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Abstract: The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) (American Psychiatric Association, 2013) defines autism spectrum disorder (ASD) as a complex neurodevelopmental disorder that begins in early childhood and is accompanied by social communication deficits and repetitive stereotyped behaviors. According to the monitoring data released in 2021 in the United States, the prevalence of ASD in children was as high as 2.27%; that is, one in 44 children had autism (Maenneret al., 2021). China publicly reported this figure to be around 0.7% (Zhou et al., 2020). The current view is that children with ASD are generally impaired in their adaptation ability (McDonaldet al., 2016; Hodgeet al., 2021; Opertoet al., 2021). adaptive behaviors comprise the conceptual, social, and practical skills that enable individuals to adapt to the environment, which play an important role in daily life (McDonald et al., 2019). “adaptive behavior” was first described by Doll (1936). Subsequently, abnormalities in adaptive behavior were included in the criteria for intellectual disability for the first time (Heber, 1961). The American Association on Mental Retardation (AAMR) has refined and specified this term several times. Researchers hold different opinions on the structure of social adaptive capability. Greenspan and Granfield (1992) divided social adaptive capability into social understanding and social interaction. However, an increasing number of scholars considered that the concept of adaptive behaviors in children was constructed via multiple dimensions. The most representative one among them was the Vineland adaptive behavior Scales (VABS) proposed by Sparrow et al. (1984). This scale illustrates that adaptive behavior includes communication, daily living skills, socialization, and motor skills. Harrison and Oakland (2003) developed an adaptive behavior Assessment System (ABAS), by applying the theory of adaptive behavior proposed by AAMR and the American Association on Intellectual and Developmental Disabilities (AAIDD). This system shows that adaptive behavior has three adaptive composites, namely, conceptual composite (including communication, learning function, and self-management), social composite (including leisure and social skills), and practical composite (including community application, home living, health and safety, and self-care). As there are different requirements for the social adaptive capability of children from different cultural backgrounds and various regions, Chinese scholars have translated the Normal Development of Social Skills from Infant to Junior High School children (S-M) scale compiled by Japanese scholars into Chinese, which is now widely used in China (Zhang et al., 1995). The impairment of adaptive function in children with ASD includes multiple dimensions, such as socialization, communication, and daily living skills (Kanne et al., 2011), and the degree of impairment can predict the prognosis and outcome in real life, including education acquisition and independent living ability (Farley et al., 2009). Therefore, adaptive behavioral capacity is considered to be a key intervention point that directly affects the individual and social outcomes of autistic children (Veenstra-VanderWeele et al., 2017; Bölte et al., 2019).

不同适应行为能力的孤独症谱系障碍儿童早期发育水平研究：一项回顾性分析

[1]AgrawalS, RaoSC, BulsaraMK, et al., 2018. Prevalence of autism spectrum disorder in preterm infants: a meta-analysis. Pediatrics, 142(3):e20180134.

[2]American Psychiatric Association, 2013. Diagnostic and Statistical Manual of Mental Disorders, 5th Ed. American Psychiatric Publishing, Washington, USA.

[3]AnderssonGW, GillbergC, MiniscalcoC, 2013. Pre-school children with suspected autism spectrum disorders: do girls and boys have the same profiles?Res Dev Disabil, 34(1):413-422.

[4]BölteS, MahdiS, de VriesPJ, et al., 2019. The Gestalt of functioning in autism spectrum disorder: results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism, 23(2):449-467.

[5]CarterAS, BlackDO, TewaniS, et al., 2007. Sex differences in toddlers with autism spectrum disorders. J Autism Dev Disord, 37(1):86-97.

[6]DollEA, 1936. Idiot, imbecile, and moron. J Appl Psychol, 20(4):427-437.

[7]DuncanA, LiddleM, StarkLJ, 2021. Iterative development of a daily living skills intervention for adolescents with autism without an intellectual disability. Clin Child Fam Psychol Rev, 24(4):744-764.

[8]FarleyMA, McMahonWM, FombonneE, et al., 2009. Twenty-year outcome for individuals with autism and average or near-average cognitive abilities. Autism Res, 2(2):109-118.

[9]FrazierTW, GeorgiadesS, BishopSL, et al., 2014. Behavioral and cognitive characteristics of females and males with autism in the Simons Simplex Collection. J Am Acad Child Psy, 53(3):329-340.e3.

[10]GreenD, CharmanT, PicklesA, et al., 2009. Impairment in movement skills of children with autistic spectrum disorders. Dev Med Child Neurol, 51(4):311-316.

[11]GreenspanS, GranfieldJM, 1992. Reconsidering the construct of mental retardation: implications of a model of social competence. Am J Ment Retard, 96(4):442-453.

[12]HarrisonP, OaklandT, 2003. Adaptive Behavior Assessment System, 2nd Ed. The Psychological Corporation, San Antonio, USA.

[13]HeberR, 1961. Modifications in the manual on terminology and classification in mental retardation. Am J Ment Defic, 65:499-500.

[14]HodgeMA, BoultonKA, SutherlandR, et al., 2021. Predictors of adaptive functioning in preschool aged children with autism spectrum disorder. Autism Res, 14(7):1444-1455.

[15]KanneSM, GerberAJ, QuirmbachLM, et al., 2011. The role of adaptive behavior in autism spectrum disorders: implications for functional outcome. J Autism Dev Disord, 41(8):1007-1018.

