Johnson Norah L, Burkett Karen, Reinhold Judy, Bultas Margaret W
J Pediatr Health Care. 2016 Jan-Feb;30(1):15-26. doi: 10.1016/j.pedhc.2015.09.008. Epub 2015 Oct 31.
The number of children with autism spectrum disorder (ASD) is rising, along with the potential for challenging behaviors during health care encounters.
We present an overview of the emerging science related to ASD diagnosis and interventions for children with ASD.
Emerging science on ASD reveals common associated challenging behaviors, increasing prevalence, emphasis on early diagnosis at 18 to 24 months of age, changes in the diagnostic process with criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, and interventions with medication, education, and behavior management.
Family and health care provider preparation strategies facilitate care of children with ASD and their families. Early diagnosis at 18 to 24 months of age and evidence-based interventions contribute to best outcomes for children and families. Health care providers must be aware of the state of the science for diagnosis and best practices to provide family-centered care for this growing population.
自闭症谱系障碍(ASD)儿童的数量在不断增加,在医疗保健过程中出现具有挑战性的行为的可能性也在增加。
我们概述了与ASD诊断及ASD儿童干预措施相关的新兴科学。
关于ASD的新兴科学揭示了常见的相关具有挑战性的行为、患病率上升、强调在18至24个月龄时进行早期诊断、《精神疾病诊断与统计手册》第5版标准带来的诊断过程变化,以及药物治疗、教育和行为管理等干预措施。
家庭和医疗保健提供者的准备策略有助于对ASD儿童及其家庭的护理。18至24个月龄时的早期诊断和循证干预措施有助于儿童及其家庭获得最佳结果。医疗保健提供者必须了解诊断科学状况和最佳实践,以便为这一不断增长的人群提供以家庭为中心的护理。