Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397 |
Resumo: | Introduction: The Centro de Estudos do Bebé e da Criança in Hospital Dona Estefânia has organized a multidisciplinary model for children under three with suspected autism spectrum disorder, thus implementing the recent guidelines established by the Directorate General for Health. The aim of this study is to describe this model and case series.Material and Methods: A retrospective descriptive study of observed children with suspected ASD. They were observed according to the model of the Centro de Estudos do Bebé e da Criança and DC:0-5TM classification, between January 2018 and September 2019.Results: The study included 178 children. The average age at the initial assessment was 27 months. From the total sample, 116 children concluded the diagnostic sessions (axis I): Autism Spectrum Disorder/Early Atypical (36%), Developmental Language Disorder (18%), Other (19%). Factors of axes II, III, IV and V of DC:0-5TM were determinant for clinical diagnosis in 26%.Discussion: Of 116 children, 36% were diagnosed with Autism Spectrum Disorder. This highlights the diagnostic challenge posed by neurodevelopmental disorders in early infancy. The sample shows that the characteristics of the relationship with the caregiver (axis II), presence of physical conditions (axis III), psycho-social stressors (axis IV) and developmental trajectory (axis V) have a significant clinical impact. In the future, the initial assessment should take place well before the age of 27 months because of the impact on prognosis.Conclusion: This model is a pioneering approach in Portugal. It promotes a common approach of Child and Adolescent Psychiatry and Neuropediatrics/Developmental Pediatrics in early infancy. Moreover, it increases the diagnostic acuity of Autism Spectrum Disorders and early therapeutic intervention. |
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Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic InterventionA Perturbação do Espetro do Autismo na Primeira Infância: O Modelo do Centro de Estudos do Bebé e da Criança de Avaliação Diagnóstica e Intervenção TerapêuticaAutism Spectrum Disorder/diagnosisAutism Spectrum Disorder/therapyChildInfantPortugalCriançaLactentePerturbação do Espetro do Autismo/diagnósticoPerturbação do Espetro do Autismo/tratamentoPortugalIntroduction: The Centro de Estudos do Bebé e da Criança in Hospital Dona Estefânia has organized a multidisciplinary model for children under three with suspected autism spectrum disorder, thus implementing the recent guidelines established by the Directorate General for Health. The aim of this study is to describe this model and case series.Material and Methods: A retrospective descriptive study of observed children with suspected ASD. They were observed according to the model of the Centro de Estudos do Bebé e da Criança and DC:0-5TM classification, between January 2018 and September 2019.Results: The study included 178 children. The average age at the initial assessment was 27 months. From the total sample, 116 children concluded the diagnostic sessions (axis I): Autism Spectrum Disorder/Early Atypical (36%), Developmental Language Disorder (18%), Other (19%). Factors of axes II, III, IV and V of DC:0-5TM were determinant for clinical diagnosis in 26%.Discussion: Of 116 children, 36% were diagnosed with Autism Spectrum Disorder. This highlights the diagnostic challenge posed by neurodevelopmental disorders in early infancy. The sample shows that the characteristics of the relationship with the caregiver (axis II), presence of physical conditions (axis III), psycho-social stressors (axis IV) and developmental trajectory (axis V) have a significant clinical impact. In the future, the initial assessment should take place well before the age of 27 months because of the impact on prognosis.Conclusion: This model is a pioneering approach in Portugal. It promotes a common approach of Child and Adolescent Psychiatry and Neuropediatrics/Developmental Pediatrics in early infancy. Moreover, it increases the diagnostic acuity of Autism Spectrum Disorders and early therapeutic intervention.Introdução: O Centro de Estudos do Bebé e da Criança do Hospital Dona Estefânia desenvolveu um modelo multidisciplinar de atuação na suspeita de perturbação do espetro do autismo na primeira infância, aplicando a recente norma da Direção Geral da Saúde. Pretende-se descrever a sua apresentação e casuística.Material e Métodos: Estudo retrospetivo descritivo da série de crianças(< 3 anos), observadas por suspeita de perturbação do espetro do autismo, entre janeiro de 2018 e setembro de 2019, segundo este modelo e a classificação DC:0-5TM.Resultados: Foram observadas 178 crianças. A idade média da primeira consulta foi de 27 meses. Do total de crianças observadas, 116 concluíram as sessões diagnósticas (diagnóstico eixo I): perturbação do espetro do autismo/ perturbação do espetro do autismo atípica precoce (36%), perturbação do desenvolvimento da linguagem (18%), outros(19%). Em 26% dos casos, o quadro foi atribuído a fatores classificados em outros eixos.Discussão: O diagnóstico de perturbação do espetro do autismo foi colocado em 36%, demonstrando o desafio diagnóstico das perturbações do neurodesenvolvimento na primeira infância. A casuística demonstra ainda que as características da relação com o cuidador (eixo II), a presença de condições físicas (eixo III), fatores de stress psicossociais (eixo IV) e a trajetória de desenvolvimento (eixo V) têm um impacto clínico significativo. É desejável a antecipação da idade de sinalização pelo impacto no prognóstico.Conclusão: Este modelo é pioneiro em Portugal ao propor uma atuação conjunta de duas especialidades na primeira infância: pedopsiquiatria e neuropediatria/pediatria desenvolvimento. Este modelo de atuação melhora a acuidade diagnóstica e permite a intervenção terapêutica precoce.Ordem dos Médicos2021-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/octet-streamapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397Acta Médica Portuguesa; Vol. 34 No. 10 (2021): Outubro; 657-663Acta Médica Portuguesa; Vol. 34 N.