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功能性状行为儿童和青少年的自闭症:一个回顾性横截面研究

Holan Liang^1,2, Chelsea Wu³, Morvwen Duncan²

¹The Autism Research Centre, University of Cambridge, Cambridge, UK hll20@cam.ac.uk.

Archives of disease in childhood

|January 6, 2026

概括

自闭症在具有功能性状行为 (FTLB) 的年轻人中非常普遍. 那些患有FTLB和自闭症的人往往同时出现ADHD和学习障碍,需要改进自闭症查.

科学领域:

神经发育障碍神经发育障碍
儿童和青少年精神病学儿童和青少年精神病学
临床心理学临床心理学

背景情况:

功能性状行为 (FTLB) 是复杂的运动/语音,在青春期开始.
神经发育条件是FTLB的潜在脆弱性标志物.
之前的研究还没有专门研究FTLB子组内的自闭症.

研究的目的:

调查青少年患有FTLB的自闭症患病率.
将有自闭症和没有自闭症的FTLB患者之间的临床特征进行比较.
在这个群体中评估发展和福祉评估 (DAWBA) 对自闭症的诊断准确性.

主要方法:

在专业的滴答服务中,对63名被诊断患有FTLB的儿童进行了回顾性图表审查.
收集关于人口和临床变量的数据.
分析的重点是自闭症诊断,并发症和DAWBA准确性.

主要成果:

在FTLB样本中,自闭症 (69.8%) 和图雷特综合征 (37%) 的高患病率.
自闭症的FTLB患者表现出类似的障碍,但ADHD的发病率更高 (61%) 和特定的学习障碍 (27%).
在这个FTLB队列中,DAWBA对识别自闭症的敏感性很差.

结论:

自闭症在患有FTLB的个体中非常普遍.
同时发生的ADHD和特定的学习障碍在自闭症的FTLB患者中更为常见.
在FTLB患者中,由于DAWBA的不足,加强自闭症临床查至关重要.

关键词:

青少年健康青少年健康儿童健康儿童健康儿童精神病学儿童精神病学心理健康心理健康神经学神经学

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