智力残疾儿童中自闭症谱系障碍的患病率。
Prevalence of Autism Spectrum Disorders Among Children With Intellectual Disability.
作者信息
Tonnsen Bridgette L, Boan Andrea D, Bradley Catherine C, Charles Jane, Cohen Amy, Carpenter Laura A
机构信息
Bridgette L. Tonnsen, Department of Psychological Sciences, Purdue University; Andrea Boan, Catherine Bradley, and Jane Charles, Department of Developmental and Behavioral Pediatrics, Medical University of South Carolina; Amy Cohen, Department of Psychology, University of Illinois at Urbana-Champaign; and Laura A. Carpenter, Department of Developmental and Behavioral Pediatrics, Medical University of South Carolina.
出版信息
Am J Intellect Dev Disabil. 2016 Nov;121(6):487-500. doi: 10.1352/1944-7558-121.6.487.
Autism spectrum disorders (ASD) often co-occur with intellectual disability (ID) and are associated with poorer psychosocial and family-related outcomes than ID alone. The present study examined the prevalence, stability, and characteristics of ASD estimates in 2,208 children with ASD and ID identified through the South Carolina Autism and Developmental Disabilities Network. The prevalence of ASD in ID was 18.04%, relative to ASD rates of 0.60%-1.11% reported in the general South Carolina population. Compared to children with ASD alone, those with comorbid ID exhibited increased symptom severity and distinct DSM-IV-TR profiles. Further work is needed to determine whether current screening, diagnostic, and treatment practices adequately address the unique needs of children and families affected by comorbid ASD and ID diagnoses.
自闭症谱系障碍（ASD）常与智力残疾（ID）同时出现，与仅患有智力残疾相比，其社会心理和家庭相关后果更差。本研究调查了通过南卡罗来纳州自闭症和发育障碍网络识别出的2208名患有自闭症谱系障碍和智力残疾儿童中自闭症谱系障碍评估的患病率、稳定性和特征。智力残疾儿童中自闭症谱系障碍的患病率为18.04%，而南卡罗来纳州普通人群报告的自闭症谱系障碍患病率为0.60%-1.11%。与仅患有自闭症谱系障碍的儿童相比，患有共病智力残疾的儿童症状严重程度更高，且具有不同的《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）特征。需要进一步开展工作，以确定当前的筛查、诊断和治疗方法是否能充分满足受自闭症谱系障碍和智力残疾共病诊断影响的儿童和家庭的独特需求。
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