期刊
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
卷 54, 期 7, 页码 763-771出版社
WILEY
DOI: 10.1111/jcpp.12032
关键词
ASD siblings; mother-child relations; high-risk infants; parent sensitivity
资金
- UK Economic and Social Research Council [RES-000-22-3525]
- UK Medical Research Council [G0701484]
- BASIS funding consortium
- Autism Speaks [1292]
- Autistica [7267, 7221] Funding Source: researchfish
- Economic and Social Research Council [ES/G045577/1] Funding Source: researchfish
- Medical Research Council [G0701484] Funding Source: researchfish
- National Institute for Health Research [NF-SI-0510-10268] Funding Source: researchfish
- ESRC [ES/G045577/1] Funding Source: UKRI
- MRC [G0701484] Funding Source: UKRI
Background: Recent models of the early emergence of autism spectrum disorder (ASD) propose that infant intrinsic risk susceptibilities in behaviour may be amplified by interaction within the early social environment into an increasingly atypical developmental trajectory. This study examines whether 6- and 12-month parent-infant interactions in at-risk siblings differ from those with low-risk and whether - in at-risk siblings - such interactions predict later 3-year classification of ASD or no ASD. Method: Within the British Autism Study of Infant Siblings (BASIS), 6-min videotaped episodes of parent-infant free play in infants at 6-10months (45 at-risk siblings and 47 low-risk siblings) and 12-15months (43 at-risk siblings and 48 low-risk siblings) in a laboratory setting were rated on the Manchester Assessment of Caregiver-Infant Interaction (MACI), blind to participant information. Standard tests were administered for concurrent behavioural signs of ASD features and developmental level. Systematic consensus diagnostic classification of ASD was made at 3years for the at-risk siblings. Results: Parent nondirectiveness and sensitive responsiveness differed in relation to ASD/risk status (at-risk ASD, at-risk no-ASD and low-risk) at both 6 and 12months. At 6months, infant liveliness was lower in the at-risk groups; at 12months, infant attentiveness to parent and positive affect were lower in the at-risk group later diagnosed with ASD. Dyadic mutuality and intensity of engagement showed a group effect at 12months. Dyadic mutuality, infant positive affect and infant attentiveness to parent at 12months (but not 6months) predicted 3-year ASD outcome, whereas infant ASD-related behavioural atypicality did not. Conclusions: This is the first prospective evidence that early dyadic interaction between at-risk infants and their parents is associated with later diagnostic outcome in ASD. Possible explanations for these findings and their theoretical implications are considered.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据