Ousley Opal, Cermak Tracy
Emory Autism Center, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 1551 Shoup Court, Atlanta, GA 30322, USA.
Marcus Autism Center, Children's Healthcare of Atlanta, 1920 Briarcliff Road, Atlanta, GA 30329, USA.
Curr Dev Disord Rep. 2014 Mar 1;1(1):20-28. doi: 10.1007/s40474-013-0003-1.
Autism spectrum disorder (ASD) is a behaviorally defined neurodevelopmental disorder associated with the presence of social-communication deficits and restricted and repetitive behaviors. In the latest conceptualization of ASD, these two behavioral dimensions represent the core defining features of ASD, whereas associated dimensions, such as intellectual and language ability, provide a means for describing the ASD heterogeneity. In addition, the characterization of ASD subgroups, defined by the presence of known medical, genetic, or other psychiatric disorders, furthers our understanding of ASD heterogeneity. This paper reviews the history of autism, describes its core defining features, and provides an overview of the clinically and etiologically relevant subgroups that add to the complexity of this condition.
自闭症谱系障碍(ASD)是一种行为学定义的神经发育障碍,与社交沟通缺陷以及局限和重复行为的存在有关。在ASD的最新概念中,这两个行为维度代表了ASD的核心定义特征,而相关维度,如智力和语言能力,则提供了描述ASD异质性的方法。此外,由已知的医学、遗传或其他精神疾病定义的ASD亚组特征,进一步加深了我们对ASD异质性的理解。本文回顾了自闭症的历史,描述了其核心定义特征,并概述了临床上和病因学上相关的亚组,这些亚组增加了这种疾病的复杂性。