全国查计划可以降低自闭症谱系障碍的诊断年龄吗?
Watfa Al-Mamari1, Ahmed B Idris2, Hafsa Al Aamri3
1Developmental Pediatric Unit, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman.
Journal of autism and developmental disorders
|February 28, 2025
概括
阿曼阿曼阿曼阿曼阿曼阿曼阿曼阿曼
科学领域:
- 儿科健康 儿科健康
- 发育儿科 发育儿科
- 公共卫生倡议 公共卫生倡议
背景情况:
- 自闭症谱系障碍 (ASD) 诊断年龄对于干预至关重要.
- 早期检测计划旨在减少诊断延迟.
- 2017年,阿曼实施了一项18个月的自闭症系统查计划.
研究的目的:
- 评估是否有系统地使用修改自闭症小孩检查清单,修订后跟踪 (M-CHAT-R/F) 查与早期的自闭症诊断有关.
- 在阿曼人口中确定ASD诊断时的年龄预测因素.
主要方法:
- 电子健康记录的回顾性横截面审查.
- 2017年1月至2023年6月期间,756名被诊断患有自闭症儿童的数据.
- 使用了描述性统计和多重线性回归分析.
主要成果:
- 与未经查的儿童 (63.8个月) 相比,接受M-CHAT-R/F查的儿童在较年轻的年龄 (39.4个月) 得到诊断.
- 多重回归分析显示,M-CHAT-R/F查的儿童在ASD诊断前大约20%获得了ASD诊断 (adjOR = 0.80).
- 在这项研究中的756名儿童中,只有13%接受了M-CHAT-R/F查.
结论:
- 在阿曼,基于人口的M-CHAT-R/F查计划似乎有效地降低了ASD诊断的平均年龄.
- 通过查促进早期诊断可能会改善ASD儿童的干预机会和长期结果.
- 需要进一步努力,以提高查参与率.
相关概念视频
01:19Autism Spectrum Disorder
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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
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01:30Attention-Deficit/Hyperactivity Disorder
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Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
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To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
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To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
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