Sarimski Klaus
Prax Kinderpsychol Kinderpsychiatr. 2006;55(6):475-90.
The diagnosis of very young children with autistic spectrum disorders and differentiating the disorder from mental retardation are difficult in the early years. Some efforts to improve diagnostic practice are reviewed. The usefulness of standardized behavioural rating scales, observation of core deficits in communication and play and parental reports are discussed in view of the author's experience with 13 children (2-4 years of age). Even in the case of diagnostic uncertainty, focussing early intervention on core symptoms of autism and supporting responsive parent-child interactions is recommended in order to prevent further social isolation of children with autistic features.
对幼儿自闭症谱系障碍进行诊断以及在早期将该障碍与智力迟钝区分开来是很困难的。本文回顾了一些改善诊断实践的努力。根据作者对13名2至4岁儿童的经验，讨论了标准化行为评定量表、对沟通和玩耍核心缺陷的观察以及家长报告的有用性。即使在诊断存在不确定性的情况下，也建议将早期干预重点放在自闭症的核心症状上，并支持积极响应的亲子互动，以防止具有自闭症特征的儿童进一步社会隔离。
