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解开神经发育疾病的挑战与前景——对戴维斯等人(2024年)的评论

The challenge and promise of disentangling neurodevelopmental conditions a commentary on Davis et al. (2024).

作者信息

Bathelt Joe

机构信息

Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

J Child Psychol Psychiatry. 2025 May;66(5):763-766. doi: 10.1111/jcpp.14106. Epub 2024 Dec 21.

Abstract

This commentary evaluates the study by Davis et al. on the early behavioural manifestations of autism spectrum condition (ASC) and attention deficit hyperactivity disorder (ADHD) in preschool children. Davis et al. show how children who later receive dual diagnoses exhibit significantly more severe symptoms and greater behavioural challenges compared to their peers. The study's methodological strengths, including its prospective longitudinal design and well-validated measures, are highlighted. However, the commentary also critiques the reliance on the traditional diagnostic paradigm, advocating for a shift towards data-driven or dimensional approaches to better capture the complexities of neurodevelopmental conditions. By adopting such methodologies, the commentary suggests improvements in clinical practices through more personalised interventions, thereby advancing our understanding and treatment of ASC and ADHD.

摘要

这篇评论文章评估了戴维斯等人关于学龄前儿童自闭症谱系障碍(ASC)和注意力缺陷多动障碍(ADHD)早期行为表现的研究。戴维斯等人展示了那些后来被双重诊断的儿童与同龄人相比,如何表现出明显更严重的症状和更大的行为挑战。该研究的方法学优势,包括前瞻性纵向设计和经过充分验证的测量方法,得到了强调。然而,这篇评论也批评了对传统诊断范式的依赖,主张转向数据驱动或维度方法,以更好地把握神经发育障碍的复杂性。通过采用这些方法,这篇评论建议通过更个性化的干预来改进临床实践,从而增进我们对ASC和ADHD的理解与治疗。

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The Lancet Commission on the future of care and clinical research in autism.《柳叶刀》自闭症护理与临床研究未来委员会
Lancet. 2022 Jan 15;399(10321):271-334. doi: 10.1016/S0140-6736(21)01541-5. Epub 2021 Dec 6.
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Development of ADHD: Etiology, Heterogeneity, and Early Life Course.注意力缺陷多动障碍的发展:病因、异质性及早期生命历程
Annu Rev Dev Psychol. 2020 Dec;2(1):559-583. doi: 10.1146/annurev-devpsych-060320-093413. Epub 2020 Oct 23.

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