Predictors of optimal outcome in toddlers diagnosed with autism spectrum disorders
Predictors of optimal outcome in toddlers diagnosed with autism spectrum disorders
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DOI：
10.1007/s10803-006-0340-6
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发表时间：
2007-01-01
影响因子：
3.9
通讯作者：
Fein, Deborah
中科院分区：
文献类型：
--
作者：
Sutera, Saasha;Pandey, Juhi;Fein, Deborah
自闭症谱系障碍（ASD）的诊断通常被认为是永久性的。在这项研究中，13名患有ASD的两岁儿童在4岁时失去了诊断，当时他们在认知和适应功能的标准化测量中得分在正常范围内。在症状严重程度，社会化或沟通方面，没有发现失去ASD诊断的儿童和没有诊断的儿童之间存在差异，但PDD-NOS儿童比完全自闭症障碍的儿童更有可能脱离谱系。最明显的区别因素是2岁时的运动技能。结果支持这样的观点，即一些患有ASD的幼儿可能会失去诊断，并表明这是难以预测的。
A diagnosis of autism spectrum disorder (ASD) is usually taken to be permanent. In this study, 13 two-year-old children with ASD lost the diagnosis by age 4, at which time they scored within the normal range on standardized measures of cognitive and adaptive functioning. No differences were found in symptom severity, socialization, or communication between children who lost the ASD diagnosis and children who did not, but children with PDD-NOS were significantly more likely than those with full autistic disorder to move off the spectrum. The clearest distinguishing factor was motor skills at age 2. Results support the idea that some toddlers with ASD can lose their diagnosis and suggest that this is difficult to predict.