T-Pederson Cassandra, Reisert Hailey, Adesman Andrew
Developmental & Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park.
Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Curr Opin Pediatr. 2021 Aug 1;33(4):464-470. doi: 10.1097/MOP.0000000000001038.
Approximately one in four children with autism spectrum disorder (ASD) 'elope' or wander away from supervision each year; however, many caregivers do not receive adequate information on how to address wandering behavior. The purpose of this review is to summarize the available research on elopement frequency, wandering patterns, and interventions to provide pediatricians and other childcare professionals with appropriate strategies to address wandering behavior.
Despite the high prevalence of wandering by children with ASD or other developmental disabilities, there is relatively limited research in this area. Recent research has identified common patterns and factors associated with risk of elopement and elopement frequency.
Pediatricians should counsel families on the common issues and intervention strategies related to elopement. By increasing awareness of wandering in children with ASD, caregivers can feel better prepared to make informed decisions regarding their child's wellbeing and safety.
每年约四分之一的自闭症谱系障碍(ASD)儿童会“擅自离开”或在无人监管的情况下走失;然而,许多照料者并未获得关于如何应对走失行为的充分信息。本综述的目的是总结关于走失频率、走失模式及干预措施的现有研究,以便为儿科医生和其他儿童护理专业人员提供应对走失行为的适当策略。
尽管患有ASD或其他发育障碍的儿童走失现象普遍,但该领域的研究相对有限。最近的研究已经确定了与走失风险和走失频率相关的常见模式及因素。
儿科医生应就与走失相关的常见问题和干预策略向家庭提供咨询。通过提高对ASD儿童走失情况的认识,照料者能够更好地做好准备,就孩子的健康和安全做出明智决策。