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[早期发现和早期干预对自闭症谱系障碍儿童的重要性]

[The importance of early detection and early intervention for children with autism spectrum conditions].

作者信息

Rattazzi Alexia

机构信息

PANAACEA.

出版信息

Vertex. 2014 Jul-Aug;25(116):290-4.

Abstract

Autism spectrum disorders are a group of neurodevelopmental disorders characterized by social communication difficulties and restrictive and repetitive patterns of behavior, interests and activities. In Argentina in 2013, legislation introduced both at national and provincial levels generated vigorous debate in relation to early detection of autism spectrum disorders, diagnosis or "pathologization" of children, and early intervention for these children. This paper provides evidence supporting the importance of systematic screening for autism spectrum disorders in toddlers, the usefulness of the new autism spectrum disorder classification provided by DSM-5, the desirability of timely and comprehensive diagnostic assessments by interdisciplinary teams specialized in development, and the critical importance of early intervention. Early intervention takes advantage of the neuroplasticity present in early life and positively impacts prognosis of children and family quality of life. Finally, the role of parent-mediated interventions in the treatment of children with autism spectrum disorders is mentioned.

摘要

自闭症谱系障碍是一组神经发育障碍,其特征是社交沟通困难以及行为、兴趣和活动方面的局限和重复模式。2013年在阿根廷,国家和省级层面出台的立法引发了关于自闭症谱系障碍的早期检测、儿童的诊断或“病态化”以及对这些儿童的早期干预等方面的激烈辩论。本文提供了证据,支持对幼儿进行自闭症谱系障碍系统筛查的重要性、DSM - 5提供的新自闭症谱系障碍分类的实用性、由专门从事发育研究的跨学科团队进行及时且全面诊断评估的可取性以及早期干预的至关重要性。早期干预利用了生命早期存在的神经可塑性,并对儿童预后和家庭生活质量产生积极影响。最后,还提到了家长介导的干预措施在自闭症谱系障碍儿童治疗中的作用。

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