º 10 (2021): Outubro; 657-6631646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/6240https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/15200https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12169https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12217https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12373https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12506https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12507https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12979Direitos de Autor (c) 2021 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessMartins Halpern, CristinaCaldeira da Silva, PedroCosta, DianaNascimento, Maria JoãoMesquita Reis, JoanaMartins, Maria TeresaPinto Ferreira, BertaSantos, IsabelCarvalho, LíliaPaiva Gomes, MadalenaMartins, ManuelaPimentel, Maria JoãoLopes, PatríciaSilva, PaulaRapazote, RitaCatarino, SílviaAires Pereira, SusanaPereira, SusanaAfonso, Sílvia2023-07-16T03:00:16Zoai:ojs.www.actamedicaportuguesa.com:article/13397Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:20.743112Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention A Perturbação do Espetro do Autismo na Primeira Infância: O Modelo do Centro de Estudos do Bebé e da Criança de Avaliação Diagnóstica e Intervenção Terapêutica |
title |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
spellingShingle |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention Martins Halpern, Cristina Autism Spectrum Disorder/diagnosis Autism Spectrum Disorder/therapy Child Infant Portugal Criança Lactente Perturbação do Espetro do Autismo/diagnóstico Perturbação do Espetro do Autismo/tratamento Portugal |
title_short |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
title_full |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
title_fullStr |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
title_full_unstemmed |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
title_sort |
Autism Spectrum Disorder in Infancy and Early Childhood: The Model of the Centro de Estudos do Bebé e da Criança for Diagnosis and Therapeutic Intervention |
author |
Martins Halpern, Cristina |
author_facet |
Martins Halpern, Cristina Caldeira da Silva, Pedro Costa, Diana Nascimento, Maria João Mesquita Reis, Joana Martins, Maria Teresa Pinto Ferreira, Berta Santos, Isabel Carvalho, Lília Paiva Gomes, Madalena Martins, Manuela Pimentel, Maria João Lopes, Patrícia Silva, Paula Rapazote, Rita Catarino, Sílvia Aires Pereira, Susana Pereira, Susana Afonso, Sílvia |
author_role |
author |
author2 |
Caldeira da Silva, Pedro Costa, Diana Nascimento, Maria João Mesquita Reis, Joana Martins, Maria Teresa Pinto Ferreira, Berta Santos, Isabel Carvalho, Lília Paiva Gomes, Madalena Martins, Manuela Pimentel, Maria João Lopes, Patrícia Silva, Paula Rapazote, Rita Catarino, Sílvia Aires Pereira, Susana Pereira, Susana Afonso, Sílvia |
author2_role |
author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Martins Halpern, Cristina Caldeira da Silva, Pedro Costa, Diana Nascimento, Maria João Mesquita Reis, Joana Martins, Maria Teresa Pinto Ferreira, Berta Santos, Isabel Carvalho, Lília Paiva Gomes, Madalena Martins, Manuela Pimentel, Maria João Lopes, Patrícia Silva, Paula Rapazote, Rita Catarino, Sílvia Aires Pereira, Susana Pereira, Susana Afonso, Sílvia |
dc.subject.por.fl_str_mv |
Autism Spectrum Disorder/diagnosis Autism Spectrum Disorder/therapy Child Infant Portugal Criança Lactente Perturbação do Espetro do Autismo/diagnóstico Perturbação do Espetro do Autismo/tratamento Portugal |
topic |
Autism Spectrum Disorder/diagnosis Autism Spectrum Disorder/therapy Child Infant Portugal Criança Lactente Perturbação do Espetro do Autismo/diagnóstico Perturbação do Espetro do Autismo/tratamento Portugal |
description |
Introduction: The Centro de Estudos do Bebé e da Criança in Hospital Dona Estefânia has organized a multidisciplinary model for children under three with suspected autism spectrum disorder, thus implementing the recent guidelines established by the Directorate General for Health. The aim of this study is to describe this model and case series.Material and Methods: A retrospective descriptive study of observed children with suspected ASD. They were observed according to the model of the Centro de Estudos do Bebé e da Criança and DC:0-5TM classification, between January 2018 and September 2019.Results: The study included 178 children. The average age at the initial assessment was 27 months. From the total sample, 116 children concluded the diagnostic sessions (axis I): Autism Spectrum Disorder/Early Atypical (36%), Developmental Language Disorder (18%), Other (19%). Factors of axes II, III, IV and V of DC:0-5TM were determinant for clinical diagnosis in 26%.Discussion: Of 116 children, 36% were diagnosed with Autism Spectrum Disorder. This highlights the diagnostic challenge posed by neurodevelopmental disorders in early infancy. The sample shows that the characteristics of the relationship with the caregiver (axis II), presence of physical conditions (axis III), psycho-social stressors (axis IV) and developmental trajectory (axis V) have a significant clinical impact. In the future, the initial assessment should take place well before the age of 27 months because of the impact on prognosis.Conclusion: This model is a pioneering approach in Portugal. It promotes a common approach of Child and Adolescent Psychiatry and Neuropediatrics/Developmental Pediatrics in early infancy. Moreover, it increases the diagnostic acuity of Autism Spectrum Disorders and early therapeutic intervention. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/6240 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/15200 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12169 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12217 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12373 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12506 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12507 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12979 |
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Direitos de Autor (c) 2021 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2021 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/pdf application/octet-stream application/pdf application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 34 No. 10 (2021): Outubro; 657-663 Acta Médica Portuguesa; Vol. 34 N.º 10 (2021): Outubro; 657-663 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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