区分自闭症谱系障碍和学龄前儿童的全球发育迟缓:重叠的个人资料和诊断挑战
Veronica Sperandini1, Elisa Fucà1, Martina Sbarbati2
1Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Frontiers in psychology
|December 1, 2025
概括
在学龄前儿童中诊断自闭症谱系障碍 (ASD) 与全球发育迟缓 (GDD) 是复杂的. 虽然自闭症特征重叠,但特定的症状差异有助于准确诊断和量身定制的干预措施.
科学领域:
- 发育儿科 发育儿科
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
背景情况:
- 在学龄前儿童中区分自闭症谱系障碍 (ASD) 和全球发育迟缓 (GDD) 存在诊断挑战,因为症状重叠.
- 这两种情况都有共同的发育障碍,使早期识别和干预变得复杂.
研究的目的:
- 为了比较自适应性功能,情绪行为特征和ASD和GDD的学龄前儿童的自闭症症状.
- 识别相似之处和差异,以改善差异诊断.
主要方法:
- 评估了89名学龄前儿童 (3-5.8岁):42人患有自闭症,47人患有GDD.
- 参与者根据年龄,智商和性别进行了匹配.
- 标准化的评估包括适应性行为评估系统第二版,儿童行为检查清单和儿童自闭症评分表第二版.
主要成果:
- 在ASD和GDD组之间,在适应性功能或情绪行为症状方面没有发现显著差异.
- 两组人都表现出显著的适应性缺陷和边缘社会退缩.
- 在自闭症症状方面观察到明显的差异,尽管模仿和感官反应等特定项目没有显著差异.
结论:
- 这项研究强调了ASD和GDD之间的早期差异诊断的复杂性.
- 加强临床医师培训和个性化干预对于改善神经发育差异儿童的诊断准确性和护理规划至关重要.
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