Department of Occupational Therapy, The Arab American University, Jenin, Palestine.
J Autism Dev Disord. 2024 Jan;54(1):389-391. doi: 10.1007/s10803-022-05585-0. Epub 2022 May 20.
To propose novel differential criteria of the DSM-5 for diagnosing transient Autistic-like behaviors in children with congenital blindness as a secondary condition. Most references indicate a significantly higher prevalence of autism in children with congenital blindness compared to sighted children. These behavioral symptoms may be transient Autism-like behaviors that should be diagnosed as a secondary condition. Differential criteria are proposed: gaining more adaptive responses to effective interventions; presenting more efficient adaptation to environmental changes; gaining improved use of language in a more typical manner; acquiring more mature interactions with family as well as with others and, proving more positive prognosis due to spontaneous maturity and life experiences. Decreasing false-positives and true-negatives in the assessment process and diagnosis of primary vs. secondary ASD and comorbid conditions. Developing novel assessment tools to distinguish between ASD and autism-like behaviors in the intersection area. Future revision of DSM publication may reconsider these proposed changes in diagnostic criteria.
提出用于诊断伴有先天性失明的儿童中 DSM-5 短暂自闭症样行为的新鉴别标准。大多数参考文献表明，与视力正常的儿童相比，先天性失明的儿童自闭症的患病率明显更高。这些行为症状可能是短暂自闭症样行为，应诊断为次要病症。鉴别标准如下：对有效干预措施产生更多适应性反应；对环境变化的适应性更强；语言使用更典型，更高效；与家人以及其他人的互动更成熟；由于自发成熟和生活经历，预后更好。减少评估过程中假阳性和假阴性，诊断原发性与继发性 ASD 和共病。开发新的评估工具以区分 ASD 和自闭症样行为的交集区域。DSM 出版物的未来修订可能会重新考虑这些诊断标准的变化。
