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在幼儿中查自闭症谱系障碍:仍然没有足够的证据

Bogdan Grigore¹, Jaime Peters¹, Jessica Williams¹

¹University of Exeter, Exeter, UK.

Journal of primary care & community health

|July 30, 2024

概括

早期发现自闭症谱系障碍 (ASD) 是有希望的,但目前关于幼儿查工具和干预措施的证据是不确定的. 需要更严格的研究来确认益处并提高诊断准确度.

科学领域:

发育儿科发育儿科
儿童心理学儿童心理学
神经发育障碍神经发育障碍

背景情况:

早期发现自闭症谱系障碍 (ASD) 可以减轻其影响.
以前的审查表明,支持幼儿ASD查计划的证据有限.

研究的目的:

更新有关幼儿自闭症诊断稳定的证据.
评估幼儿自闭症查工具的准确性.
评估早期干预对被查发现患有自闭症的幼儿的好处.

主要方法:

对33项研究进行了系统审查.
对诊断稳定性,查工具准确性 (包括M-CHAT版本) 和早期干预结果的分析.
评估研究偏差,包括失明,样本大小和随访持续时间.

主要成果:

诊断稳定性估计有所不同 (71.9%-100%),大多数研究的随访时间很短,偏差风险很高.
来自25项研究的查工具准确性数据显示了可变的灵敏度 (0.67-1.0),通常具有高偏差风险.
有限的证据表明,早期干预对被查的儿童有显著的改善.

结论:

目前关于自闭症查,诊断稳定性和幼儿早期干预措施的证据尚未确定.
未来的研究需要盲目的诊断评估,更长的随访期,并减少磨损以提高可靠性.

关键词:

在ASD中,使用的是ASD.自闭症谱系障碍自闭症谱系障碍早期检测早期检测早期干预是早期的干预.查检查查检查查检查查检查

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