Parental recognition of developmental abnormalities in autism
Parental recognition of developmental abnormalities in autism
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DOI：
10.1007/s007870050058
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发表时间：
1998-09-01
影响因子：
6.4
通讯作者：
Fombonne, E
中科院分区：
文献类型：
--
作者：
De Giacomo, A;Fombonne, E
为了确定与早期发现和转诊患有广泛性发育障碍的儿童相关的因素，对 82 例连续转诊至门诊诊断服务的样本进行了研究。所有儿童均通过自闭症诊断访谈 (ADI)、标准化心理测试和直接观察进行彻底评估。对来自 ADI 的关于引起父母关注的第一个症状和第一个寻求专业建议的数据进行了分析。父母首次开始担心的儿童平均年龄为 19.1 个月（SD = 9.4），第一次寻求专业建议是在儿童 24.1 个月大（SD = 11.7）时。最常见的父母担忧是言语和语言发展，其次是异常的社会情绪反应，以及医疗问题或里程碑的延迟。在双变量和多元回归分析中，如果孩子存在智力低下、家里有年长的兄弟姐妹，以及第一次父母担心医疗问题/里程碑延迟，那么孩子第一次受到父母关注和接受专业建议的平均年龄显着较低。更具体的自闭症行为、儿童的性别、社会阶层和居住地并不影响该样本中识别该疾病的年龄。健康访客和全科医生是家长首先联系的专业人士。讨论了这些发现对自闭症早期检测和诊断的影响。
In order to identify factors associated with the early detection and referral of children with pervasive developmental disorders, a sample of 82 consecutive referrals to an outpatient diagnostic service was studied. All children were thoroughly assessed with the Autism Diagnostics Interview (ADI), standardized psychological tests and direct observations. Data from the ADI on the fi:rst symptoms to arouse parental concern and on the first professional advice sought were analyzed. The mean age of children was 19.1 months (SD = 9.4) when the parents first became concerned, and the first professional advice was sought when children were 24.1 months old (SD = 11.7). The most common parental concerns were for speech and language development, followed by abnormal socioemotional response, and medical problem or delay in milestone. In both bivariate and multiple regression analyses, the mean age of children at first parental concern and professional advice was significantly lower in the presence of mental retardation in the child, of an older sibling in the family, and of first parental concerns for medical problem/delay in milestone. More specific autistic behaviours, child's gender, social class and place of residence did not influence the age of recognition of the disorder in this sample. Health visitors and general practitioners were the first professionals contacted by parents. The implications of these findings for early detection and diagnosis of autism are discussed.