[16]KlinA, SaulnierCA, SparrowSS, et al., 2007. Social and communication abilities and disabilities in higher functioning individuals with autism spectrum disorders: the Vineland and the ADOS. J Autism Dev Disord, 37(4):748-759.

[17]LiW, SongC, HuL, et al., 2024. Influence of parental education on the intelligence quotient profiles and socially adaptive behavior of school-age children with autism spectrum disorder in eastern China. J Zhejiang Univ-Sci B (Biomed & Biotechnol), 25(11):1009-1019.

[18]LordC, CharmanT, HavdahlA, et al., 2022. The Lancet Commission on the future of care and clinical research in autism. Lancet, 399(10321):271-334.

[19]MaennerMJ, ShawKA, BakianAV, et al., 2021. Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2018. Mmwr Surveill Summ, 70(11):1-16.

[20]Mandic-MaravicV, Pejovic-MilovancevicM, Mitkovic-VoncinaM, et al., 2015. Sex differences in autism spectrum disorders: does sex moderate the pathway from clinical symptoms to adaptive behavior?Sci Rep, 5:10418.

[21]McDonaldCA, LopataC, NascaBC, et al., 2016. ABAS-II adaptive profiles and correlates in samples of children with HFASD or LFASD. J Dev Phys Disabil, 28(5):769-783.

[22]McDonaldCA, DonnellyJP, Feldman-AlguireAL, et al., 2019. Special education service use by children with autism spectrum disorder. J Autism Dev Disord, 49(6):2437-2446.

[23]McKernanEP, KimSH, 2022. School-entry language skills as predictors of concurrent and future academic, social, and adaptive skills in kindergarteners with ASD. Clin Neuropsychol, 36(5):899-920.

[24]MougaS, CorreiaBR, CaféC, et al., 2020. Language predictors in autism spectrum disorder: insights from neurodevelopmental profile in a longitudinal perspective. Res Child Adoles Psychopathol, 48(1):149-161.

[25]OdomSL, BoydBA, HallLJ, et al., 2010. Evaluation of comprehensive treatment models for individuals with autism spectrum disorders. J Autism Dev Disord, 40(4):425-436.

[26]OpertoFF, PastorinoGMG, ScuoppoC, et al., 2021. Adaptive behavior, emotional/behavioral problems and parental stress in children with autism spectrum disorder. Front Neurosci, 15:751465.

[27]PathakM, BennettA, ShuiAM, 2019. Correlates of adaptive behavior profiles in a large cohort of children with autism: the autism speaks Autism Treatment Network registry data. Autism, 23(1):87-99.

[28]RattoAB, KenworthyL, YerysBE, et al., 2018. What about the girls? Sex-based differences in autistic traits and adaptive skills. J Autism Dev Disord, 48(5):1698-1711.

[29]Ray-SubramanianCE, HuaiN, Ellis WeismerS, 2011. Brief report: adaptive behavior and cognitive skills for toddlers on the autism spectrum. J Autism Dev Disord, 41(5):679-684.

[30]ReinhardtVP, WetherbyAM, SchatschneiderC, et al., 2015. Examination of sex differences in a large sample of young children with autism spectrum disorder and typical development. J Autism Dev Disord, 45(3):697-706.

[31]SacreyLAR, ZwaigenbaumL, BrysonS, et al., 2019. Developmental trajectories of adaptive behavior in autism spectrum disorder: a high-risk sibling cohort. J Child Psychol Psychiatry, 60(6):697-706.

[32]SparrowSS, BallaDA, CicchettiDV, 1984. Vineland Adaptive Behavior Scales: Interview Edition, Survey Form. American Guidance Service, Circle Pines, USA.

[33]SzatmariP, GeorgiadesS, DukuE, et al., 2015. Developmental trajectories of symptom severity and adaptive functioning in an inception cohort of preschool children with autism spectrum disorder. JAMA Psychiatry, 72(3):276-283.

[34]ThelenE, 2005. Dynamic systems theory and the complexity of change. Psychoanal Dialogues, 15(2):255-283.

[35]TillmannJ, San José CáceresA, ChathamCH, et al., 2019. Investigating the factors underlying adaptive functioning in autism in the EU-AIMS Longitudinal European Autism Project. Autism Res, 12(4):645-657.

[36]Veenstra-VanderWeeleJ, CookEH, KingBH, et al., 2017. Arbaclofen in children and adolescents with autism spectrum disorder: a randomized, controlled, phase 2 trial. Neuropsychopharmacology, 42(7):1390-1398.

[37]VerhaegheL, DereuM, WarreynP, et al., 2016. Extremely preterm born children at very high risk for developing autism spectrum disorder. Child Psychiatry Hum Dev, 47(5):729-739.

[38]WongC, OdomSL, HumeKA, et al., 2015. Evidence-based practices for children, youth, and young adults with autism spectrum disorder: a comprehensive review. J Autism Dev Disord, 45(7):1951-1966.

[39]YangS, PaynterJM, GilmoreL, 2016. Vineland adaptive behavior scales: II profile of young children with autism spectrum disorder. J Autism Dev Disord, 46(1):64-73.

[40]ZhangZX, ZuoQH, LeiZW, et al., 1995. The restandardization of the adaptive scale of infant and children. Chin J Clin Psychol, 3(1):12-15(in Chinese).

[41]ZhouH, XuX, YanWL, et al., 2020. Prevalence of autism spectrum disorder in China: a nationwide multi-center population-based study among children aged 6 to 12 years. Neurosci Bull, 36:961-971.