OŠLEJŠKOVÁ, Hana, Ivana KONTROVÁ, Renata FORALOVÁ, Ladislav DUŠEK and Danka NÉMETHOVÁ. The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis. Neuroendocrinology Letters. 2007, vol. 28, No 6, p. 895-900, 5 pp. ISSN 0172-780X.
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Basic information
Original name The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis
Name in Czech The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis
Authors OŠLEJŠKOVÁ, Hana (203 Czech Republic, guarantor), Ivana KONTROVÁ (203 Czech Republic), Renata FORALOVÁ (203 Czech Republic), Ladislav DUŠEK (203 Czech Republic) and Danka NÉMETHOVÁ (703 Slovakia).
Edition Neuroendocrinology Letters, 2007, 0172-780X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Sweden
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.443
RIV identification code RIV/00216224:14110/07:00032916
Organization unit Faculty of Medicine
UT WoS 000252066300029
Keywords in English autism;first symptoms;diagnosis
Tags Autism, diagnosis, first symptoms
Tags International impact, Reviewed
Changed by Changed by: prof. RNDr. Ladislav Dušek, Ph.D., učo 670. Changed: 1/4/2010 09:25.
Abstract
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.
Abstract (in Czech)
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.
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MSM0021622402, plan (intention)Name: Časná diagnostika a léčba kardiovaskulárních chorob
Investor: Ministry of Education, Youth and Sports of the CR, Early diagnostics and treatment of cardiovascular diseases
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