J 2007

The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis

OŠLEJŠKOVÁ, Hana, Ivana KONTROVÁ, Renata FORALOVÁ, Ladislav DUŠEK, Danka NÉMETHOVÁ et. al.

Základní údaje

Originální název

The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis

Název česky

The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis

Autoři

OŠLEJŠKOVÁ, Hana (203 Česká republika, garant), Ivana KONTROVÁ (203 Česká republika), Renata FORALOVÁ (203 Česká republika), Ladislav DUŠEK (203 Česká republika) a Danka NÉMETHOVÁ (703 Slovensko)

Vydání

Neuroendocrinology Letters, 2007, 0172-780X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30000 3. Medical and Health Sciences

Stát vydavatele

Švédsko

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 1.443

Kód RIV

RIV/00216224:14110/07:00032916

Organizační jednotka

Lékařská fakulta

UT WoS

000252066300029

Klíčová slova anglicky

autism;first symptoms;diagnosis

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 1. 4. 2010 09:25, prof. RNDr. Ladislav Dušek, Ph.D.

Anotace

V originále

The primary aim of the research was to find the delay between the first symptoms of an autistic disorder being recognized by parents and diagnosis in our centre. A secondary objective was to evaluate the number of contacts with professionals (physicians, teachers, and speech therapists) in which parents pointed out special manifestations seen in children and, in spite of that, the children were not referred to a specialist. A retrospective study assessed 204 children (59 girls, 145 boys) in total; 126 children (39 girls, 87 boys) with childhood autism (CHA), 57 (17 girls, 40 boys) with atypical autism (AA), and 21 (3 girls, 18 boys) with Aspergers syndrome (AS). The mean age at appearance of the first signs was 29.7 months, and the average age at diagnosis was 81.5 months. The mean delay in making a diagnosis was 51.3 months. The delay in diagnosis is shortest in patients with AA (a mean period of 4.4 months = 3 years and 8 months), longer in CHA patients (49.5 months = 4 years and 2 months), and longest in patients with AS (80.8 months = 6 years and 9 months). A statistically significant difference in the period to diagnosis was found between CHA and AS patients (p=0.023) and between AA and AS patients (p=0.019). The mean number of visits to physicians and other specialists before referring to a specialized centre for diagnosis in N=133 was 2.4. The diagnosis of autism is made late and early educational and behavioural interventions cannot be initiated.

Česky

The primary aim of the research was to find the delay between the first symptoms of an autistic disorder being recognized by parents and diagnosis in our centre. A secondary objective was to evaluate the number of contacts with professionals (physicians, teachers, and speech therapists) in which parents pointed out special manifestations seen in children and, in spite of that, the children were not referred to a specialist. A retrospective study assessed 204 children (59 girls, 145 boys) in total; 126 children (39 girls, 87 boys) with childhood autism (CHA), 57 (17 girls, 40 boys) with atypical autism (AA), and 21 (3 girls, 18 boys) with Aspergers syndrome (AS). The mean age at appearance of the first signs was 29.7 months, and the average age at diagnosis was 81.5 months. The mean delay in making a diagnosis was 51.3 months. The delay in diagnosis is shortest in patients with AA (a mean period of 4.4 months = 3 years and 8 months), longer in CHA patients (49.5 months = 4 years and 2 months), and longest in patients with AS (80.8 months = 6 years and 9 months). A statistically significant difference in the period to diagnosis was found between CHA and AS patients (p=0.023) and between AA and AS patients (p=0.019). The mean number of visits to physicians and other specialists before referring to a specialized centre for diagnosis in N=133 was 2.4. The diagnosis of autism is made late and early educational and behavioural interventions cannot be initiated.

Návaznosti

MSM0021622402, záměr
Název: Časná diagnostika a léčba kardiovaskulárních chorob
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Časná diagnostika a léčba kardiovaskulárních chorob