Kielinen M, Linna S L, Moilanen I
Department of Pediatrics, Clinic of Child Psychiatry, University of Oulu, Finland.
Eur Child Adolesc Psychiatry. 2000 Sep;9(3):162-7. doi: 10.1007/s007870070039.
Recent research reports show that autistic spectrum disorders may actually be more common than previously believed. General awareness and clinical knowledge of these disorders have increased, and the criteria in the ICD-10 and the DSM-IV are also now more detailed. The diagnostic criteria and the methods of ascertainment influence the prevalence. The age specific incidence obtained in this study showed the cumulative incidence to be lowest, 6.1 per 10,000, in the oldest age group of 15- to 18-year-old children, and highest, 20.7 per 10,000, in the age group of 5-7 year-olds, when the criteria of the ICD-10 and the DSM-IV were used. In this study, almost 50% of the autistic cases had a tested IQ above 70. The degree of autism, as assessed by the Childhood Autism Rating Scale (CARS), varied from mild autistic features in 8.5% through moderate in 58.5% to severe in 33.0%.
近期研究报告显示，自闭症谱系障碍的实际发病率可能比之前认为的更高。人们对这些疾病的总体认识和临床知识有所增加，而且国际疾病分类第十版（ICD - 10）和精神疾病诊断与统计手册第四版（DSM - IV）中的标准现在也更加详细。诊断标准和确诊方法会影响患病率。在本研究中，当采用ICD - 10和DSM - IV的标准时，特定年龄发病率显示，15至18岁儿童这一年龄最大的组累积发病率最低，为万分之6.1，而5至7岁年龄组最高，为万分之20.7。在本研究中，近50%的自闭症病例智商测试高于70。根据儿童自闭症评定量表（CARS）评估，自闭症程度各异，8.5%为轻度自闭症特征，58.5%为中度，33.0%为重度。
Zotero 插件