儿童自闭症谱系障碍的查:美国预防服务工作组建议声明
Albert L Siu1, , Kirsten Bibbins-Domingo2
1Mount Sinai School of Medicine, New York, New York2James J. Peters Veterans Affairs Medical Center, Bronx, New York.
JAMA
|February 17, 2016
概括
美国预防服务工作组 (USPSTF) 发现没有足够的证据来推对没有任何父母或临床担忧的幼儿进行自闭症谱系障碍 (ASD) 查. 需要进一步的研究来衡量益处与潜在的危害.
科学领域:
- 儿童医学
- 发展心理学
- 公共卫生
背景情况:
- 自闭症谱系障碍 (ASD) 是一个复杂的发育状况.
- 早期发现和干预对于改善自闭症儿童的结果至关重要.
- 美国预防服务工作组 (USPSTF) 提供基于证据的预防性医疗建议.
研究的目的:
- 审查幼儿自闭症谱系障碍 (ASD) 查的证据.
- 评估查仪器和ASD早期行为治疗的准确性,益处和危害.
- 根据USPSTF对初级保健中自闭症查的建议.
主要方法:
- 系统审查有关自闭症查工具的证据.
- 对已确定的儿童进行早期行为治疗的益处和危害的评估.
- 专注于18至30个月的儿童,没有先前的诊断或引起的担忧.
主要成果:
- 审查了对ASD查仪器准确性的证据.
- 评估了早期行为干预对被查的儿童的好处和危害.
- 对无症状儿童普遍查的有效性和风险进行了检查.
结论:
- 目前的证据不足以评估幼儿自闭症查的益处与危害的平衡.
- 一个"I"声明,表示证据不足.
- 需要更多的研究来指导对这一群体进行普遍的自闭症查.
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