Shulman Lisa, D'Agostino Erin, Lee Samantha, Valicenti-McDermott Maria, Seijo Rosa, Tulloch Elizabeth, Meringolo Deborah, Tarshis Nancy
1 Department of Pediatrics, Rose F. Kennedy Center Children's Evaluation and Rehabilitation Center, Albert Einstein College of Medicine/Montefiore, Bronx, NY, USA.
2 Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
J Child Neurol. 2019 Jun;34(7):382-386. doi: 10.1177/0883073819834428. Epub 2019 Mar 12.
A chart review was performed of 38 children diagnosed with autism spectrum disorder (ASD) by 3 years of age at an inner-city developmental program who subsequently experienced resolution of ASD symptomatology and no longer met diagnostic criteria for ASD at follow-up an average of 4 years later. Demographic, developmental/cognitive data, Childhood Autism Rating Scale, and Autism Diagnostic Observation Schedule data as available were reviewed from the initial diagnostic evaluation and at the time of follow-up. Services received by the children between the time of diagnosis and follow-up, educational setting at the time of follow-up, and emotional/behavioral and learning diagnoses made by the multidisciplinary team at follow-up were reviewed. The findings indicate that residual emotional/behavioral and learning problems were present at follow-up in the vast majority of children in this group and that the majority continued to require educational support.
对在内城区发展项目中3岁前被诊断为自闭症谱系障碍（ASD）的38名儿童进行了图表回顾。这些儿童随后自闭症症状得到缓解，平均4年后随访时不再符合ASD诊断标准。从初始诊断评估和随访时获取的人口统计学、发育/认知数据、儿童自闭症评定量表以及自闭症诊断观察量表数据均被审查。审查了儿童在诊断至随访期间接受的服务、随访时的教育环境，以及多学科团队在随访时做出的情绪/行为和学习诊断。研究结果表明，该组绝大多数儿童在随访时仍存在残留的情绪/行为和学习问题，且大多数儿童仍需要教育支持。
