Begovac Ivan, Begovac Branka, Majić Gordan, Vidović Vesna
Clinic for psychological medicine, School of medicine Zagreb, Clinical hospital center Zagreb, 10000 Zagreb, Croatia.
Psychiatr Danub. 2009 Sep;21(3):310-9.
In this paper we present a survey of the literature dealing with IQ stability in children with childhood autism (CA) over the last ten years. Nowadays there is no clear evidence on this topic.
We used the online "PubMed" database. By inputting the following key words: (autism and IQ and child) and (stability or outcome or follow-up) we obtained a total of 78 references. Out of those 78 references, some papers were left out in line with the exclusion criteria, so this survey includes 23 papers altogether.
The average initial IQ point is in the range from borderline intelligence to mild mental retardation. Out of a total of 23 studies, the majority, 19 of them, generally state that there are no changes in IQ, 8 studies mention increased IQ, while 3 studies demonstrate a decrease in IQ. Some studies register different results in the same study. At an individual level, single studies show a similar trend to the general results.
The majority of studies state that the IQ points will remain the same. Today the generally accepted belief is that therapy should be started intensely and early. Some children with good progress may attend regular school.
在本文中,我们对过去十年有关儿童自闭症(CA)患儿智商稳定性的文献进行了综述。目前关于该主题尚无明确证据。
我们使用了在线“PubMed”数据库。通过输入以下关键词:(自闭症、智商和儿童)以及(稳定性、结果或随访),共获得78篇参考文献。在这78篇参考文献中,一些论文根据排除标准被剔除,因此本综述共纳入23篇论文。
平均初始智商分数处于边缘智力到轻度智力障碍范围内。在总共23项研究中,大多数(19项)普遍表明智商没有变化,8项研究提到智商有所提高,而3项研究显示智商下降。一些研究在同一研究中记录了不同结果。在个体层面,个别研究显示出与总体结果相似的趋势。
大多数研究表明智商分数将保持不变。如今普遍接受的观点是应尽早积极开展治疗。一些进步良好的儿童可能会进入正规学校就读。