Autism Spectrum Disorders and Low Mental Age: Diagnostic Stability and Developmental Outcomes in Early Childhood.

Autism Spectrum Disorders and Low Mental Age: Diagnostic Stability and Developmental Outcomes in Early Childhood.
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DOI:
10.1007/s10803-017-3278-y
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发表时间:
2017-12
影响因子:
3.9
通讯作者:
Fein DA
Fein DA
中科院分区:
心理学3区
文献类型:
--
作者:
Hinnebusch AJ;Miller LE;Fein DA

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摘要一些自闭症谱系障碍(ASD)儿童表现出低智力年龄(Low-MA),这里定义为认知功能低于12个月。我们检查了ASD-低MA(n = 25),DSM-IV-TR自闭症障碍(n = 111)和DSM-IV-TRPDD-NOS(n = 82)儿童在2岁时的诊断,症状严重程度和发育,并在4岁时进行随访。我们预测,一些ASD低MA儿童在随访时仅表现出智力障碍,而不是ASD的症状,他们在两岁时的社交缺陷可归因于全面发育迟缓。相反,大多数ASD低MA儿童(96%)在随访时患有ASD,而最初诊断为自闭症障碍(86.5%)或PDD-NOS(73.2%)的儿童。在两次评估中,他们还表现出最小的发育进展和最高的症状严重程度。结果支持诊断ASD,即使在儿童功能低于12个月的水平。
Abstract Some children with Autism Spectrum Disorders (ASDs) exhibit low mental age (Low-MA), defined here as cognitive functioning below 12 months. We examined diagnosis, symptom severity, and development in children with ASD-Low MA (n = 25), DSM-IV-TR Autistic Disorder (n = 111), and DSM-IV-TRPDD-NOS (n = 82) at age two and follow-up at age four. We predicted that some ASD-Low MA children would demonstrate just intellectual impairment and not symptoms of an ASD on follow-up, with their social deficits at age two attributable to Global Developmental Delay. Instead, most ASD-Low MA children (96%) had an ASD at follow-up, compared to children with an initial diagnosis of Autistic Disorder (86.5%) or PDD-NOS (73.2%). They also showed the least developmental progress and highest symptom severity at both evaluations. Results support diagnosing ASDs even in children functioning below a 12-month level.
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