病理性需求回避综合征：广泛性发育障碍中的一个必要区分。
Pathological demand avoidance syndrome: a necessary distinction within the pervasive developmental disorders.
作者信息
Newson E, Le Maréchal K, David C
机构信息
Early Years Diagnostic Centre, 272 Longdale Lane, Ravenshead, Nottingham NG15 9AH, UK.
出版信息
Arch Dis Child. 2003 Jul;88(7):595-600. doi: 10.1136/adc.88.7.595.
A proposal is made to recognise pathological demand avoidance syndrome (PDA) as a separate entity within the pervasive developmental disorders, instead of being classed under "pervasive developmental disorder not otherwise specified" (PDDnos, DSM-IV). Discriminant functions analysis shows PDA to be significantly different on many counts from classic autism and Asperger's syndrome, both separately and together, including an equal sex ratio (150 cases). Demand avoidance using social manipulation is seen in all children, which strongly contrasts with the features of autistic spectrum disorders. A criterial structure is described, supported by statistical data from a random sample of 50 children diagnosed with PDA, together with a follow up sample of 18 young adults.
有人提议将病理性需求回避综合征（PDA）认定为广泛性发育障碍中的一个独立实体，而不是归类于“未特定的广泛性发育障碍”（PDDnos，《精神疾病诊断与统计手册》第四版）之下。判别函数分析表明，PDA在许多方面与经典自闭症和阿斯伯格综合征均存在显著差异，无论是分别对比还是综合对比（共150例）。所有儿童均存在利用社交操纵来回避需求的情况，这与自闭症谱系障碍的特征形成了强烈反差。文中描述了一个标准结构，该结构得到了来自50名被诊断为PDA儿童的随机样本以及18名年轻成年人随访样本的统计数据支持。
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