中国上海地区 3-12 岁学龄儿童中基于DSM-5 的自闭症谱系障碍患病率。
Prevalence of DSM-5 Autism Spectrum Disorder Among School-Based Children Aged 3-12 Years in Shanghai, China.
机构信息
Department of Developmental and Behavioral Pediatrics, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, Shanghai, 200092, China.
出版信息
J Autism Dev Disord. 2018 Jul;48(7):2434-2443. doi: 10.1007/s10803-018-3507-z.
We estimated the prevalence of ASD in a population-based sample comprising children aged 3-12 years (N = 74,252) in Shanghai. This included a high-risk group sampled from special education schools and a low-risk group randomly sampled from general schools. First, we asked parents and then teachers to complete the Social Communication Questionnaire for participating children. Children who screened positive based on both parental and teachers' reports were comprehensively assessed. ASD was identified based on DSM-5 criteria. We identified 711 children as being at-risk for ASD, of which 203 were identified as ASD cases. The prevalence of ASD was 8.3 per 10,000, which is likely an underestimate, given that 81.6% of the children diagnosed with ASD had IQs below 40. This is the first report on the prevalence of ASD according to DSM-5 in China.
我们在上海的一个基于人群的样本中估计了 ASD 的患病率，该样本包括 3-12 岁的儿童（N=74252）。这包括了从特殊教育学校抽取的高风险组和从普通学校随机抽取的低风险组。首先，我们让父母，然后让老师为参与的孩子完成社交沟通问卷。根据父母和老师的报告都呈阳性的孩子将进行全面评估。根据 DSM-5 标准确定 ASD。我们确定了 711 名有 ASD 风险的儿童，其中 203 名被确定为 ASD 病例。ASD 的患病率为每 10000 人中 8.3 人，这可能是一个低估，因为被诊断为 ASD 的儿童中有 81.6%的智商低于 40。这是根据 DSM-5 在中国报告的 ASD 患病率的首次报告。
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