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孤独症谱系障碍的早期检测与干预:欧洲综述

Early Detection and Intervention of ASD: A European Overview.

作者信息

Magán-Maganto María, Bejarano-Martín Álvaro, Fernández-Alvarez Clara, Narzisi Antonio, García-Primo Patricia, Kawa Rafal, Posada Manuel, Canal-Bedia Ricardo

机构信息

INICO, Instituto Universitario de Integración en la Comunidad, Universidad de Salamanca, 37005 Salamanca, Spain.

IRCCS Stella Maris Foundation, 56018 Pisa, Italy.

出版信息

Brain Sci. 2017 Dec 1;7(12):159. doi: 10.3390/brainsci7120159.

Abstract

Over the last several years there has been an increasing focus on early detection of Autism Spectrum Disorder (ASD), not only from the scientific field but also from professional associations and public health systems all across Europe. Not surprisingly, in order to offer better services and quality of life for both children with ASD and their families, different screening procedures and tools have been developed for early assessment and intervention. However, current evidence is needed for healthcare providers and policy makers to be able to implement specific measures and increase autism awareness in European communities. The general aim of this review is to address the latest and most relevant issues related to early detection and treatments. The specific objectives are (1) analyse the impact, describing advantages and drawbacks, of screening procedures based on standardized tests, surveillance programmes, or other observational measures; and (2) provide a European framework of early intervention programmes and practices and what has been learnt from implementing them in public or private settings. This analysis is then discussed and best practices are suggested to help professionals, health systems and policy makers to improve their local procedures or to develop new proposals for early detection and intervention programmes.

摘要

在过去几年里,人们越来越关注自闭症谱系障碍(ASD)的早期检测,这不仅来自科学领域,也来自欧洲各地的专业协会和公共卫生系统。不出所料,为了为自闭症谱系障碍儿童及其家庭提供更好的服务和生活质量,已经开发了不同的筛查程序和工具用于早期评估和干预。然而,医疗保健提供者和政策制定者需要当前的证据,以便能够在欧洲社区实施具体措施并提高对自闭症的认识。本综述的总体目标是解决与早期检测和治疗相关的最新和最相关问题。具体目标是:(1)分析基于标准化测试、监测计划或其他观察性措施的筛查程序的影响,描述其优缺点;(2)提供欧洲早期干预计划和实践的框架,以及在公共或私人环境中实施这些计划所学到的经验。然后对这一分析进行讨论,并提出最佳实践建议,以帮助专业人员、卫生系统和政策制定者改进其当地程序,或为早期检测和干预计划制定新的提案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f55/5742762/65138c51eb7a/brainsci-07-00159-g001.jpg

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