在成年期诊断自闭症的途径
Isabelle Dufour1,2, Yohann Chiu3,4, Sébastien Brodeur5,6,7
1École des Sciences Infirmières, Faculté de Médecine et des Sciences de la Santé (FMSS), Université de Sherbrooke, 3001, 12Th Avenue N., Sherbrooke, QC, J1H 5N4, Canada. isabelle.dufour3@usherbrooke.ca.
Journal of neurodevelopmental disorders
|July 2, 2025
概括
成年自闭症诊断途径有很大的不同. 这项研究确定了前期精神病和神经发育状况的五个不同的轨迹,这对于理解差异诊断和自闭症中同时出现的条件至关重要.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 成年人中自闭症谱系障碍 (ASD) 诊断越来越被认可.
- 了解在成人自闭症诊断之前的诊断旅程或诊断轨迹 (TDs) 是必不可少的.
- 以前的研究还没有完全阐明导致成人自闭症诊断的各种途径.
研究的目的:
- 探索和描述在成年人首次自闭症诊断之前发生的不同精神病和神经发育诊断序列.
- 识别先前诊断的不同模式,这些模式可以为自闭症成年人的诊断过程和临床护理提供信息.
主要方法:
- 使用加拿大北克省 (2002-2017) 的卫生行政数据进行的回顾性队列研究.
- 包括在2012-2017年期间首次诊断患有自闭症的2799名成年人.
- 状态序列分析用于识别包括自闭症,智力或发育障碍 (IDDs),精神分裂症谱系障碍 (SSD),双极障碍 (BD),抑郁障碍 (DD),焦虑障碍 (AD) 和注意力缺陷/多动性障碍 (ADHD) 在内的诊断模式.
主要成果:
- 确定了五种不同的诊断轨迹 (TD).
- 年轻的成年人表现出各种TDs (类型1-3),混合诊断,SSD/AD,或IDDs/DD/AD/ADHD.
- 中年/老年人表现出明显的TDs (类型4-5),主要与SSD或BD相关,医疗保健利用率高.
结论:
- 成年人遵循多种不同的途径来诊断自闭症.
- 识别这些不同的诊断轨迹对于改善差异诊断至关重要.
- 在这些途径中解决同时发生的精神病和神经发育状况对于有效的临床管理至关重要.
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