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低风险儿童在 9 个月大时出现偏离典型发育轨迹,之后被诊断为自闭症谱系障碍。

Deviations from Typical Developmental Trajectories Detectable at 9 Months of Age in Low Risk Children Later Diagnosed with Autism Spectrum Disorder.

机构信息

Department of Child Development, Medical Division, Maccabi Healthcare Services, 27 Hamered St., 6812509, Tel Aviv, Israel.

Nursing Department, Medical Division, Maccabi Healthcare Services, Tel Aviv, Israel.

出版信息

J Autism Dev Disord. 2018 Aug;48(8):2854-2869. doi: 10.1007/s10803-018-3549-2.

Abstract

This study was designed to track the developmental trajectory, during the first 24 months of life, of 335 low-risk infants later diagnosed with Autism Spectrum Disorder and identify early deviations observed in routine Well Care checkups. We compared their achievements to typically developing children and to children later diagnosed with non-autistic developmental impairments. The results show that in the first 6 months, the children with autism showed normal acquisition of milestones, whereas by 9 months of age they began to fail the language/communication, as well as motor items when compared to typical and delayed non-autistic children. Regular check-up visits may be useful in detecting early failure in achieving milestones, leading to earlier referral for further evaluation and treatment.

摘要

本研究旨在追踪 335 名低风险自闭症谱系障碍患儿在生命的头 24 个月的发育轨迹,并识别常规健康检查中观察到的早期偏差。我们将他们的发育情况与正常发育的儿童以及后来被诊断为非自闭症发育障碍的儿童进行了比较。结果表明,在最初的 6 个月里,自闭症儿童在里程碑式的发展上表现正常,而到 9 个月大时,与正常儿童和发育迟缓的非自闭症儿童相比,他们开始在语言/交流和运动项目上落后。定期的健康检查可能有助于发现早期发育失败,从而更早地转介进行进一步评估和治疗。

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