母亲认为自闭症谱系障碍儿童的母乳喂养问题

Katarzyna Makarewicz, Agnieszka Nowacka
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引用次数: 0

摘要

前言:本文介绍了自闭症谱系儿童早期哺乳过程的分析。对母亲进行了结构化的详细访谈,并进行了一项原始调查,其中包含有关新生儿和婴儿时期哺乳和营养的问题。随后被诊断为自闭症的孩子的母亲也被问及母乳喂养期间出现的令人担忧的症状。材料和方法:样本材料来自有几个孩子的母亲,而被诊断患有自闭症的孩子在大多数情况下是第二个孩子,并且有健康的兄弟姐妹。大多数接受调查的母亲以自然方式喂养儿童,同时在新生儿和婴儿中存在哺乳和营养问题。尽管发育障碍的全面诊断是在平均4岁时做出的,但该论文还提出了母亲在非常早期阶段报告的发育困难。结果:母亲观察到的非神经典型症状涵盖了整个范围,有时非常微妙的表现-从脑电图尖叫,睡眠障碍,母乳喂养问题,非典型反应,缺乏情感互惠,感觉加工障碍以及运动和神经问题。结论:该研究引起了人们对新生儿和婴儿时期儿童整体发展问题的关注,在非常早期阶段的发展中谨慎的不规则性的重要性,当与评估自闭症风险的简单筛查方法相结合时,可能对及时诊断和启动适当形式的治疗具有关键意义。关键词:母乳喂养与自闭症风险,自闭症谱系,自闭症早期症状
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Breastfeeding problems in children diagnosed with autism spectrum disorder in mothers’ opinion
Introduction: The paper presents the analysis of lactation process in the early childhood in children diagnosed with autism spectrum. A structured, detailed interview of mothers and an original survey containing questions concerning lactation and nutrition in the neonatal and infant periods were carried out. Mothers of children with a subsequent autism diagnosis were also asked about worrying symptoms that occurred while breastfeeding. Material and methods: The sample material was obtained from mothers with several children whereas the child diagnosed with autism was in most cases the second one and had healthy siblings. Most surveyed mothers fed children in a natural way at the same time having lactation and nutrition problems in newborns and infants. The paper also presents developmental difficulties at a very early stage reported by mothers in spite of the fact that the full diagnosis of developmental disorders was made at the age of 4 on average. Results: Non-neurotypical symptoms observed by mothers cover the whole range of sometimes very subtle manifestations – from encephalitic scream, sleep disorders, breastfeeding problems, atypical responses, lack of emotional reciprocity to the disorders of sensory processing as well as motor and neurological problems. Conclusions: The study draws attention to the issue of integral child’s development in the neonatal and infant period, the significance of discreet irregularities in the development at a very early stage, which, when combined with the simple screening methods assessing the risk of autism, may be of key importance for timely diagnosis and initiation of adequate forms of therapy. Keywords: breastfeeding and risk of autism, autism spectrum, early symptoms of autism
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来源期刊
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期刊介绍: The quarterly Current Problems of Psychiatry is a continuation of the volume "Research on Schizophrenia" and is addressed to a wide group of psychiatrists and clinical psychologists. The quarterly is a reviewed scientific journal of international scope, publishing original papers, review papers, case studies, conference reports, letters to the editor and book reviews. The aim of the "Current Problems of Psychiatry" is providing a wide audience with scientific works, representing a significant contribution to the development of psychiatry and clinical psychology. The works published in the journal are printed in Polish and English. Terms and Conditions for publishing manuscripts in the quarterly are available on the website www.cppsych.umlub.pl in the tab "Requirements".
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