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关于雷特综合征与自闭症鉴别诊断的行为观察

Behavioral observations concerning differential diagnosis between the Rett syndrome and autism.

作者信息

Olsson B, Rett A

出版信息

Brain Dev. 1985;7(3):281-9. doi: 10.1016/s0387-7604(85)80029-2.

DOI:10.1016/s0387-7604(85)80029-2
PMID:4061759
Abstract

The behavior of girls with the Rett syndrome was compared to that of patients with infantile autism (Kanner syndrome) and with autism associated with infantile organic brain damage. Visual, acoustic, tactile and gustatory stimuli, and social contact were used. Motor stereotypes and disturbances were recorded and the mental development was categorized. Behavioral traits were classified into 4 groups: Behavior observed only in the Rett syndrome (at least optionally), Behavior observed in each case of the Rett syndrome (at most optionally in the autistic syndrome), Behavior observed only in the autistic syndrome (at least optionally), Behavior observed in each case of the autistic syndrome (at most optionally in the Rett syndrome). These traits were adequate criteria for differential diagnosis. It was concluded that the Rett syndrome is characterized by definite signs of dementia with almost overall developmental retardation and that it does not show several attributes regularly found in autistic children. A neuropsychological theory was proposed to explain the coming about of specific autistic behavior.

摘要

将患有雷特综合征的女孩的行为与患有婴儿自闭症(坎纳综合征)以及与婴儿器质性脑损伤相关的自闭症患者的行为进行了比较。使用了视觉、听觉、触觉和味觉刺激以及社交接触。记录了运动刻板行为和障碍,并对智力发育进行了分类。行为特征被分为4组:仅在雷特综合征中观察到的行为(至少为选择性观察到)、在雷特综合征的每个病例中都观察到的行为(在自闭症综合征中最多为选择性观察到)、仅在自闭症综合征中观察到的行为(至少为选择性观察到)、在自闭症综合征的每个病例中都观察到的行为(在雷特综合征中最多为选择性观察到)。这些特征是进行鉴别诊断的充分标准。得出的结论是,雷特综合征的特征是伴有几乎全面发育迟缓的明确痴呆迹象,并且它没有表现出自闭症儿童中经常出现的几个特征。提出了一种神经心理学理论来解释特定自闭症行为的产生。

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