Longitudinal examination of the behavioral, language, and social changes in a population of adolescents and young adults with autistic disorder
Longitudinal examination of the behavioral, language, and social changes in a population of adolescents and young adults with autistic disorder
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DOI：
10.1016/s0887-8994(96)00219-6
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发表时间：
1996-10-01
影响因子：
3.8
通讯作者：
Shinnar, S
中科院分区：
文献类型：
--
作者：
BallabanGil, K;Rapin, I;Shinnar, S
这项随访研究评估了在儿童期最初检查的自闭症患者群体的行为，语言和社会结果。我们评估了163例合格受试者中的102例（63%），包括54例青少年（12-17岁）和45例成人（≥ 18岁）。三名患者在此期间死亡。69%的青少年和成年人仍然存在行为困难，35%的青少年和49%的成年人从事自我伤害行为，略高于50%的青少年和成年人表现出一些刻板行为。超过90%的青少年和成年人都有持续的社会缺陷。语言随着年龄的增长而改善，尽管只有35%的人达到正常或接近正常的流利程度。理解能力也有所提高，尽管只有29%的受试者对口语的理解能力达到正常或接近正常。在最后一次随访时，28%的患者和53%的成年人住在住宅区。只有11%的成年人在公开市场上就业，而且都是做粗活;另有16%的人在庇护工场工作。在自闭症儿童的早期生活中发现的社会，行为和语言缺陷往往会持续到青春期和成年早期。
This follow-up study evaluates the behavioral, language, and social outcomes in a population of autistic patients initially examined in childhood. We evaluated 102 (63%) of the 163 eligible subjects, including 54 adolescents (12-17 years of age) and 45 adults (greater than or equal to 18 years of age). Three patients had died in the interim. Behavior difficulties continued to be a problem in 69% of adolescents and adults, Thirty-five percent of adolescents and 49% of adults engaged in self-injurious behavior, and slightly more than 50% of adolescents and adults exhibited some stereotypic behaviors. Over 90% of both adolescents and adults had persisting social deficits. Language improved with age, although only 35% achieved normal or near-normal fluency. Comprehension also improved, although only 29% of subjects had achieved normal or near-normal comprehension of oral language. At the time of last follow-up, 28% of all patients and 53% of adults were living in residential placement. Only 11% of adults were employed on the open market, all in menial jobs; an additional 16% were employed in sheltered workshops. The social, behavioral, and language deficits identified in early life in autistic children tend to persist into adolescence and young adulthood.