Fodstad Jill C, Matson Johnny L, Hess Julie, Neal Daniene
Louisiana State University, Psychology, Gonzales, USA.
Dev Neurorehabil. 2009 Jun;12(3):152-7. doi: 10.1080/17518420902936748.
Autism Spectrum Disorders (ASD) are a group of conditions characterized by symptoms that onset in early childhood. Deficits in social skills and communication are two of the core features of ASD and, if not remediated, can lead to poor long-term outcomes. Few researchers have examined characteristics of social skills and communication in infants with ASD.
The social skills and communicative ability of 886 infants and toddlers 17-37 months of age with autism, PDD-NOS or 'at risk' for other developmental delays were evaluated using the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT). A Kruskal-Wallis test with follow-up Mann-Whitney tests were used to test for significance.
Infants and toddlers with autism, followed by PDD-NOS, had greater social and communication deficits than children 'at risk' for developmental delays. Items which distinguished between these diagnostic groups were determined.
Outcomes suggest that social and communication deficits can be identified at early ages in a population of developmentally delayed toddlers. Implications are that pinpointing emerging social and communicative autistic traits earlier will allow for more accurate assessment and diagnosis in infants with ASD. This translates into earlier intervention and more effective treatment practices.
自闭症谱系障碍(ASD)是一组以幼儿期出现的症状为特征的病症。社交技能和沟通方面的缺陷是ASD的两个核心特征,若不加以纠正,可能导致不良的长期后果。很少有研究人员研究过患有ASD的婴儿的社交技能和沟通特征。
使用《自闭症特质儿童婴幼儿筛查量表》(BISCUIT)对886名17至37个月大的患有自闭症、广泛性发育障碍未特定型(PDD-NOS)或有其他发育迟缓“风险”的婴幼儿的社交技能和沟通能力进行评估。采用Kruskal-Wallis检验及后续的Mann-Whitney检验来检验显著性。
患有自闭症的婴幼儿,其次是PDD-NOS患儿,比有发育迟缓“风险”的儿童存在更严重的社交和沟通缺陷。确定了区分这些诊断组别的项目。
结果表明,在发育迟缓的幼儿群体中,社交和沟通缺陷在早期就可以被识别出来。这意味着更早地查明新出现的社交和沟通自闭症特征将有助于对患有ASD的婴儿进行更准确的评估和诊断。这将转化为更早的干预和更有效的治疗方法。