在南特伦德拉格的学龄儿童中诊断出自闭症 2016-2019年
Anne Berit Røe1, Sidsel Jullumstrø2, Kristin Brobakken Eig3
1Habiliteringstjenesten for barn og unge, St. Olavs hospital.
概括
与学龄前儿童相比,母亲的背景与学龄儿童的自闭症谱系障碍相关性较小. 许多被诊断为自闭症的孩子也患有其他发育或精神疾病,如ADHD.
科学领域:
- 儿科 儿科 儿科
- 儿童精神病学 儿童精神病学
- 流行病学 流行病学
背景情况:
- 之前的研究表明,在南特朗德拉格的非挪威母亲的学龄前儿童中,自闭症谱系障碍 (ASD) 的患病率更高.
- 这项研究旨在调查同一地区和时期的学龄儿童中自闭症患病率.
- 该研究还试图在这个年龄组中确定精神病和发育相关疾病.
研究的目的:
- 为了确定是否存在自闭症谱系障碍的过度流行在南特伦德拉格的学龄儿童 (10-16岁) 中.
- 在被诊断为自闭症的学龄儿童中识别精神和发育相关疾病.
- 为了比较母亲的民族背景对学龄前儿童和学龄儿童中自闭症患病率的影响.
主要方法:
- 对于2016-2019年间被诊断患有自闭症的10-16岁儿童的医疗记录的回顾性审查.
- 对诊断数据的分析,包括并发症和母亲的背景.
- 统计分析以确定流行率和相对风险.
主要成果:
- 在125名儿童中,有18名儿童的母亲不是挪威人,其发病率为0.18%,而挪威母亲的儿童的发病率为0.12% (相对风险1.5,p=0.11).
- 74名儿童 (59.2%) 患有至少一种其他被诊断的发育或精神疾病,最常见的是注意力缺陷/多动障碍 (ADHD).
- 四名儿童被诊断患有智力障碍,同时患有自闭症谱系障碍.
结论:
- 与学龄前儿童相比,母亲的民族背景似乎对学龄儿童的自闭症谱系障碍的重要因素较小.
- 诊断时的年龄是一个关键因素,在涉及儿童和青少年的自闭症研究中必须具体说明.
- 精神病并发症和其他发育障碍的高发病率表明,未被诊断的自闭症儿童有共同的病因因素或更大的脆弱性.
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