打破标准;选择性沉默及其与自闭症的禁止联系
Ina Helgesen1, Anders Nordahl-Hansen2,3
1Department of Education, ICT and Learning, Østfold University College, Postboks 700, NO-1757, Halden, Norway.
Research on child and adolescent psychopathology
|January 9, 2026
概括
选择性无声症 (SM) 经常与自闭症谱系障碍 (ASD) 发生,影响挪威11.7%的个人. 目前的诊断标准可能会阻碍对患有这两种疾病的儿童及时提供支持.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 选择性沉默症 (SM) 经常被诊断为自闭症谱系障碍 (ASD),尽管诊断手册列出ASD作为排除标准.
- 之前的研究表明,SM和ASD之间存在明显的重叠.
研究的目的:
- 调查挪威选择性无声症和自闭症谱系障碍的同时发生情况.
- 量化挪威被诊断为MS的个人中ASD的患病率.
主要方法:
- 从2008年1月1日至2023年4月30日的挪威患者登记册 (NPR) 中使用的数据.
- 确定了1682名年龄在3到18岁之间的个人,至少有一个注册的MS诊断样本.
- 在这个群体中分析了SM和ASD的同时发生率.
主要成果:
- 在选择性无声症和自闭症谱系障碍之间发现了11.7%的显著同时发生率.
- 在SM小组中,性别比例为每男孩2.13个女孩 (M/F 1:2.13).
结论:
- 在ICD-10/11中排除ASD作为SM的同时出现诊断可能会导致诊断延迟和不适当的干预.
- 患有SM和ASD的儿童,特别是当SM是主要特征时,可能无法获得及时的,量身定制的支持.
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