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自闭症谱系障碍儿童队列中 152 名儿童从幼儿期到青春期适应性行为的发展轨迹。

Developmental trajectories of adaptive behaviors from early childhood to adolescence in a cohort of 152 children with autism spectrum disorders.

机构信息

Autism Resources Center, Child and Adolescent Psychiatry Department, CHU Montpellier and Laboratory Epsylon, University of Montpellier, 39 Avenue Charles Flahaut, 34295 Montpellier cedex 05, France.

出版信息

J Autism Dev Disord. 2012 Jul;42(7):1314-25. doi: 10.1007/s10803-011-1357-z.

Abstract

This study examines change in 152 children over an almost 10-year period (T1: 4.9 (± 1.3) years; T2: 8.1 (± 1.3) years; T3: 15(± 1.6) years) using a group-based, semi-parametric method in order to identify distinct developmental trajectories. Important deficits remain at adolescence in the adaptive abilities of children with Autism spectrum disorders, but changes in adaptive skills show two distinct growth rates. The univariate analysis reveals that low growth trajectories for both social and communication outcome are associated with the following characteristics at age 5: low cognitive and language skills, presence of epilepsy, and severity of autism. The multivariate analysis confirms that risk factors at age 5, were low language and severity of autism for both social and communication outcomes 10 years later, and that hours of early intervention was protective factor for communication.

摘要

本研究采用基于群组的半参数方法,对 152 名儿童进行了近 10 年的追踪研究(T1:4.9(±1.3)岁;T2:8.1(±1.3)岁;T3:15(±1.6)岁),以确定不同的发展轨迹。患有自闭症谱系障碍的儿童在青春期时,其适应能力仍存在严重缺陷,但适应技能的变化呈现出两种截然不同的增长速度。单变量分析表明,社交和沟通结果的低增长轨迹与 5 岁时以下特征有关:认知和语言技能低、癫痫发作和自闭症严重程度高。多变量分析证实,5 岁时的风险因素,对于 10 年后的社交和沟通结果,是低语言和自闭症严重程度,而早期干预时间是沟通的保护因素。

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