本文選題：兒童 + 孤獨(dú)癥��； 參考：《中國(guó)實(shí)用兒科雜志》2014年11期

【摘要】：目的了解學(xué)齡期高功能與低功能孤獨(dú)癥兒童共患病的發(fā)生情況。方法采用橫斷面研究,對(duì)2011年9月至2011年11月北京大學(xué)精神衛(wèi)生研究所門(mén)診連續(xù)就診、能夠配合檢查的62例孤獨(dú)癥兒童,年齡6~16歲、符合美國(guó)精神障礙診斷與統(tǒng)計(jì)手冊(cè)第4版(DSM-IV)中孤獨(dú)癥診斷標(biāo)準(zhǔn)的兒童進(jìn)行調(diào)查和評(píng)定。內(nèi)容包括:一般狀況調(diào)查、中國(guó)修訂韋氏兒童智力量表(WISC)評(píng)定(不能進(jìn)行韋氏測(cè)查者進(jìn)行瑞文標(biāo)準(zhǔn)推理測(cè)驗(yàn)、比奈測(cè)驗(yàn)或圖片詞匯測(cè)驗(yàn)評(píng)定)、學(xué)齡兒童情感障礙和精神分裂癥問(wèn)卷(K-SADS-PL)評(píng)定、兒童總評(píng)問(wèn)卷(C-GAS)評(píng)定、兒童孤獨(dú)癥評(píng)定量表(CARS)評(píng)定。結(jié)果高功能孤獨(dú)癥組(IQ≥70)共患病終生共患率100%(29/29),目前共患率為96.5%(28/29)。低功能孤獨(dú)癥組(IQ70)共患病終生共患率及目前共患率均為100%(33/33)。高功能孤獨(dú)癥組終生及目前共患情感障礙、焦慮障礙、廣泛焦慮障礙、注意缺陷多動(dòng)障礙、對(duì)立違抗障礙、抽動(dòng)障礙的比例高于低功能孤獨(dú)癥組(P均0.05)。高功能孤獨(dú)癥組精神科用藥史、目前上學(xué)比例高于低功能孤獨(dú)癥組,自幼發(fā)育落后比例低于低功能孤獨(dú)癥組(P均0.05)。高功能孤獨(dú)癥組CARS得分低于低功能孤獨(dú)癥組,C-GAS得分高于低功能孤獨(dú)癥組(P均0.05)。結(jié)論共患病在學(xué)齡期高功能及低功能孤獨(dú)癥兒童中均非常常見(jiàn)。高功能孤獨(dú)癥患兒較低功能孤獨(dú)癥患兒具有更多的情緒行為障礙、較輕的孤獨(dú)癥癥狀、更多的精神科用藥史,總體功能優(yōu)于低功能孤獨(dú)癥患兒
[Abstract]:Objective to investigate the prevalence of high-functional and low-functioning autistic children in school age. Methods from September 2011 to November 2011, 62 autistic children, aged from 6 to 16 years, were enrolled in a cross-sectional study. Children who met the diagnostic criteria for autism in the fourth edition of the American Handbook for diagnosis and Statistics of Mental Disorder (DSM-IV) were investigated and evaluated. The contents include: general condition Survey, Chinese revised Wechsler Intelligence scale for Children (WISCS) assessment (those who can't do Wechsler test are tested by Raven standard reasoning test), Binet test or picture vocabulary test, K-SADS-PLL, C-GASS, CARSs were used to evaluate the affective disorder and schizophrenia of school-age children. Results in high functional autism group (IQ 鈮，

本文編號(hào)：1835338