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诊断仪器在整个生命周期自闭症谱系障碍的双重和鉴别诊断中的作用。

The Role of Diagnostic Instruments in Dual and Differential Diagnosis in Autism Spectrum Disorder Across the Lifespan.

机构信息

The Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem, 91905, Israel.

Emory Autism Center, 1551 Shoup Court, Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, Decatur, GA 30033, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2020 Apr;29(2):275-299. doi: 10.1016/j.chc.2020.01.002. Epub 2020 Feb 17.

Abstract

The heterogeneity inherent in autism spectrum disorder (ASD) makes the identification and diagnosis of ASD complex. We survey a large number of diagnostic tools, including screeners and tools designed for in-depth assessment. We also discuss the challenges presented by overlapping symptomatology between ASD and other disorders and the need to determine whether a diagnosis of ASD or another diagnosis best explains the individual's symptoms. We conclude with a call to action for the next steps necessary for meeting the diagnostic challenges presented here to improve the diagnostic process and to help understand each individual's particular ASD profile.

摘要

自闭症谱系障碍(ASD)固有的异质性使得 ASD 的识别和诊断变得复杂。我们调查了大量的诊断工具,包括筛查工具和用于深入评估的工具。我们还讨论了 ASD 与其他障碍之间重叠症状所带来的挑战,以及需要确定是 ASD 诊断还是其他诊断更能解释个体的症状。最后,我们呼吁采取行动,以应对这里提出的诊断挑战,从而改善诊断过程,并帮助了解每个人的特定 ASD 特征。

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