自闭症谱系障碍、智力残疾和注意力缺陷多动障碍(ADHD)的鉴别诊断

IF 1.1 Q4 PSYCHOLOGY, DEVELOPMENTAL Advances in Autism Pub Date : 2021-07-05 DOI:10.1108/AIA-01-2021-0002
M. Heyman, M. Galligan, Giselle Salinas, Elizabeth Baker, J. Blacher, K. Stavropoulos
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引用次数: 1

摘要

目的与社区人群合作的专业人员经常遇到复杂的病例,很难确定哪种或哪种诊断是合适的。区分自闭症谱系障碍(ASD)、注意力缺陷/多动障碍和智力残疾等神经发育障碍可能是一个复杂的过程,尤其是因为这些障碍有一些重叠的症状,并且经常在幼儿中同时发生。这一系列的案例研究旨在为患有发育问题的儿童提供常见的重叠症状。设计/方法/方法本文介绍了在南加州一家免费社区ASD筛查诊所完成的三个案例研究。结果:这些案例研究有常见的表现行为和症状(如社交困难),这些行为和症状经常在诊断过程中同时发生;在每种情况下都给出了对最终诊断的解释。研究局限性/含义这三个病例的结论不能推广到所有因神经发育问题在诊所就诊的儿童。实际意义这一系列案例研究强调了儿童常见的重叠症状,这些症状与社会和/或行为问题进行了鉴别诊断。讨论了对教育安置和干预的影响。社会影响这些案例突出了有发育问题的幼儿在鉴别和双重诊断过程中所面临的挑战。诊断因素可能会影响以后的教育安排和社会化机会。原创性/价值这一系列案例研究为临床医生提供了如何有效区分常见神经发育障碍的实用信息,特别是考虑到《诊断与统计手册》第5版(DSM-5)的最新变化。
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Differential diagnosis of autism spectrum disorder, intellectual disability and attention-deficit hyperactivity disorder (ADHD)
Purpose Professionals working with community populations are often presented with complicated cases where it is difficult to determine which diagnosis or diagnoses are appropriate. Differentiating among neurodevelopmental disorders such as autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder and intellectual disability can be a complex process, especially, as these disorders have some overlapping symptoms and often co-occur in young children. This series of case studies aims to present commonly overlapping symptoms in children who present to clinics with developmental concerns. Design/methodology/approach This paper presents three case studies that were completed at a free community ASD screening clinic in Southern California. Findings The case studies have common presenting behaviors and symptoms (e.g. social communication difficulties) that often co-occur across diagnoses; explanations for the final diagnoses are given in each case. Research limitations/implications Conclusions from these three cases cannot generalize to all children being seen in clinics for neurodevelopmental concerns. Practical implications This series of case studies highlights commonly overlapping symptoms in children who present for differential diagnosis with social and/or behavioral concerns. Implications for educational placement and intervention are discussed. Social implications These cases highlight the challenges involved in the differential and dual diagnostic process for young children with developmental concerns. Diagnostic considerations can affect later educational placement and opportunities for socialization. Originality/value This series of case studies provide practical information for clinicians about how to effectively differentiate between commonly occurring neurodevelopmental disorders, particularly given recent changes to the Diagnostic and Statistical Manual, 5th edition (DSM-5).
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来源期刊
Advances in Autism
Advances in Autism PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
2.30
自引率
0.00%
发文量
13
期刊介绍: Advances in Autism is unique in its focus on the health and care aspects and outcomes for people with autism. The journal''s content is international in focus and peer-reviewed. It includes the following: research-based articles evidence-based clinical and support articles articles on policy and advances in services where these can be internationally applied. Key areas of research covered include: clinical developments people''s experience through qualitative research policy debates and outcomes inclusion and quality of life developmental issues population and epidemiological studies services developments evidence-based reviews of key practice issues.
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