fan;LIN Keyu;XIAO Yongtao(School of Medical Technology and Information Engineering,Zhejiang Chinese Medical University,Hangzhou,Zhejiang 310053,China)
出处
《中国康复理论与实践》
北大核心
2025年第4期484-489,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家级一流本科专业建设项目(No.教高厅函[2019]16号)
省级大学生创新创业项目(No.S202410344037)。
关键词
孤独症谱系障碍
隐喻理解
心理推测能力
语言康复
autism spectrum disorder
metaphor comprehension
theory of mind
language rehabilitation
作者简介
李凡(2001-),女,汉族,浙江绍兴市人,硕士研究生,主要研究方向:儿童语言康复;通信作者:肖永涛(1981-),男,博士,副教授,主要研究方向:言语语言康复。,E-mail:879039042@qq.com。
