自闭症谱系障碍的早期筛查：实践与研究建议
Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research.
作者信息
Zwaigenbaum Lonnie, Bauman Margaret L, Fein Deborah, Pierce Karen, Buie Timothy, Davis Patricia A, Newschaffer Craig, Robins Diana L, Wetherby Amy, Choueiri Roula, Kasari Connie, Stone Wendy L, Yirmiya Nurit, Estes Annette, Hansen Robin L, McPartland James C, Natowicz Marvin R, Carter Alice, Granpeesheh Doreen, Mailloux Zoe, Smith Roley Susanne, Wagner Sheldon
机构信息
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada;
Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts;
出版信息
Pediatrics. 2015 Oct;136 Suppl 1(Suppl 1):S41-59. doi: 10.1542/peds.2014-3667D.
This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The current review indicates that screening in children aged 18 to 24 months can assist in early detection, consistent with current American Academy of Pediatrics' recommendations. We identify ASD-specific and broadband screening tools that have been evaluated in large community samples which show particular promise in terms of accurate classification and clinical utility. We also suggest strategies to help overcome challenges to implementing ASD screening in community practice, as well as priorities for future research.
本文基于截至2013年12月发表的同行评议文章，综述了目前关于自闭症谱系障碍（ASD）筛查的证据。筛查提供了一个标准化流程，以确保对儿童进行系统监测，寻找ASD的早期迹象，从而促进更早诊断。当前的综述表明，对18至24个月大的儿童进行筛查有助于早期发现，这与美国儿科学会目前的建议一致。我们确定了在大型社区样本中经过评估的ASD特异性和广泛性筛查工具，这些工具在准确分类和临床实用性方面显示出特别的前景。我们还提出了一些策略，以帮助克服在社区实践中实施ASD筛查所面临的挑战，以及未来研究的重点。
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