The onset of autism: patterns of symptom emergence in the first years of life.

The onset of autism: patterns of symptom emergence in the first years of life.
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DOI:
10.1002/aur.53
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发表时间:
2008-12
期刊:
影响因子:
4.7
通讯作者:
Hertz-Picciotto, Irva
Hertz-Picciotto, Irva
中科院分区:
医学2区
文献类型:
--
作者:
Ozonoff, Sally;Heung, Kelly;Byrd, Robert;Hansen, Robin;Hertz-Picciotto, Irva

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以前对自闭症的概念化认为,症状在生命的第一年早期或第二年后期,在失去先前获得的技能后明显。然而,新的研究表明,这两种模式并不能涵盖自闭症出现的所有不同方式。例如,一些儿童表现出以未能进步为标志的发展高原,而另一些儿童则表现出混合特征,早期延迟和后期损失都很明显。本文回顾了有关自闭症发病的文献,讨论了传统的发病概念化方法存在的问题,并为未来的研究提供了建议。我们认为,发病是更好地认为是一个维度的过程,而不是二分法的类别。
Previous conceptualizations of autism have suggested that symptoms are evident either early in the first year of life or later in the second year, after a loss of previously acquired skills. New research suggests, however, that these two patterns do not capture all the different ways autism can emerge. For example, some children show a developmental plateau marked by failure to progress, while other children display mixed features, with both early delays and later losses evident. This paper reviews the literature on autism onset, discusses problems with the traditional ways in which onset has been conceptualized, and provides recommendations for future research. We suggest that onset is better thought of as a dimensional process rather than dichotomous categories.
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