Early Identification of Autism: Early Characteristics, Onset of Symptoms, and Diagnostic Stability.
Early Identification of Autism: Early Characteristics, Onset of Symptoms, and Diagnostic Stability.
复制标题
自闭症的早期识别：早期特征、症状出现和诊断稳定性。
DOI：
10.1097/iyc.0b013e3181a02f7f
复制
发表时间：
2009
影响因子：
1.1
通讯作者：
Jones,EmilyJH
中科院分区：
文献类型：
--
作者：
Webb,SaraJane;Jones,EmilyJH
在生命的第一年，后来发展为自闭症谱系障碍（ASD）的婴儿可能会在临床症状出现之前表现出社会兴趣和注意力，沟通，气质和头围生长的微妙中断。这些中断可能反映了ASD发展的早期过程，也可能通过改变儿童对其环境的体验而导致临床症状的后期发展。到2岁时，自闭症症状的发展前兆可以用来可靠地诊断儿童，到3岁时，诊断被认为是相对稳定的。自闭症诊断的向下延伸为治疗师设计适用于表现出早期风险因素的婴儿的干预措施提出了重要问题。我们回顾了目前对婴儿期（0-12个月）ASD早期体征和幼儿期（12-36个月）症状表现的认识，并指出考虑ASD发作和轨迹变化的重要性。最后，我们认为这一新兴研究的影响，为那些谁的工作或互动与幼儿，包括早期监测的重要性和发展和评估的年龄适当的干预措施。
In the first year of life, infants who later go on to develop autistic spectrum disorders (ASD) may exhibit subtle disruptions in social interest and attention, communication, temperament, and head circumference growth that occur prior to the onset of clinical symptoms. These disruptions may reflect the early course of ASD development and may also contribute to the later development of clinical symptoms through alterations in the child's experience of his or her environment. By age 2, developmental precursors of autism symptoms can be used to diagnose children reliably, and by age 3, the diagnosis is thought to be relatively stable. The downward extension of the autism diagnosis poses important questions for therapists in designing interventions that are applicable for infants who demonstrate early risk factors. We review current knowledge of the early signs of ASD in the infancy period (0–12 months) and the manifestation of symptoms in toddlerhood (12–36 months), noting the importance of considering the variability in onset and trajectory of ASD. Finally, we consider the implications of this emerging research for those who work or interact with young children, including the importance of early monitoring and the development and evaluation of age-appropriate interventions.