在患有自闭症相关基因罕见变异的青少年中预测干预使用
Hannah R Benavidez1, Margaret Johansson2, Elizabeth Jones2
1Department of Psychology, University of Washington, Seattle, WA, USA.
Journal of autism and developmental disorders
|May 29, 2024
概括
家庭和儿童因素影响自闭症青少年与遗传变异的服务类型,但不是服务强度. 行为疗法未得到充分利用,特别是对于那些没有自闭症谱系障碍 (ASD) 诊断的人来说.
科学领域:
- 神经发育障碍 神经发育障碍
- 遗传学 是一个遗传学.
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 患有罕见遗传变异的自闭症青少年往往具有复杂的需求.
- 了解服务利用对于优化这一群体的结果至关重要.
- 现有的关于自闭症患者使用服务的研究缺乏对遗传变异的关注.
研究的目的:
- 调查护理人员和儿童因素如何影响自闭症相关遗传变异的青少年的服务利用情况.
- 为了确定这些儿童的服务类型和强度 (小时/年) 的预测因素.
- 检查自闭症谱系障碍 (ASD) 诊断在服务获取中的作用.
主要方法:
- 分析了125名患有自闭症相关遗传变异的儿童的服务利用数据.
- 包括照顾者因素 (自闭症特征,教育,收入) 和儿童因素 (自闭症特征,性别,年龄,智商,并发症).
- 统计建模用于预测服务类型和强度.
主要成果:
- 收到的服务类型的变化,受儿童人口统计学,行为和心理健康的影响.
- 语音治疗是最常见的服务 (87.2%).
- 行为疗法是最少使用的服务,由ASD诊断独特预测;一旦启动,服务强度是一致的.
结论:
- 人口和临床因素显著影响家庭获得自闭症青少年与遗传变异服务的能力.
- 一旦访问服务,服务强度受到这些因素的影响较小.
- 行为治疗的低吸收凸显了改善获取的必要性,特别是对于那些不符合ASD诊断标准但表现出明显自闭特征的具有遗传变异的年轻人来说.
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