PDF(1597 KB)
PDF(1597 KB)
PDF(1597 KB)
16~30月龄儿童共同注意能力发展水平及其影响因素
Developmental level of joint attention ability in children aged 16-30 months and related influencing factors
目的 了解16~30月龄儿童共同注意能力发展水平及其影响因素。方法 采用问卷调查法对2016年9~12月在广东省妇幼保健院儿童保健科就诊的1 675名16~30月龄儿童进行共同注意能力及其相关影响因素调查。结果 1 675例儿童中，1 579例（94.27%）在16~30月龄时具备反应性共同注意能力；1 428例（85.25%）具备主动性共同注意能力；男童具备反应性共同注意及主动性共同注意能力的百分比均低于女童（P < 0.001）。母亲年龄、父亲职业、家庭年收入、受孕方式、是否计划内怀孕及分娩方式对儿童共同注意力总得分和反应性共同注意/主动性共同注意能力得分的影响有统计学意义（P < 0.05）。结论 婴幼儿在16~30月龄时基本具备反应性共同注意能力及主动性共同注意能力。16~30月龄男童共同注意能力发展落后于女童。母亲年龄、父亲职业、家庭年收入、受孕方式、是否计划内怀孕及分娩方式可能与儿童共同注意的发展有关。
Objective To investigate the developmental level of joint attention ability in children aged 16-30 months and factors influencing the developmental level.Methods A questionnaire survey was performed among 1 675 children aged 16-30 months who visited the Department of Child Health Care in Guangdong Women and Children's Hospital between September and December, 2016 to investigate their joint attention ability and related influencing factors.Results Of the 1 675 children, 1 579 (94.27%) had reactive joint attention ability at the age of 16-30 months, and 1 428 (85.25%) had active joint attention ability. The percentages of children with reactive joint attention ability and active joint attention ability in boys were lower than in girls (P < 0.001). Mother's age, father's occupation, annual family income, way of conception, intended or unintended pregnancy, and mode of delivery were factors influencing the total score of joint attention ability and the scores of reactive/active joint attention ability (P < 0.05).Conclusions Most children have reactive joint attention ability and active joint attention ability at the age of 16-30 months. During this period of age, boys tend to have poorer joint attention ability than girls. Mother's age, father's occupation, annual family income, way of conception, intended or unintended pregnancy, and mode of delivery are associated with the development of joint attention.
[1] 曾琦, 陶沙, 董奇, 等. 爬行与婴儿共同注意能力的发展[J]. 心理科学, 1999, 22(1):14-17.
[2] Charman T, Swettenham J, Baroncohen S, et al. An experimental investigation of social-cognitive abilities in infants with autism:clinical implications[J]. Infant Ment Health J, 1998, 19(2):260-275.
[3] Mundy P, Block J, Delgado C, et al. Individual differences and the development of joint attention in infancy[J]. Child Dev, 2007, 78(3):938-954.
[4] Osterling J, Dawson G. Early recognition of children with autism:a study of first birthday home videotapes[J]. J Autism Dev Disord, 1994, 24(3):247-257.
[5] 王永固, 王恩苹, 贾磊. 孤独症幼儿共同注意的发展模式与早期干预[J]. 中国特殊教育, 2016(6):59-64.
[6] 陈玉美, 陈卓铭, 林珍萍, 等. 孤独症谱系障碍儿童的共同注意力特点分析[J]. 临床儿科杂志, 2017, 35(2):102-105.
[7] Poon KK, Watson LR, Baranek GT, et al. To what extent do joint attention, imitation, and object play behaviors in infancy predict later communication and intellectual functioning in ASD?[J]. J Autism Dev Disord, 2012, 42(6):1064-1074.
[8] 陈玉美, 陈卓铭, 林珍萍, 等. 孤独症谱系障碍与语言发育迟缓儿童的共同注意力比较[J]. 中国康复, 2016, 31(6):405-407.
[9] Gangi DN, Ibañez LV, Messinger DS. Joint attention initiation with and without positive affect:risk group differences and associations with ASD symptoms[J]. J Autism Dev Disord, 2014, 44(6):1414-1424.
[10] Mundy P, Novotny S, Swain-Lerro L, et al. Joint-attention and the social phenotype of school-aged children with ASD[J]. J Autism Dev Disord, 2017, 47(5):1423-1435.
[11] 李满玲. 150例足月小样儿行为神经测定的研究[J]. 中国妇幼保健, 2010, 25(2):202-203.
[12] 熊淑英, 钟赛如, 黄旭丽. 58例足月小样儿12月龄神经发育和气质分析[J]. 中国儿童保健杂志, 2015, 23(12):1297-1299.
[13] 龚郁杏, 刘靖, 郭延庆, 等. 改良婴幼儿孤独症量表中文简化版的效度和信度[J]. 中国心理卫生杂志, 2015, 29(2):121-124.
[14] 龚郁杏, 刘靖, 李长璟, 等. 改良婴幼儿孤独症量表中文修订版的信效度[J]. 中国心理卫生杂志, 2012, 26(6):476-480.
