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家长报告的婴儿期第一年非典型发育与自闭症诊断年龄。

Parent-reported atypical development in the first year of life and age of autism diagnosis.

机构信息

School of Education, Victoria University of Wellington, Wellington, New Zealand.

Telethon Kids Institute, University of Western Australia, Perth, Australia.

出版信息

J Autism Dev Disord. 2023 Jul;53(7):2737-2748. doi: 10.1007/s10803-022-05506-1. Epub 2022 Apr 20.

Abstract

This study examined whether parent-reported atypical development in their child's first year was associated with age of diagnosis and age when parents first needed to consult a specialist about their child's development. It involved 423 children who participated in the Australian Autism Biobank. Most parents retrospectively identified ≥ 1 domain of atypical child development. Atypical development in most domains was associated with an earlier age when parents felt specialist consultation was needed. Atypical development in the "gaze abnormalities", "lack of response to social stimuli", and "no social communication" subdomains within the social domain was associated with an earlier age of diagnosis, as was atypical development in the "hypo/hypersensitivity" and "preoccupation with parts of objects" subdomains within the stereotyped/restricted behavior domain.

摘要

本研究旨在探讨儿童在一岁时家长所报告的非典型发育情况与诊断年龄和家长首次因儿童发育问题咨询专家的年龄之间是否存在关联。研究对象为 423 名参与澳大利亚自闭症生物样本库的儿童。大多数家长回顾性地确定了≥1 个儿童非典型发育的领域。大多数领域的非典型发育与家长感到需要专家咨询的时间更早相关。社会领域中“目光异常”、“对社会刺激缺乏反应”和“无社交沟通”子领域的非典型发育,以及刻板/受限行为领域中“感觉过敏/感觉迟钝”和“专注于物体的部分”子领域的非典型发育,与更早的诊断年龄相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746c/10290580/201b99f55947/10803_2022_5506_Fig1_HTML.jpg

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