失去自闭症诊断的个体的特征:与典型发展和自闭症谱系障碍个体进行比较研究
Ilayda Barankoglu Sevin1, Nurhak Dogan2, Nazli Burcu Ozbaran3
1Department of Child and Adolescent Psychiatry, Trabzon Kanuni Education and Research Hospital, Trabzon, Turkey.
Early intervention in psychiatry
|October 22, 2024
概括
失去自闭症谱系障碍 (ASD) 诊断的个人往往表现出早期的语言发展,但可能仍然存在残留困难和其他精神病诊断. 对这些人来说,持续的监测和支持是必不可少的.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 精神病学是一个精神病学.
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况.
- 一些被诊断为ASD的个人在以后的生活中可能不再符合诊断标准.
- 了解这些个体的特征对于适当的支持至关重要.
研究的目的:
- 识别那些失去了自闭症谱系障碍 (ASD) 诊断的个体的特征.
- 为了评估当前精神病诊断在个人有史以来的ASD.
- 以心理病理学,功能性和社会人口统计学/临床变量来比较失去了ASD诊断 (LAD) 与ASD和典型发展 (TD) 个体的个体.
主要方法:
- 研究包括85名年龄在5-18岁的参与者:30名LAD,32名ASD,23名TD.
- 通过社会人口统计表格,儿童自闭症评分表 (CARS),自闭症行为检查表 (ABC) 和社会响应度表 (SRS) 收集的数据.
- 汽车由临床医生完成;ABC和SRS由家长完成.
主要成果:
- 与ASD组相比,LAD组表现出更早的语言学习,更早的特殊教育入学,更长时间的学前教育和体育炼支持,更高的认知能力和更低的症状严重程度.
- 80%的LAD组至少有一个DSM-5诊断.
- 在ABC和SRS得分中观察到显著差异:ASD>LAD>TD.
结论:
- 被诊断为ASD后退的个体可能仍然表现出残留的挑战.
- 失去自闭症诊断的很大一部分人仍然面临其他精神疾病的风险.
- 持续的监测和支持对于有自闭症史的人来说至关重要,即使在失去诊断后也是如此.
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