Mildenberger K, Sitter S, Noterdaeme M, Amorosa H
Heckscher Klinik für Kinder- und Jugendpsychiatrie, Abteilung fur teilleistungs- und verhaltensgestorte Kinder, München, Germany.
Eur Child Adolesc Psychiatry. 2001 Dec;10(4):248-55. doi: 10.1007/s007870170014.
Children with infantile autism and children with a specific receptive language disorder often show similar behavioural problems, making the differentiation between these two diagnostic categories difficult. The purpose of this study is to evaluate the usefulness of parental information in the differential diagnosis of the two types of disorders mentioned above. Sixteen children with a receptive language disorder and 11 children with infantile autism participated in the study. All children had normal non-verbal IQs. The ADI-R (Autism Diagnostic Interview-Revised) was performed with all children. The results showed that the ADI-R items reflecting behavioural features at pre-school age (age range 4-5 years) were better suited to differentiate the groups than the items reflecting behavioural features at the time of the investigation (mean age: 9 years). The items on the dimension "Reciprocal social interaction" and "Communication and language" discriminated the groups better than the items of the dimension "Restricted interests". According to the ICD-10 algorithm of the ADI-R one child with autism and one child with a receptive language disorder were falsely classified. These false classifications were mainly due to a distorted parental perception of the child's behaviour. The ADI-R is a useful tool in the differential diagnosis of developmental disorders.
患有儿童自闭症的儿童和患有特定接受性语言障碍的儿童常常表现出相似的行为问题，这使得区分这两种诊断类别变得困难。本研究的目的是评估家长提供的信息在上述两种障碍鉴别诊断中的作用。16名患有接受性语言障碍的儿童和11名患有儿童自闭症的儿童参与了该研究。所有儿童的非言语智商均正常。对所有儿童都进行了《自闭症诊断访谈修订版》（ADI-R）测试。结果显示，与反映调查时（平均年龄：9岁）行为特征的项目相比，ADI-R中反映学龄前（年龄范围4 - 5岁）行为特征的项目更适合区分这两组儿童。“相互社交互动”和“沟通与语言”维度的项目比“狭隘兴趣”维度的项目能更好地区分这两组儿童。根据ADI-R的ICD - 10算法，有一名自闭症儿童和一名接受性语言障碍儿童被错误分类。这些错误分类主要是由于家长对孩子行为的认知偏差所致。ADI-R是发育障碍鉴别诊断中的一个有用工具。
