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新加坡自闭症儿童的认知结果的诊断模式和预测因素

Chui Mae Wong^1,2,3,4, Hwan Cui Koh¹, Pratibha Agarwal^1,2,3,4

¹Department of Child Development, KK Women's and Children's Hospital, Singapore.

Annals of the Academy of Medicine, Singapore

|August 13, 2025

概括

这项研究确定了预测自闭症儿童智力障碍的因素,包括更高的自闭症诊断观察时间表得分,更大的社会沟通支持需求和少数民族种族. 这些发现有助于为更好的发展成果分配资源.

科学领域:

发育儿科发育儿科
儿童心理学儿童心理学
自闭症谱系障碍研究研究

背景情况:

自闭症谱系障碍 (ASD) 诊断,功能和教育结果存在显著差异.
了解自闭症儿童认知结果的预测因素对于早期干预至关重要.

研究的目的:

检查新加坡自闭症儿童的诊断模式,认知和适应功能以及学校安排.
为了确定这个人群中认知结果的早期预测因素.

主要方法:

对2124名被诊断患有自闭症儿童 (2008-2011年出生) 的医疗记录进行了回顾性分析.
数据包括人口统计,诊断评估 (自闭症诊断观察计划 - ADOS),认知/适应性功能和学校安置.
后勤回归被用来识别智力障碍的预测因素.

主要成果:

自闭症诊断的平均年龄为3.56岁;85.2%接受了正式的ADOS评估.
认知障碍影响了36.4%的评估儿童 (16.6%轻度,19.8%中度至重度).
学校安置不同:45.9%的主流,21.8%的国家课程SPED,32.3%定制课程SPED.
更高的ADOS分数,更大的社会沟通支持需求 (DSM-5级别2-3),以及少数种族 (马来人,印度人,其他) 预测智力障碍.

结论:

调查结果突出了新加坡自闭症儿童的认知和教育差异.
智力障碍的预测因素包括诊断严重程度,社会沟通需求和种族.
结果可以为全球有针对性的诊断,干预和教育资源分配制定政策.

关键词:

自闭症谱系障碍自闭症谱系障碍孩子们的孩子们的孩子们的孩子们诊断诊断诊断诊断诊断诊断结果就是结果.特殊教育特殊教育

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