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自闭症及相关障碍:一项采用国际疾病分类第十版(ICD - 10)诊断标准的挪威研究的流行病学调查结果

Autism and related disorders: epidemiological findings in a Norwegian study using ICD-10 diagnostic criteria.

作者信息

Sponheim E, Skjeldal O

机构信息

National Centre for Child and Adolescent Psychiatry, University of Oslo, Norway.

出版信息

J Autism Dev Disord. 1998 Jun;28(3):217-27. doi: 10.1023/a:1026017405150.

Abstract

Recent studies of the prevalence of autism have suggested higher estimates than previously described. Various diagnostic criteria for autism and related disorders have been applied, with variability in case finding methodology and characteristics of populations as well. In this study, maternal and child health clinics covering 98% of the population were used for screening pervasive developmental disorders. Extensive medical investigation was carried out on the majority of cases. In this Norwegian population of children ages 3-14 years the minimum prevalence estimate for childhood autism was 4-5 per 10,000 using ICD-10 research criteria, and did not confirm the high estimates suggested more recently. Medical disorders identified were associated with mental retardation rather than specifically with autism.

摘要

近期关于自闭症患病率的研究显示,其估计值高于此前的描述。针对自闭症及相关障碍采用了各种诊断标准,病例发现方法和人群特征也存在差异。在本研究中,覆盖98%人口的母婴健康诊所被用于筛查广泛性发育障碍。对大多数病例进行了广泛的医学调查。在这个挪威3至14岁儿童群体中,使用国际疾病分类第十版(ICD - 10)研究标准得出的儿童自闭症最低患病率估计为每10000人中有4至5例,并未证实近期所提出的较高估计值。所识别出的医学障碍与智力迟钝相关,而非 specifically 与自闭症相关。(注:原文中“specifically”这个词在中文语境下较难找到完全对应的简洁表述,这里保留英文并加了注释说明,实际翻译时可根据上下文灵活处理,比如可译为“专门”等,但会稍显生硬,此处只是为了完整呈现英文原意。)

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