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1.四川大学华西第二医院儿童保健护理单元/四川大学护理学院 成都 610041
2.出生缺陷与相关妇儿疾病教育部重点实验室 成都 610041
帖晓容 本科 护师;研究方向:孤独症等儿童神经发育障碍性疾病
秦瑞,E-mail:qinrui3026@163.com
纸质出版日期:2023-05-15,
收稿日期:2022-10-10,
移动端阅览
帖晓容,唐孟言,秦瑞等.CHCIA与Gesell在孤独症谱系障碍婴幼儿早期筛查中的相关性分析[J].中国听力语言康复科学杂志,2023,21(03):317-320.
TIE Xiao-rong,TANG Meng-yan,QIN Rui,et al.Correlation Analysis of CHCIA and Gesell in Early Screening of in Infants with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):317-320.
帖晓容,唐孟言,秦瑞等.CHCIA与Gesell在孤独症谱系障碍婴幼儿早期筛查中的相关性分析[J].中国听力语言康复科学杂志,2023,21(03):317-320. DOI: 10.3969/j.issn.1672-4933.2023.03.024.
TIE Xiao-rong,TANG Meng-yan,QIN Rui,et al.Correlation Analysis of CHCIA and Gesell in Early Screening of in Infants with Autism Spectrum Disorder[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(03):317-320. DOI: 10.3969/j.issn.1672-4933.2023.03.024.
目的
2
探究中国婴幼儿期孤独症筛查量表(the checklist for china’s infants with autism,CHCIA)及Gesell发育量表在孤独症谱系障碍(autism spectrum disorder)婴幼儿早期筛查中各维度的相关性及阳性结果的一致性,为ASD婴幼儿早期筛查及诊断提供参考与思路。
方法
2
选取于2021年1月~2022年4月在华西第二医院儿童保健门诊高度怀疑ASD或全面/语言发育迟缓的婴幼儿109例,回顾性收集幼儿基本信息、CHCIA及Gesell测评结果,对比分析两种量表测评结果的相关性及阳性结果的一致性。
结果
2
CHCIA总结果及各维度与Gesell各能区呈低度相关(除大运动能区)。CHCIA语言沟通维度与Gesell语言能区相关(
r
=0.445)且阳性结果一致性较高,CHCIA社交互动维度与Gesell个人社会能区相关(
r
=0.327)且阳性结果一致性较高,CHCIA兴趣与行为维度与Gesell相关度不大。
结论
2
Gesell可明确婴幼儿发育迟缓的能区并量化发育迟缓严重程度,联合CHCIA可显著甄别ASD婴幼儿早期兴趣狭隘与行为刻板的核心症状,可采用Gesell联合CHCIA对24月龄前ASD及全面发育迟缓、语言发育迟缓婴幼儿进行早期筛查与鉴别诊断。
Objective
2
To explore the correlation of the Checklist for China's Infants with Autism(CHCIA) scale and Gesell development scale and understand the consistency of positive results in both scales
providing references for early screening and diagnosis of autistic spectrum disorder (ASD) infants.
Methods
2
From January 2021 to April 2022
109 infants who were highly suspected of autism or comprehensive/language development retardation in the Children's Health Clinic of West China Second Hospital were selected. The characteristics
the results of CHCIA and Gesell were collected retrospectively
and the correlation between the results of the two scales and the consistency of positive results were analyzed.
Resutls
CHCIA and its all dimensions are in low correlation with Gesell (except for the great motor development region). The dimension of language in CHCIA is mainly related to the language region in Gesell (
r
=0.445) and the positive results are highly consistent
the social interaction dimension in CHCIA is mainly related to the individual-social region in Gesell (
r
=0.327) and the positive results are highly consistent
and the interest-behavior dimensions in CHCIA have little correlation with Gesell.
Conclusions
2
Gesell development scale can identify the specific region of infant development retardation and quantify the severity of retardation
in combination with CHCIA which can significantly identify the core symptoms of narrow interest and stereotyped behavior in autistic infants. It is suggested that Gesell combined with CHCIA can be used for early screening and differential diagnosis of ASD and comprehensive/language development retardation in infants before 24 months age.
孤独症谱系障碍早期筛查诊断
Autism spectrum disorderEarling screeningDiagnosis
美国精神医学学会.精神障碍诊断与统计手册(第五版)[M]. 北京:北京大学医学出版社, 2016.46-47.
Hyman SL, Levy SE, Myers SM. Identification, Evaluation, and Management of Children With Autism Spectrum Disorder[J]. Pediatrics,2020,145(1):e20193447.
Shaw KA, Maenner MJ, Bakian AV, et al. Early Identification of Autism Spectrum Disorder Among Children Aged 4 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018[J]. MMWR.Surveillance Summaries, 2021,70(10):1-14.
Zablotsky B, Black LI, Blumberg SJ. Estimated Prevalence of Children With Diagnosed Developmental Disabilities in the United States, 2014-2016[J]. NCHS Data Brief, 2017, 11(291):1-8.
刘贤,林穗方,陈文雄,等.中国儿童孤独症谱系障碍患病率Meta分析[J].中国儿童保健杂志,2018,26(04):402-406, 429.
邵智,张雅如,赵琴,等.中国婴幼儿期孤独症筛查量表的编制及信效度检验[J].中国儿童保健杂志,2019,27(01):15-18, 22.
徐姗姗,黄红,张劲松.婴幼儿诊断性发育量表研究及应用进展[J].中国儿童保健杂志,2010,18(11):859-861.
Sally JR, Geraldine D. 孤独症婴幼儿早期介入丹佛模式[M]. 上海: 上海科学技术出版社, 2014.16-20.
李洪华, 单玲, 杜琳,等. 儿童孤独症谱系障碍的治疗研究进展[J]. 中国当代儿科杂志, 2015, 17(08):886-892.
Lipkin PH, Macias MM. Council On Children With Disabilities, Section On Developmental And Behavioral Pediatrics. Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening[J]. Pediatrics, 2020,145(1): e20193449.
熊雪桦,林凡裕.孤独症谱系障碍的临床早期筛查量表[J].中国听力语言康复科学杂志,2022,20(01):76-80.
梁泽玉. 国内自闭症早期筛查现状分析及对策研究[D].东南大学,2018.
邹园园,张素卿,黄师菊,等.2~3岁儿童孤独症谱系障碍与发育性语言障碍的Gesell结果分析[J].中国儿童保健杂志,2015,23(03):298-300.
姜凌霄,李改智,杜亚松.孤独谱系障碍筛查工具的比较分析[J].中国神经精神疾病杂志,2015,41(03):189-192.
Surén P, Saasen-Havdahl A, Bresnahan M, et al. Sensitivity and specificity of early screening for autism[J]. BJPsych Open,2019,5(3):e41.
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