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非专业临床医生在青年心理健康服务就诊者中发现自闭症特征。

Non-expert clinicians' detection of autistic traits among attenders of a youth mental health service.

机构信息

Sussex Early Intervention in Psychosis Service, Horsham, UK.

出版信息

Early Interv Psychiatry. 2012 Feb;6(1):83-6. doi: 10.1111/j.1751-7893.2011.00288.x. Epub 2011 Aug 30.

Abstract

AIMS

The aims of this study were to determine the point prevalence of autism spectrum disorders and to estimate the prevalence of autistic traits in a youth mental health service.

METHODS

Following three educational sessions on autism spectrum disorders, treating clinicians were interviewed to determine whether the clients on their caseloads had (i) a confirmed prior diagnosis of autism spectrum disorder; (ii) were felt to exhibit autistic traits; or (iii) were not felt to exhibit autistic traits.

RESULTS

Information on autism spectrum disorder status was obtained for 476 patients. Of the included patients, 3.4% (n = 16) had a confirmed diagnosis of autism spectrum disorder and 7.8% (n = 37) were reported by treating clinicians to exhibit autistic traits.

CONCLUSIONS

The rate of autism spectrum disorder was higher in this population than that in community samples with twice as many again being identified as having autistic traits by their treating clinicians. This has implications for correct diagnosis and appropriate management in these settings.

摘要

目的

本研究旨在确定自闭症谱系障碍的时点患病率,并估计青年心理健康服务机构中自闭症特征的流行率。

方法

在进行了三次关于自闭症谱系障碍的教育课程后,对治疗临床医生进行了访谈,以确定其患者中有(i)已确诊的自闭症谱系障碍;(ii)被认为具有自闭症特征;或(iii)不具有自闭症特征。

结果

共获得了 476 名患者的自闭症谱系障碍状态信息。在所纳入的患者中,3.4%(n=16)被确诊为自闭症谱系障碍,7.8%(n=37)被治疗临床医生报告为具有自闭症特征。

结论

与社区样本相比,该人群的自闭症谱系障碍发生率更高,其治疗临床医生再次确定有两倍的患者具有自闭症特征。这对这些环境中的正确诊断和适当管理具有重要意义。

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