Worley Julie A, Matson Johnny L, Mahan Sara, Kozlowski Alison M, Neal Daniene
Louisiana State University, Baton Rouge, LA 70816, USA.
Dev Neurorehabil. 2011;14(1):36-40. doi: 10.3109/17518423.2010.530638.
The diagnostic stability of Autism Spectrum Disorders (ASD) at very young ages continues to be debated, despite empirical evidence that ASDs can be reliably diagnosed in children under the age of 3 years. This topic is of the upmost importance given that early intervention increases long-term outcomes in this population.
The goal of the current study was to examine the stability of symptoms of ASD between two assessment times for 114 toddlers. The following was compared from the first to second assessment: diagnostic classification stability, correlations between scores and the impact of time between the first and second assessment.
Significant correlations were found for toddlers as young as 18 months of age. In addition, even with up to a year between assessment intervals, symptoms of ASD were relatively stable prior to 3 years of age.
Implications of the current findings are discussed.
尽管有实证证据表明自闭症谱系障碍(ASD)可在3岁以下儿童中得到可靠诊断,但ASD在幼儿期的诊断稳定性仍存在争议。鉴于早期干预可改善该人群的长期预后,这一话题至关重要。
本研究的目的是检查114名幼儿在两次评估期间ASD症状的稳定性。比较了首次评估和第二次评估之间的以下内容:诊断分类稳定性、分数之间的相关性以及首次和第二次评估之间的时间间隔的影响。
发现18个月大的幼儿之间存在显著相关性。此外,即使评估间隔长达一年,ASD症状在3岁之前也相对稳定。
讨论了当前研究结果的意义。