父母对自闭症孩子的早期担忧:与诊断年龄的关系
Madison Leach1, Carla A Mazefsky2, Jessie B Northrup2
1Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. madsleach10@gmail.com.
Journal of autism and developmental disorders
|January 4, 2025
概括
早期父母的担忧,特别是特定的发育红旗,可以预测早期的自闭症诊断. 然而,矛盾的是,更多的担忧可能会导致晚期诊断,突出需要提高认识.
科学领域:
- 发育儿科 发育儿科
- 自闭症谱系障碍研究研究
- 儿童心理学 儿童心理学
背景情况:
- 在家长的关注开始 (1-2岁) 和自闭症诊断 (3-5岁) 之间存在显著的延迟,这阻碍了早期干预.
- 有限的研究探讨了早期父母关注的特征与自闭症诊断年龄之间的关系.
研究的目的:
- 在一个被诊断为自闭症的儿童的大型社区样本中描述家长的担忧.
- 调查父母担忧的时间,类型和数量与自闭症诊断年龄的相关性.
主要方法:
- 一项以社区为基础的在线调查对853名2-5岁自闭症诊断儿童的父母进行了调查.
- 收集的数据包括第一个关注的年龄,具体关注点和诊断年龄.
主要成果:
- 早期的第一个关注的年龄和特定的关注 (例如,对名字没有反应,眼神接触减少,发育回归) 预测了早期的诊断.
- 更多的担忧与较晚的诊断年龄有关,即使控制了其他因素.
- 预测诊断的某些特定问题,父母并不经常报告.
结论:
- 教导家长和儿科医生识别自闭症的特定早期症状对于及时检测至关重要.
- 提高对家长关键问题的认识可能会促进早期干预,并改善自闭症儿童及其家属的长期结果.
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