Trembath David, Vivanti Giacomo
Griffith Health Institute , Griffith University, Gold Coast, QLD , Australia.
Int J Speech Lang Pathol. 2014 Feb;16(1):57-60. doi: 10.3109/17549507.2013.859300. Epub 2013 Dec 18.
Camarata highlights the impact that symptom hetereogeneity, overlap, and individual differences can have on the accurate early diagnosis of children with autism spectrum disorders (ASD) and measurement of treatment outcomes. Nevertheless, these individual differences may provide avenues for predicting individual responses to treatment with the view to prospectively matching children with ASD to treatments best-suited to meeting their individual needs. This commentary suggests that the behavioural characterstics that are critical to accurate early diferential diagnosis of ASD may be poor predictors of outcomes. However, factors that are not unique to ASD may in fact be good predictors of treatment outcomes. This commentary illustrates these points with reference to the results of recent studies demonstrating the problems, and possibilities, that individual differences currently present when it comes to understanding and promoting learning in children with ASD.
卡马拉塔强调了症状异质性、重叠性和个体差异对自闭症谱系障碍(ASD)儿童准确早期诊断及治疗效果测量可能产生的影响。然而,这些个体差异可能为预测个体对治疗的反应提供途径,以便前瞻性地将ASD儿童与最适合满足其个体需求的治疗方法相匹配。本评论表明,对ASD进行准确早期鉴别诊断至关重要的行为特征可能并非治疗效果的良好预测指标。然而,并非ASD所特有的因素实际上可能是治疗效果的良好预测指标。本评论参考近期研究结果阐述了这些观点,这些研究表明了在理解和促进ASD儿童学习方面,个体差异目前所带来的问题和可能性。