Talero-Gutiérrez C, Rodríguez M, De La Rosa D, Morales G, Vélez-Van-Meerbeke A
Grupo de investigación NEUROS, Línea en Neurociencia Cognitiva, Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Bogotá, Colombia.
Neurologia. 2012 Mar;27(2):90-6. doi: 10.1016/j.nrl.2011.03.005. Epub 2011 May 17.
To determine the profile of children and adolescents diagnosed with autism spectrum disorder (ASD) in a comprehensive care centre in Bogota, Colombia.
A descriptive-correlational study with a sample of patients who had attended the institution from 2003 to 2009. Demographic and clinical aspects were evaluated and a correlation between the diagnosis and severity being analysed in search for risk factors.
A total of 138 patients were studied. The average age of onset was 21 months, and diagnosis had been made at 45 months. There was a male predominance (6.15:1). The predominant diagnosis was autistic syndrome (83%), followed by pervasive developmental disorder not otherwise specified (17%). There was no pathological background in the family history, during pregnancy or during the neonatal period. Motor development during the first year was normal but acquisition of language skills was compromised. The specific signs of ASD as regards the disorder in itself, communication skills, spontaneous speech, verbal comprehension, attention, imitation, use of objects, self-care and symbolic play were significantly related to the severity of the disease.
Diagnosis of ASD is still delayed in our population and usually after referral from someone other than a health professional. The most important problems were found in communication skills and relationships with peers. The study did not show significant associated risk factors.
确定在哥伦比亚波哥大一家综合护理中心被诊断为自闭症谱系障碍(ASD)的儿童和青少年的概况。
一项描述性相关性研究,样本为2003年至2009年在该机构就诊的患者。对人口统计学和临床方面进行评估,并分析诊断与严重程度之间的相关性以寻找风险因素。
共研究了138名患者。平均发病年龄为21个月,确诊年龄为45个月。男性占主导(6.15:1)。主要诊断为自闭症综合征(83%),其次是未另行指明的广泛性发育障碍(17%)。家族史、孕期或新生儿期均无病理背景。第一年的运动发育正常,但语言技能的获得受到损害。ASD本身的特定症状、沟通技巧、自发语言、语言理解、注意力、模仿、物品使用、自我护理和象征性游戏与疾病严重程度显著相关。
在我们的人群中,ASD的诊断仍然延迟,而且通常是在非健康专业人员转诊之后。发现最重要的问题在于沟通技巧和与同伴的关系。该研究未显示出显著的相关风险因素。