Prevalence of pervasive developmental disorders in preschool children in the UAE

Prevalence of pervasive developmental disorders in preschool children in the UAE
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DOI:
10.1093/tropej/fml091
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发表时间:
2007-06-01
影响因子:
2
通讯作者:
Yunis, Feisal
Yunis, Feisal
中科院分区:
医学4区
文献类型:
--
作者:
Eapen, Valsamma;Mabrouk, Abdul Azim;Yunis, Feisal

文献摘要

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文献中的现有证据表明,自闭症的患病率可能在全世界范围内呈上升趋势,但迄今为止尚未在阿拉伯湾地区进行过患病率研究。在社区进行的两阶段研究中,对694名三岁阿拉伯联合酋长国国民儿童的代表性随机抽样进行了评价。在第一阶段,使用自闭症筛查问卷,58每10000名儿童被指出有自闭症的功能。在第二阶段使用临床访谈,加权患病率估计为29/10 000的DSM-IV诊断的广泛性发育障碍(PDD)。然而,这些儿童在研究之前都没有被诊断出来。自闭症特征的存在与男性性别、行为问题的存在和发育迟缓的家族史有关。在阿联酋观察到的PDD率与西方国家报告的PDD率相当。然而,缺乏对这些疾病的认识表明需要一个全面的筛查计划,因为早期诊断可以为早期干预打开大门,这反过来又可能改善预后。
Available evidence from the literature suggests that the prevalence of autistic disorder may be on the rise world wide, but no prevalence studies have been carried out till date in the Arabian Gulf region. A representative random sample of 694 three-year-old United Arab Emirates national children was evaluated in a two-stage study in the community. In the first stage, using Autism Screening Questionnaire, 58 per 10000 children were noted to have autistic features. In the second stage using clinical interview, the weighted prevalence was estimated to be 29 per 10 000 for a DSM-IV diagnosis of pervasive developmental disorder (PDD). However, none of these children had been diagnosed prior to the study. Presence of autistic features was associated with male gender, presence of bebavioural problems and a family history of developmental delay. The rate of PDD observed in the UAE is comparable with that reported from western countries. However, the lack of recognition of these disorders suggests the need for a comprehensive screening program, as early diagnosis can open the door for early intervention which in turn may improve the prognosis.