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自闭症谱系障碍(护理)

Autism Spectrum Disorder (Nursing)

作者信息

Hodis Brendan, Mughal Saba, Saadabadi Abdolreza, Doerr Chaddie

机构信息

Boston University, Chobanian & Avedisian School of Medicine/Boston Medical Center

Western University/ Kaweah Delta

Abstract

Autism spectrum disorders (ASD) are a group of rapidly growing disabilities. They are characterized by repetitive patterns of behavior, interests, or activities, problems in social interactions. ASD is a complicated neurological disorder that is characterized by behavioral and psychological problems in children. These children become distressed when their surrounding environment is changed because their adaptive capabilities are minimal. The symptoms are present from early childhood and affect daily functioning. Children with ASD have co-occurring language problems, intellectual disabilities, and epilepsy at higher rates than the general population. Childhood disintegrative disorder, also called disintegrative psychosis and Heller syndrome, is a rare disorder that is categorized under ASD. In the  (DSM-5), childhood disintegrative disorder, along with other types of autism, are merged into a single spectrum called autism spectrum disorder. Childhood disintegrative disorder has a relatively late onset and is characterized by regression of previously acquired skills in the areas of social, language, and motor functioning. It is not known what causes this disease, and it is often seen that children who have this disorder have achieved normal developmental milestones before the regression of skills. The age at which this disease manifests is variable, but it is typically seen after three years of reaching normal milestones. The regression can be so fast that the child may be mindful of it, and in the beginning, may even ask what is going on with them. Some children may appear to be responding to hallucinations, but the most common and distinct feature of this disease is that the attained skills are gone. Many children are already delayed when the disorder becomes apparent, but these delays are not always evident in young children. This condition has been described as a devastating disease that affects both the individual's life and the family.

摘要

自闭症谱系障碍(ASD)是一组数量迅速增加的残疾病症。其特征为行为、兴趣或活动的重复模式以及社交互动方面的问题。ASD是一种复杂的神经障碍,表现为儿童的行为和心理问题。这些儿童在周围环境发生变化时会感到苦恼,因为他们的适应能力很弱。症状从幼儿期就已出现,并影响日常功能。与普通人群相比,患有ASD的儿童出现语言问题、智力残疾和癫痫的几率更高。儿童期崩解性障碍,也称为崩解性精神病和海勒综合征,是一种归类于ASD的罕见病症。在《精神疾病诊断与统计手册》第五版(DSM - 5)中,儿童期崩解性障碍与其他类型的自闭症合并为一个单一的谱系,称为自闭症谱系障碍。儿童期崩解性障碍发病相对较晚,其特征是在社交、语言和运动功能领域先前获得的技能出现退化。目前尚不清楚这种疾病的病因,而且经常可以看到患有这种疾病的儿童在技能退化之前已经达到了正常的发育里程碑。这种疾病出现的年龄各不相同,但通常在达到正常里程碑三年后出现。退化可能非常迅速,以至于孩子可能会注意到,甚至一开始可能会问自己怎么了。一些孩子可能看起来像是在回应幻觉,但这种疾病最常见和独特的特征是已经获得的技能消失了。当这种疾病变得明显时,许多孩子已经出现了发育迟缓,但这些迟缓在幼儿中并不总是很明显。这种病症被描述为一种既影响个人生活又影响家庭的毁灭性疾病。

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