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日本儿童中儿童自闭症的累积发病率和患病率。

Cumulative incidence and prevalence of childhood autism in children in Japan.

作者信息

Honda H, Shimizu Y, Misumi K, Niimi M, Ohashi Y

机构信息

Medical Department, Yokohama Rehabilitation Centre, Japan.

出版信息

Br J Psychiatry. 1996 Aug;169(2):228-35. doi: 10.1192/bjp.169.2.228.

Abstract

BACKGROUND

An epidemiological survey of childhood autism as defined in ICD-10 Research Criteria was conducted in the northern part of Yokohama, Japan.

METHOD

The routine health checkup for 18-month-old children served as the initial mass-screening, and all facilities which provide child care services function to detect all cases with childhood autism and refer them to the Yokohama Rehabilitation Centre.

RESULTS

Cumulative incidence of childhood autism up to 5 years of age among the birth cohort of 1988, and prevalence on 1 January 1994, among residents born in 1988 were estimated

RESULTS

Cumulative incidence and prevalence were 16.2 per 10,000 and 21.1 per 10,000, respectively. Children with high-functioning autism who had IQs of 70 and over constituted approximately half of all the children with childhood autism. CONCLUSION. It was confirmed through better detection of high-functioning cases that childhood autism in Japan is more common than formerly estimated.

摘要

背景

在日本横滨北部开展了一项依据国际疾病分类第10版研究标准所定义的儿童自闭症流行病学调查。

方法

将针对18个月大儿童的常规健康检查作为初步大规模筛查,所有提供儿童保育服务的机构负责发现所有儿童自闭症病例,并将其转诊至横滨康复中心。

结果

估算了1988年出生队列中5岁以下儿童自闭症的累积发病率,以及1988年出生居民在1994年1月1日的患病率。

结果

累积发病率和患病率分别为万分之16.2和万分之21.1。智商在70及以上的高功能自闭症儿童约占所有儿童自闭症患者的一半。结论:通过对高功能病例的更好检测证实,日本儿童自闭症比之前估计的更为常见。

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