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对教师报告进行聚类分析以识别学校人群中自闭症谱系和/或注意缺陷多动障碍的症状:EPINED 研究。

Cluster analysis of teachers report for identifying symptoms of autism spectrum and/or attention deficit hyperactivity in school population: EPINED study.

机构信息

Nutrition and Mental Health (NUTRISAM) Research Group, Universitat Rovira i Virgili, Spain.

Research Center for Behavior Assessment (CRAMC), Department of Psychology, Universitat Rovira i Virgili, Tarragona, Spain.

出版信息

Autism Res. 2024 May;17(5):1027-1040. doi: 10.1002/aur.3138. Epub 2024 Apr 19.

Abstract

An early detection of Neurodevelopmental Disorders (NDDs) is crucial for their prognosis; however, the clinical heterogeneity of some disorders, such as autism spectrum disorder (ASD) or attention-deficit hyperactivity disorder (ADHD) is an obstacle to accurate diagnoses in children. In order to facilitate the screening process, the current study aimed to identify symptom-based clusters among a community-based sample of preschool and school-aged children, using behavioral characteristics reported by teachers. A total of 6894 children were assessed on four key variables: social communication differences, restricted behavior patterns, restless-impulsiveness, and emotional lability (pre-schoolers) or inattention and hyperactivity-impulsivity (school-aged). From these behavioral profiles, four clusters were identified for each age group. A cluster of ASD + ADHD and others including children with no pathology was clearly identified, whereas two other clusters were characterized by subthreshold ASD and/or ADHD symptoms. In the school-age children, the presence of ADHD was consistently observed with ASD patterns. In pre-schoolers, teachers were more proficient at identifying children who received a diagnosis for either ASD and/or ADHD from an early stage. Considering the significance of early detection and intervention of NDDs, teachers' insights are important. Therefore, promptly identifying subthreshold symptoms in children can help to minimize consequences in social and academic functioning.

摘要

神经发育障碍(NDDs)的早期检测对于其预后至关重要;然而,一些障碍的临床表现异质性,如自闭症谱系障碍(ASD)或注意缺陷多动障碍(ADHD),是儿童准确诊断的障碍。为了便于筛查,本研究旨在使用教师报告的行为特征,从基于社区的学龄前和学龄儿童样本中识别基于症状的聚类。共有 6894 名儿童在四个关键变量上进行评估:社交沟通差异、受限行为模式、不安冲动和情绪不稳定(学龄前儿童)或注意力不集中和多动冲动(学龄儿童)。根据这些行为特征,为每个年龄组确定了四个聚类。明确确定了 ASD+ADHD 聚类和包括无病理儿童在内的其他聚类,而另外两个聚类的特征是亚阈值 ASD 和/或 ADHD 症状。在学龄儿童中,ASD 模式一致存在 ADHD。在学龄前儿童中,教师更擅长从早期识别出被诊断为 ASD 和/或 ADHD 的儿童。考虑到 NDDs 的早期检测和干预的重要性,教师的见解很重要。因此,及时识别儿童的亚阈值症状有助于最大限度地减少其在社交和学业功能方面的后果。

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