创伤后应激障碍和自闭症之间有联系吗——基于类固醇激素的描述

M. Gasser
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引用次数: 2

摘要

自闭症被描述为普遍的发育障碍。在DSM-5中,自闭症、阿斯伯格症和PDD-NOS被自闭症谱系障碍的诊断所取代[1]。自闭症谱系障碍通常表现为沟通和社交困难,以及保留常规和坚持相同或特殊兴趣等特殊行为[1]。有趣的是,瑞士的最新发现表明,社会经济因素与自闭症谱系障碍之间存在联系[2]。在Hans Asberger[3]的第一项工作中,就已经描述了一些孩子来自独生子女家庭,这意味着父母的方式和种类是这种疾病的诱发因素。然而,瑞士的最新分析也表明,被诊断为自闭症的儿童往往具有移民或外国背景,这可能与创伤后应激障碍(PTSD)相似[2]。苏黎世地区(瑞士最大的城市)的147名具有典型男孩和女孩关系的儿童队列显示,在沟通技能方面,有趣的是,53%的儿童在家里说一种以上的语言,影响总体行为,尤其是沟通技能(平均1.6种语言)[2-4]。在这一队列中,具有移民背景的家庭的比例明显增加,只有13%的家庭德语(当地语言)是孩子的母亲语言,因此这些发现与其他发现一致[2,5,6]。然而,瑞士的情况因地区而异,从治疗的角度来看,有人多次提到,学校环境是次要的,但更重要的是受过充分教育的照顾者[2,7-9]。取证
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is There a Link Between PTSD and Autistic Disorders – A Description Based on Steroid Hormones
Autism is described as pervasive development disorder. In the DSM-5, Autistic Disorder, Asperger’s Disorder and PDD-NOS are replaced by the diagnosis of Autism Spectrum Disorder [1]. Autism spectrum disorders are generally characterized as difficulties in communication and social interaction as well as special behavior such as retaining routines and insisting on sameness or special interests [1]. Interestingly, newer findings from Switzerland imply, that there is a link between socioeconomic factors and autism spectrum disorders [2]. Already in the first work by Hans Asperger [3] it was described that some children were from one child families and it was implied that the manner and kind of parents were predisposing factors for this disorder. However, also newest analyzes from Switzerland imply that very often children with a diagnosis of Autism have an immigrational or a foreign background yielding to a possible similarity with post-traumatic stress disorders (PTSD) [2]. It was shown for the area of Zürich (the biggest city in Switzerland) in a cohort of 147 children with a typical relationship of boys to girls that concerning communicational skills, interestingly in 53% more than one language was spoken at home affecting behavior in general and especially communicational skills (mean 1.6 languages) [2-4]. In this cohort the share of families with immigrational background was clearly increased and only in 13% of the families German (the local language) was mothers’ language of the children, whereby these findings are in line with others [2,5,6]. However, situation differs from region to region in Switzerland and from a therapeutic point of view it was several times mentioned that schoolish setting is secondary, however more important are adequately educated caregivers [2,7-9]. Evidence acquisition
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