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

Detalhes bibliográficos
Autor(a) principal: Martins Halpern, Cristina
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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
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eng
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/15200
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13397/12169
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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
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2021 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2021 Acta Médica Portuguesa
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publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 34 No. 10 (2021): Outubro; 657-663
Acta Médica Portuguesa; Vol. 34 N.º 10 (2021): Outubro; 657-663
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0870-399X
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