Dover Clare J, Le Couteur Ann
Northumberland, Tyne and Wear NHS Trust, Fleming Nuffield Unit, Jesmond, Newcastle upon Tyne, UK.
Arch Dis Child. 2007 Jun;92(6):540-5. doi: 10.1136/adc.2005.086280.
Over the past two decades, there has been an explosion of interest in autism and autism spectrum disorders. Knowledge and awareness of the condition has grown exponentially at all levels among the general public, parents, health professionals, the research community and, more recently, at parliamentary level. Alongside the increased understanding of these complex and disabling conditions is the acknowledgment of a broadening of the diagnostic criteria away from a narrow definition of autism to the autism spectrum with less clear diagnostic boundaries. Growing evidence of the importance of early diagnosis and intervention demands knowledge and skills from all professionals working with young children and in particular those involved in recognising early concerns about a child's development. This article outlines current clinical and research findings in relation to early diagnosis and considers the role of the paediatrician in this process. Reference is also made to the National Autism Plan for Children.
在过去二十年里,人们对自闭症及自闭症谱系障碍的兴趣呈爆发式增长。在普通公众、家长、健康专业人士、研究界,以及最近在议会层面,各层次人群对该病症的了解和认识都呈指数级增长。随着对这些复杂且致残性病症的了解不断加深,人们也认识到诊断标准已从对自闭症的狭义定义扩展到诊断界限不太明确的自闭症谱系。越来越多的证据表明早期诊断和干预至关重要,这就要求所有从事幼儿工作的专业人员,尤其是那些参与识别对儿童发育早期担忧的人员具备相关知识和技能。本文概述了与早期诊断相关的当前临床和研究结果,并探讨了儿科医生在这一过程中的作用。文中还提及了《国家儿童自闭症计划》。