Kamio Yoko
National Institute of Mental Health, National Center of Neurology and Psychiatry.
Nihon Rinsho. 2007 Mar;65(3):477-80.
Case identification of children with high-functioning pervasive developmental disorders (HFPDD) including Asperger's disorder tends to be delayed. A delay of case identification prevent from access to early intervention for children and parents. Although early diagnosis of HFPDD is difficult and less sensitive at present, several objective evaluation scales, such as CARS, ADOS-G and ADI-R, can be applied to very young children and are found to be relatively sensitive and stable. Recently autism-specific screening tools, such as the Checklist for Autism in Toddlers (CHAT), the Modified Checklist for Autism in Toddlers (M-CHAT), have been developed. The current research using the Japanese version of the M-CHAT and its clinical use combined with the infant health check-up system are described.
包括阿斯伯格综合征在内的高功能广泛性发育障碍(HFPDD)儿童的病例识别往往会延迟。病例识别的延迟会妨碍儿童及其父母获得早期干预。尽管目前HFPDD的早期诊断困难且敏感性较低,但一些客观评估量表,如儿童孤独症评定量表(CARS)、孤独症诊断观察量表通用版(ADOS-G)和孤独症诊断访谈修订版(ADI-R),可应用于非常年幼的儿童,且发现它们相对敏感和稳定。最近还开发了孤独症特异性筛查工具,如幼儿孤独症筛查量表(CHAT)、改良幼儿孤独症筛查量表(M-CHAT)。本文描述了使用M-CHAT日文版的当前研究及其与婴儿健康检查系统相结合的临床应用。