Misdiagnosis versus missed diagnosis: diagnosing autism spectrum disorder in adolescents
Misdiagnosis versus missed diagnosis: diagnosing autism spectrum disorder in adolescents
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DOI：
10.1177/1039856214568214
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发表时间：
2015-04-01
影响因子：
1.8
通讯作者：
Angus, Beth
中科院分区：
文献类型：
--
作者：
Aggarwal, Shilpa;Angus, Beth
目的：儿童自闭症谱系障碍(ASDS)的诊断有时会推迟到青春期。这项研究试图确定自闭症患者的症状，这些患者转介到一个为15岁至25岁的年轻人提供精神护理的早期干预服务机构的自闭症团队，并随后获得了新的自闭症诊断。方法：在澳大利亚的一家早期干预服务机构的3年时间里，进行了31项自闭症评估。结果：青少年接受自闭症评估的最常见表现为抑郁症状，其次为焦虑和抑郁混合型症状和主要的精神病性症状。有显著的性别差异，有更多的男性被转诊到自闭症评估。结论：自闭症在儿童时期可能没有被发现，这些客户有时会在青春期因精神疾病共病而去心理健康服务。为处理自闭症的临床医生提供定期培训机会，可以提高自闭症在早期干预服务的护理期间被发现的机会，从而优化他们的管理。
Objective: The diagnosis of children with autism spectrum disorders (ASDs) is sometimes delayed until adolescence. This study tries to identify the symptoms in clients that initiated a referral to an autism team of an early intervention service providing psychiatric care for young people between the ages of 15 and 25 and who subsequently receive a new diagnosis of autism.Methods: Thirty-one ASD assessments were carried out during a period of 3 years in an early intervention service in Australia. An attempt to identify the common presenting symptoms and trends in the referrals for ASD assessment within the service was made.Results: Most common presentation of adolescents getting referred for ASD assessment was with depressive symptoms followed by mixed anxiety and depression and primary psychotic symptoms. There was a significant gender difference, with a higher number of males getting referred for ASD assessment.Conclusion: ASDs can go undetected during childhood and these clients can sometimes present during adolescence to mental health services for a psychiatric comorbidity. Regular training opportunities for clinicians dealing with them could improve the chances of ASDs being picked up during their episode of care at an early intervention service, thus optimizing their management.