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 » Abstracts » En dybdegående undersøgelse af optimale behandling... (2010) |
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En dybdegående undersøgelse af optimale behandlingsresultater hos børn med en fortid med autismespektrumforstyrrelser
To grupper af børn sammenlignes 8 år efter det oprindelige diagnosetidspunkt - 13 børn, der er blevet afdiagnosticeret fra en tidligere ASF-diagnose og 14 højtfungerende børn med ASF-diagnose. De afdiagnosticerede børns scorer på test af kommunikation, sprog, social adfærd og problemadfærd var på niveau med jævnaldrende, mens gruppen af højtfungerende børn med ASF stadig udviste pragmatiske, lingvistiske, sociale og adfærdsmæssige problemer. De afdiagnosticerede børn adskilte sig fra de øvrige ved at være diagnosticeret i en tidligere alder og ved alle at have modtaget tidlig og intensiv ABA-behandling.
Kelley, E., L. Naigles and D. Fein (2010). An in-depth examination of optimal outcome children with a history of autism spectrum disorders. Research in Autism Spectrum Disorders, 4(3), 526-538.
Previous research has suggested that some children with autism spectrum disorders (ASD) may improve to such an extent that they lose their diagnosis, yet little research has examined these 'optimal outcome' children in depth. We examined multiple aspects of functioning in a group of 13 optimal outcome (OO) children, matched on age, gender, and non-verbal IQ to a group of typically developing children (N = 14) and a group of high-functioning children with ASD who still retained a diagnosis on the autism spectrum (N = 14). These children were tested on average about eight years after they had been diagnosed (OO = 93 months, HFA = 94 months). Unlike their high-functioning peers with ASD, the OO group's adaptive and problem behavior scores fell within the average range. They also showed average language and communication scores on all language measures. The HFA group, however, continued to show pragmatic, linguistic, social, and behavioral difficulties. The OO children tended to have been diagnosed at younger ages and were significantly more likely to have received intensive early intervention. Although the high-functioning children with ASD continued to show difficulties in the behavioral realm, the individuals in the OO group were functioning within the average range on all measures. Future research should address how this optimal outcome is achieved.
Link til tidsskrift i www.bibliotek.dk
Link til online artikel (DOI): 10.1016/j.rasd.2009.12.001
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