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残疾儿童往往最初被误诊,患有神经精神障碍的儿童比其他残疾儿童晚 30 个月才被转介到适当的资源。

Children with disabilities are often misdiagnosed initially and children with neuropsychiatric disorders are referred to adequate resources 30 months later than children with other disabilities.

机构信息

Child and Adolescent Habilitation Center in Fyrbodal County, Barnhabiliteringen Mariedal, Restadvagen 24, 462 54, Vänersborg, Sweden.

出版信息

J Autism Dev Disord. 2013 Mar;43(3):579-84. doi: 10.1007/s10803-012-1595-8.

DOI:10.1007/s10803-012-1595-8
PMID:22798050
Abstract

Disabilities in a child may lead to low self-esteem and social problems. The lives of parents and siblings are also affected. Early intervention may decrease these consequences. To promote early intervention early referral to adequate resources is essential. In a longitudinal retrospective observational study it was found that children with neuropsychiatric disorders without mental retardation were referred 30 months later than other children. Agreement between the referrer's identification of the main disability and the habilitation center's was low with Kappa coefficient 0.44. Whereby agreement on diagnosis between referrer and habilitation centers was low, earlier referral should be promoted.

摘要

儿童残疾可能导致自尊心低下和社会问题。父母和兄弟姐妹的生活也会受到影响。早期干预可能会减少这些后果。为了促进早期干预,尽早向适当的资源转介是至关重要的。在一项纵向回顾性观察研究中发现,患有神经精神障碍但无智力迟钝的儿童比其他儿童晚 30 个月被转介。转介者确定主要残疾与康复中心之间的一致性低,kappa 系数为 0.44。由于转介者和康复中心之间的诊断一致性低,应促进更早的转介。

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引用本文的文献

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Rates of early intervention services in very preterm children with developmental disabilities at age 2 years.2岁发育障碍的极早产儿的早期干预服务率。
J Paediatr Child Health. 2008 May;44(5):276-80. doi: 10.1111/j.1440-1754.2007.01251.x. Epub 2007 Nov 12.
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Role of the medical home in family-centered early intervention services.
医疗之家在以家庭为中心的早期干预服务中的作用。
Pediatrics. 2007 Nov;120(5):1153-8. doi: 10.1542/peds.2007-2638.
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Social interactions at school of children who are medically fragile and developmentally delayed.身体状况脆弱且发育迟缓儿童在学校的社交互动。
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Neuropsychiatric and neurodevelopmental outcome of children at age 6 and 7 years who screened positive for language problems at 30 months.30个月时语言问题筛查呈阳性的儿童在6岁和7岁时的神经精神和神经发育结局。
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