Altay Mengühan Araz
Department of Child and Adolescent Psychiatry, Trakya University School of Medicine, Edirne 22030, Turkey.
Open Access Maced J Med Sci. 2019 Mar 27;7(6):967-972. doi: 10.3889/oamjms.2019.199. eCollection 2019 Mar 30.
Autism spectrum disorder (ASD) is a common neurodevelopmental disorder in children. Family physicians with the first medical contact of children are among the most frequent physicians with ASD. We aimed to investigate family physicians' awareness of ASD.
This study was carried out family physicians in between September 25-October 15, 2018. The questionnaire form on autism awareness prepared by the researcher was delivered to family physicians electronically and in printed form, and it was filled out by volunteers.
Forty-eight family physicians with an average professional experience of 16.9 ± 8.8 years participated in the study. A group of 66.7% of the participants had not previously received education on ASD, and 70.8% of them did not refer any child to child psychiatry with suspected ASD in the last 6 months. The participants stated that the most common clinical features in children with ASD were the inability to make eye contact (72.9%) and repetitive movements (47.9%), and 56.3% of them stated one or more features that are not observed in ASD. The compliance of the participants' answers about the clinical features observed in children with ASD with the DSM-5 criteria was determined to be 54.6 ± 18.4%. Significantly higher compliance rates were observed in the participants with education on autism and those working as a physician below 15 years.
In our study, family physicians' awareness of ASD was not found to be adequate. Education programs on autism awareness should be applied to family physicians who are probably the most frequently encountered physicians by children with ASD.
自闭症谱系障碍(ASD)是儿童常见的神经发育障碍。与儿童有首次医疗接触的家庭医生是接触ASD患儿最频繁的医生群体之一。我们旨在调查家庭医生对ASD的认知情况。
本研究于2018年9月25日至10月15日期间对家庭医生开展。由研究人员编制的关于自闭症认知的问卷表以电子和纸质形式分发给家庭医生,由志愿者填写。
48名平均专业经验为16.9±8.8年的家庭医生参与了研究。66.7%的参与者此前未接受过关于ASD的教育,其中70.8%的人在过去6个月中未将任何疑似ASD的儿童转诊至儿童精神科。参与者表示,ASD患儿最常见的临床特征是无法进行眼神接触(72.9%)和重复动作(47.9%),56.3%的人提到了一项或多项ASD中未观察到的特征。参与者对ASD患儿观察到的临床特征的回答与《精神疾病诊断与统计手册》第五版(DSM-5)标准的符合率为54.6±18.4%。在接受过自闭症教育的参与者和从业年限低于15年的医生中观察到显著更高的符合率。
在我们的研究中,发现家庭医生对ASD的认知不足。应针对家庭医生开展自闭症认知教育项目,因为他们可能是ASD患儿最常接触到的医生。