Baird Gillian, Charman Tony, Pickles Andrew, Chandler Susie, Loucas Tom, Meldrum David, Carcani-Rathwell Iris, Serkana Devanitha, Simonoff Emily
Newcomen Centre, Guy's & St. Thomas' NHS Foundation Trust, London, SE1 9RT, UK.
J Autism Dev Disord. 2008 Nov;38(10):1827-36. doi: 10.1007/s10803-008-0571-9. Epub 2008 May 1.
We report rates of regression and associated findings in a population derived group of 255 children aged 9-14 years, participating in a prevalence study of autism spectrum disorders (ASD); 53 with narrowly defined autism, 105 with broader ASD and 97 with non-ASD neurodevelopmental problems, drawn from those with special educational needs within a population of 56,946 children. Language regression was reported in 30% with narrowly defined autism, 8% with broader ASD and less than 3% with developmental problems without ASD. A smaller group of children were identified who underwent a less clear setback. Regression was associated with higher rates of autistic symptoms and a deviation in developmental trajectory. Regression was not associated with epilepsy or gastrointestinal problems.
我们报告了255名9至14岁儿童群体中的退化率及相关发现,这些儿童参与了自闭症谱系障碍(ASD)的患病率研究;其中53名患有狭义自闭症,105名患有广义ASD,97名患有非ASD神经发育问题,他们来自56946名儿童中的有特殊教育需求者。报告显示,狭义自闭症儿童中有30%出现语言退化,广义ASD儿童中有8%出现语言退化,而无ASD的发育问题儿童中这一比例不到3%。我们还确定了一小部分经历不太明确挫折的儿童。退化与更高的自闭症症状发生率以及发育轨迹偏差有关。退化与癫痫或胃肠道问题无关。