Okoye Chiugo, Obialo-Ibeawuchi Chidi M, Obajeun Omobolanle A, Sarwar Sarosh, Tawfik Christine, Waleed Madeeha Subhan, Wasim Asad Ullah, Mohamoud Iman, Afolayan Adebola Y, Mbaezue Rheiner N
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Health Education and Promotion, Walden University, Minnesota, USA.
Cureus. 2023 Aug 9;15(8):e43226. doi: 10.7759/cureus.43226. eCollection 2023 Aug.
Autism spectrum disorder (ASD) is a neurodevelopmental condition made up of enduring challenges in social communication and interaction and the presence of repetitive and restricted behavior patterns. Early diagnosis of autism is crucial for timely intervention and improved long-term outcomes. This review aims to explore some of its signs and symptoms, look into some diagnostic tools, and analyze the benefits and risks associated with an early diagnosis of autism. The symptoms of ASD vary from child to child, some of which are: avoidance of eye contact, lack of response to names, excessive fear, and lack of interactive and pretend play. Early identification of these symptoms by caregivers and healthcare providers facilitates the need for diagnosis and appropriate interventions. Some screening and diagnostic tools that have been found to help make the diagnosis are the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F), the Social Communication Questionnaire (SCQ), the Parents' Evaluation of Developmental Status (PEDS), and the Childhood Autism Rating Scale (CARS), amongst others. The benefits of early diagnosis include the opportunity for early intervention, which has been shown to enhance developmental outcomes and improve adaptive skills. Early identification allows for the implementation of specialized interventions tailored to the specific needs of individuals with autism, targeting social communication, language development, and behavioral challenges. Furthermore, early diagnosis enables families to access appropriate support services, educational resources, and community programs, facilitating better coping mechanisms, reducing parental stress, and increasing adult independence. However, early diagnosis of autism also entails certain risks. One significant concern is the potential for labeling and stigmatization, which can impact the child's self-esteem and social interactions. There is a risk of overdiagnosis or misdiagnosis, leading to unnecessary interventions and treatments. Additionally, the diagnostic process can be lengthy, complex, and emotionally challenging for families, requiring comprehensive assessments by multidisciplinary teams. This review highlights the importance of a balanced approach when considering the benefits and risks of early diagnosis. Early identification allows for timely interventions that significantly improve developmental outcomes and quality of life for individuals with autism. To mitigate the risks, it is crucial to ensure accurate and reliable diagnostic procedures, support families throughout the process, and promote societal awareness and acceptance. We also highlighted some future directions in the management of autism, including the use of biomarkers and the use of artificial intelligence and learning for diagnosing ASD.
自闭症谱系障碍(ASD)是一种神经发育状况,其特征是在社交沟通和互动方面存在持久挑战,以及存在重复和受限的行为模式。自闭症的早期诊断对于及时干预和改善长期预后至关重要。本综述旨在探讨其一些体征和症状,研究一些诊断工具,并分析与自闭症早期诊断相关的益处和风险。ASD的症状因儿童而异,其中一些包括:避免眼神接触、对名字无反应、过度恐惧以及缺乏互动和假装游戏。照顾者和医疗保健提供者对这些症状的早期识别有助于进行诊断和采取适当干预措施。已发现一些有助于进行诊断的筛查和诊断工具,如《幼儿自闭症修正检查表(修订版及随访版)》(M-CHAT-R/F)、《社交沟通问卷》(SCQ)、《父母发育状况评估》(PEDS)以及《儿童自闭症评定量表》(CARS)等。早期诊断的益处包括有机会进行早期干预,这已被证明可改善发育结果并提高适应能力。早期识别能够实施针对自闭症个体特定需求的专门干预措施,针对社交沟通、语言发展和行为挑战。此外,早期诊断使家庭能够获得适当的支持服务、教育资源和社区项目,促进更好的应对机制,减轻父母压力,并提高成人独立性。然而,自闭症的早期诊断也存在一定风险。一个重大担忧是可能被贴上标签和受到污名化,这可能影响孩子的自尊和社交互动。存在过度诊断或误诊的风险,导致不必要的干预和治疗。此外,诊断过程可能漫长、复杂,且对家庭来说在情感上具有挑战性,需要多学科团队进行全面评估。本综述强调在考虑早期诊断的益处和风险时采取平衡方法的重要性。早期识别能够进行及时干预,显著改善自闭症个体的发育结果和生活质量。为降低风险,确保准确可靠的诊断程序、在整个过程中支持家庭以及提高社会意识和接受度至关重要。我们还强调了自闭症管理的一些未来方向,包括使用生物标志物以及利用人工智能和学习来诊断ASD。