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如何让不可预测变为可预测?新冠疫情期间为自闭症谱系障碍(ASD)儿童提供有效援助的形式

How to Make the Unpredictable Foreseeable? Effective Forms of Assistance for Children with Autism Spectrum Disorder (ASD) during the COVID-19 Pandemic.

作者信息

Grzejszczak Jagoda, Gabryelska Agata, Gmitrowicz Agnieszka, Strzelecki Dominik

机构信息

Department of Child and Adolescent Psychiatry, Medical University of Lodz, 92-216 Lodz, Poland.

Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland.

出版信息

Diagnostics (Basel). 2023 Jan 22;13(3):407. doi: 10.3390/diagnostics13030407.

Abstract

Symptomatology in patients with the diagnosis of autism spectrum disorder (ASD) is very heterogeneous. The symptoms they present include communication difficulties, behavior problems, upbringing problems from their parents, and comorbidities (e.g., epilepsy, intellectual disability). A predictable and stable environment and the continuity of therapeutic interactions are crucial in this population. The COVID-19 pandemic has created much concern, and the need for home isolation to limit the spread of the virus has disrupted the functioning routine of children/adolescents with ASD. Are there effective diagnostic and therapeutic alternatives to limit the consequences of disturbing the daily routine of young patients during the unpredictable times of the pandemic? Modern technology and telemedicine have come to the rescue. This narrative review aims to present a change in the impact profile in the era of isolation and assess the directions of changes that specialists may choose when dealing with patients with ASD.

摘要

被诊断患有自闭症谱系障碍(ASD)的患者症状表现非常多样。他们出现的症状包括沟通困难、行为问题、来自父母的养育问题以及合并症(如癫痫、智力残疾)。对于这一群体而言,可预测且稳定的环境以及治疗互动的连续性至关重要。新冠疫情引发了诸多担忧,而居家隔离以限制病毒传播的要求打乱了患有ASD的儿童/青少年的日常活动规律。在疫情这一不可预测时期,是否存在有效的诊断和治疗替代方案来减轻扰乱年轻患者日常活动的后果呢?现代技术和远程医疗提供了帮助。本叙述性综述旨在呈现隔离时代影响状况的变化,并评估专家在应对ASD患者时可能选择的变化方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb67/9914931/a403cc4294af/diagnostics-13-00407-g001.jpg

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