Institute of Psychiatry, Psychology & Neuroscience, King's College London, UK.
J Am Acad Child Adolesc Psychiatry. 2018 Nov;57(11):820-821. doi: 10.1016/j.jaac.2018.06.021.
Variability in the trajectory of clinical symptoms in the early emerging presentation of young children with autism spectrum disorder (ASD) exists within an individual child over time and between different children at any point in time and across time. Georgiades et al. recently coined the term "chronogeneity" to indicate these within- and between-participant patterns of variability over time. In clinical practice, this is often the focus of questions that parents ask clinicians at or soon after diagnosis: "Can you tell us what the future holds and will his (her) symptoms improve or get worse?" The variability or heterogeneity within and between children on the autism spectrum makes that a tough question to answer, however well one understands the motivation of the parent or caregiver in asking it.
自闭症谱系障碍(ASD)患儿在早期出现时,其临床症状的轨迹存在个体内随时间的变化,也存在个体间在任何时间点以及跨时间的变化。Georgiades 等人最近创造了“chronogeneity”一词,以表示这些随时间变化的个体内和个体间的可变性模式。在临床实践中,这通常是家长在诊断后或不久后向临床医生提出的问题的重点:“你能告诉我们未来会怎样,他(她)的症状会改善还是恶化吗?”然而,即使非常了解家长或照顾者提问的动机,也很难回答自闭症谱系儿童个体内和个体间的这种可变性或异质性。