den Boer Jenny C, Vlamings Corinne M, Munsters Nicolette M, Servatius-Oosterling Iris J
Stichting Karakter, Ede.
Contact: J.C. den Boer (
Ned Tijdschr Geneeskd. 2019 Sep 9;163:D3413.
Early signs of autism spectrum disorders (ASS) can become apparent at the baby and toddler stage and a diagnosis of ASS can already be made at this age. In practice, however, it often takes many years before children with ASS are diagnosed and as a result these children miss the benefits of early intervention. Reticence in referral and diagnosis seems to arise from personal factors, diagnostic problems and organisational factors. Here we discuss these factors and stress the importance of referral of very young children on suspicion of ASS to paediatric and paediatric psychiatric institutions with expertise in diagnosing and treating young children.
自闭症谱系障碍(ASS)的早期迹象在婴幼儿阶段就可能变得明显,甚至在这个年龄就可以做出ASS的诊断。然而,在实际中,患有ASS的儿童往往要过很多年才会被诊断出来,结果这些孩子错过了早期干预的益处。转诊和诊断方面的迟疑似乎源于个人因素、诊断问题和组织因素。在此,我们讨论这些因素,并强调将疑似患有ASS的幼儿转诊至具备诊断和治疗幼儿专业知识的儿科和儿童精神科机构的重要性。