中国心理卫生杂志2012，Vol.26Issue(6)：460-465,6.DOI:10.3969/j.issn.1000-6729.2012.06.013
2～6岁儿童广泛性发育障碍的3年后随访
A 3-year follow-up study of 2 - 6 years children with diagnosis of pervasive developmental disorder
刘靖 1梁爱民 2贾美香 1杨晓玲 1邵翠霞 3李勇 3施继良 3曲成毅 4张致祥 5张秀玲2
作者信息
- 1. 北京大学精神卫生研究所,卫生部精神卫生学重点实验室(北京大学),北京100191
- 2. 北京市妇幼保健院,北京100026
- 3. 北京市残疾人康复服务指导中心,北京100070
- 4. 山西医科大学公共卫生学院,太原030001
- 5. 北京大学第一医院,北京100034
- 折叠
摘要
Abstract
Objective: To investigate the short terra prognosis and intervention of children with pervasive developmental disorder (PDD) . Methods: The 29 children who were diagnosed as PDD in 2004 were diagnosed a-gain after (38.07 ±0. 87) months according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) and assessed with Childhood Autism Rating Scale, Gesell Developmental Schedule or Chinese-Wechsler Intelligence Scale for Children, Achenbach Child Behavior Checklist, Sensory Integrative Schedule, the self-made general condition questionnaire and questionnaire for psychiatric children. Results; Totally 26 children with PDD were followed up. Among them, 4(15.4%) cases got much improvement, 4(15.4%) got improve- mem, 15 (57. 7% ) got no improvement, 2 (7.1% ) got worse. Twenty-one (80. 8%) children had the same diagnosis with 2004, 1 child's diagnosis changed from autism to atypical autism, 2 children with autism and 2 children with atypical autism in 2004 did not meet with diagnosis of PDD at follow up. The rehabilitation intervention to these children was little. The education arrangement for these children was limited. The percentage of children co-morbid with mental retardation, sensory disintegration, hypcractivity, limb disability and epilepsy in children diagnosed as PDD at follow up were separately 90.9% , 76.2%, 52.4%, 18.2% and 18.2%. Conclusion; It suggests that most of children with PDD have poor short term prognosis, and only small part of children with PDD have relatively good prognosis.关键词
广泛性发育障碍/儿童孤独症/随访/诊断/康复Key words
pervasive developmental disorder/ autism/ follow-up/ diagnosis/ rehabilitation分类
医药卫生引用本文复制引用
刘靖,梁爱民,贾美香,杨晓玲,邵翠霞,李勇,施继良,曲成毅,张致祥,张秀玲..2～6岁儿童广泛性发育障碍的3年后随访[J].中国心理卫生杂志,2012,26(6):460-465,6.
