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回应名称及其对发育障碍早期检测的价值:自闭症谱系障碍、雷特综合征和脆性 X 综合征的见解。观点论文。

Response to name and its value for the early detection of developmental disorders: Insights from autism spectrum disorder, Rett syndrome, and fragile X syndrome. A perspectives paper.

机构信息

Research Unit iDN - interdisciplinary Developmental Neuroscience, Department of Phoniatrics, Medical University of Graz, Graz, Austria; Department of Child and Adolescent Psychiatry and Psychotherapy, iDN - Interdisciplinary Developmental Neuroscience, University Medical Centre Göttingen, Göttingen, Germany.

Research Unit iDN - interdisciplinary Developmental Neuroscience, Department of Phoniatrics, Medical University of Graz, Graz, Austria; School of Education, Victoria University of Wellington, Wellington, New Zealand.

出版信息

Res Dev Disabil. 2018 Nov;82:95-108. doi: 10.1016/j.ridd.2018.04.004. Epub 2018 Apr 12.

Abstract

BACKGROUND

Responding to one's own name (RtN) has been reported as atypical in children with developmental disorders, yet comparative studies on RtN across syndromes are rare.

AIMS

We aim to (a) overview the literature on RtN in different developmental disorders during the first 24 months of life, and (b) report comparative data on RtN across syndromes.

METHODS AND PROCEDURES

In Part 1, a literature search, focusing on RtN in children during the first 24 months of life with developmental disorders, identified 23 relevant studies. In Part 2, RtN was assessed utilizing retrospective video analysis for infants later diagnosed with ASD, RTT, or FXS, and typically developing peers.

OUTCOMES AND RESULTS

Given a variety of methodologies and instruments applied to assess RtN, 21/23 studies identified RtN as atypical in infants with a developmental disorder. We observed four different developmental trajectories of RtN in ASD, RTT, PSV, and FXS from 9 to 24 months of age. Between-group differences became more distinctive with age.

CONCLUSIONS AND IMPLICATIONS

RtN may be a potential parameter of interest in a comprehensive early detection model characterising age-specific neurofunctional biomarkers associated with specific disorders, and contribute to early identification.

摘要

背景

已有研究报道,在发育障碍儿童中,对自身名字的反应(RtN)存在异常,但针对不同综合征的 RtN 进行比较研究的却很少。

目的

我们旨在:(a) 综述生命最初 24 个月内不同发育障碍儿童的 RtN 相关文献,(b) 报告跨综合征的 RtN 比较数据。

方法和程序

在第 1 部分中,我们进行了一项文献检索,重点关注生命最初 24 个月内患有发育障碍的儿童的 RtN,共确定了 23 项相关研究。在第 2 部分中,我们利用回顾性视频分析评估了后来被诊断为 ASD、RTT 或 FXS 的婴儿以及典型发育的婴儿的 RtN。

结果和结论

鉴于评估 RtN 所应用的各种方法和工具,23 项研究中有 21 项研究表明发育障碍婴儿的 RtN 存在异常。我们观察到 ASD、RTT、PSV 和 FXS 婴儿的 RtN 在 9 至 24 个月时存在四种不同的发育轨迹。随着年龄的增长,组间差异变得更加明显。

意义

RtN 可能是一个有潜力的参数,可用于全面的早期检测模型,以描述与特定疾病相关的特定年龄的神经功能生物标志物,并有助于早期识别。

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