[15] 侯彬兰, 车玲, 陈磊, 等. 482名正常婴幼儿认知发育的因素分析[J]. 中南医学科学杂志, 2015, 43(4):397-400.
[16] 李洁, 姜艳蕊, 王超霞, 等. 婴幼儿认知发育的相关影响因素[J]. 中国儿童保健杂志, 2014, 22(3):239-241.
[17] Pereira KR, Valentini NC, Saccani R. Brazilian infant motor and cognitive development:Longitudinal influence of risk factors[J]. Pediatr Int, 2016, 58(12):1297-1306.
[18] 王伟平, 苏彦捷. 孤独症儿童基于眼睛注视的社会性注意[J]. 中国特殊教育, 2006(6):12-17.
[19] 刘昊, 刘立辉. 父母实施孤独症儿童共同注意干预的效果研究[J]. 中国特殊教育, 2010(2):36-41.
[20] 林志成. 联合注意:早期发展的里程碑[J]. 心理科学, 2007, 30(5):1155-1157.
[21] 周秀宝. 农村9-24个月婴儿共同注意的发展[D]. 沈阳:沈阳师范大学, 2014.
[22] 王敏. 幼儿14个月共同注意与24个月执行功能、模仿能力的关系[D]. 北京:首都师范大学, 2014.
[23] Dawson G, Toth K, Abbott R, et al. Early social attention impairments in autism:social orienting, joint attention, and attention to distress.[J]. Dev Psychol, 2004, 40(2):271-283.
[24] Gulsrud AC, Hellemann GS, Freeman SF, et al. Two to ten years:developmental trajectories of joint attention in children with ASD who received targeted social communication interventions[J]. Autism Res, 2014, 7(2):207-215.
[25] 马亚妮, 上官芳芳, 王争艳. 婴儿共同注意与社会能力发展的关系[J]. 首都师范大学学报(自然科学版), 2012, 33(6):68-73.
[26] 李静郧, 孙玉梅. 自闭症儿童共同注意早期干预研究综述[J]. 中国特殊教育, 2017(6):49-54.
[27] Freeman SF, Gulsrud A, Kasari C. Brief report:linking early joint attention and play abilities to later reports of friendships for children with ASD[J]. J Autism Dev Disord, 2015, 45(7):2259-2266.
[28] 赵苗苗. 贫困农村地区留守儿童与非留守儿童健康差异及影响因素研究[D]. 济南:山东大学, 2012.
[29] Holtz CA, Fox RA, Meurer JR. Incidence of behavior problems in toddlers and preschool children from families living in poverty[J]. J Psychol, 2015, 149(1-2):161-174.
[30] Garratt EA, Chandola T, Purdam K, et al. The interactive role of income (material position) and income rank (psychosocial position) in psychological distress:a 9-year longitudinal study of 30,000 UK parents[J]. Soc Psychiatry Psychiatr Epidemiol, 2016, 51(10):1361-1372.
[31] 张荣武. 父母职业对儿童心理行为的干预及影响探究[J]. 医药前沿, 2015, 5(13):369-370.
[32] 李慧娟, 黄晓玲, 王文广, 等. 父母职业对儿童心理行为的影响[J]. 中国妇幼保健, 2005, 20(6):30-31.
[33] 江徽, 伊媛媛, 沈理笑, 等. 学龄前儿童行为问题现况及相关因素研究[J]. 教育生物学杂志, 2017, 5(1):25-31.
[34] 顾莉萍, 陈昂, 邓成, 等. 学龄前儿童心理行为问题与家庭环境关系的调查[J]. 临床儿科杂志, 2014, 32(10):965-969.
[35] Saleem HT, Surkan PJ. Parental pregnancy wantedness and child social-emotional development[J]. Matern Child Health J, 2014, 18(4):930-938.
[36] 倪玲玲, 邵婷, 陶慧慧, 等. 孕前6个月父母生活、职业环境暴露对学龄前儿童执行功能影响[J]. 中华预防医学杂志, 2016, 50(2):136-142.
[37] Akbarzadeh M, Yazdanpanahi Z, Zarshenas L, et al. The women's perceptions about unwanted pregnancy:a qualitative study in Iran[J]. Glob J Health Sci, 2015, 8(5):189-196.
[38] 周世芳. 基于儿童孤独症的研究[J]. 特别健康, 2017(19):24-25.
[39] 孙艳丽. 学龄前儿童孤独症样行为的孕前和孕期危险因素的出生队列研究[D]. 合肥:安徽医科大学, 2016.
[40] 明兰, 吴金航, 任登峰. 自闭症幼儿社会认知实验及干预绩效研究[J]. 管理观察, 2014(34):178-180.
[41] Salley B, Sheinkopf SJ, Neal-Beevers AR, et al. Infants' early visual attention and social engagement as developmental precursors to joint attention[J]. Dev Psychol, 2016, 52(11):1721-1731.
[42] Gillespie-Lynch K, Khalulyan A, Del Rosario M, et al. Is early joint attention associated with school-age pragmatic language?[J]. Autism, 2015, 19(2):168-177.
