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EARLY MANIFESTATIONS IN AUTISTIC SPECTRUM DISORDERS - Manifestari precoce in tulburarile de spectru autist - Simona Cristina Macovei, Tiberiu Mircea

Simona Cristina Macovei ٭, Tiberiu Mircea٭٭

Abstract

Objective: Autism is considered a problem of national health taking into account the prevalence. Literature considers a group of syndromes – Autistic Spectrum Disorders (ASD). American Academy of Pediatrics  recommands that all children should be evaluated for developmental issues in order to identify risk factors for ASD. A certain delay in achieving expressive language is an early unspecific manifestation for ASD, but for those that achieved this language one can see a discrepancy between expressive language and delay in receptive language. Our aim was to identify the specific early manifestations that could be predictable for a further autism diagnose.

Method: retrospective study  with control groups and ADHD and ASD groups.

Results: The results about expressive and receptive language reveal early manifestations in ASD, for evaluating the receptive language the differences are significant and specific for ASD.

Conclusions: A certain delay in achieving expressive language is an early unspecific manifestation for ASD.

Key words: autism, ASD, ADHD, delay in expressive language

Rezumat

Obiectiv :Autismul este considerat o problema importanta de sanatate, data fiind prevalenta. Literatura vorbeste de un grup de sindroame – tulburarile de spectru autist (TSA). Academia Americana de Pediatrie recomanda evaluarea dezvoltarii pentru depistarea precoce a factorilor de risc. O intarziere in dezvoltarea limbajului expresiv poate fi o manifestare nespecifica, iar cei care dobandesc acest limbaj pot avea mai tarziu o discrepanta intre limbajul receptive si expresiv. Scopul studiului nostru a fost identificarea manifestarilor timpurii specifice predictive pentru un viitor diagnostic de TSA.

 Metoda : studiu retrospectiv cu grup de control si grupuri de studiu cu TSA si ADHD.

 Rezultate: diferente specifice pentru TSA in limbajul receptiv si expresiv.

 Concluzii : o oarecare intarziere in achizitionarea limbajului expresiv este o manifestare nespecifica timpurie pentru TSA.

Cuvinte cheie: autism, tulburare  de spectru autist, ADHD, intarziere in dezvoltarea limbajului expresiv

٭Medic primar psihiatria copilului si adolescentului, Spitalul Clinic de Psihiatrie “Alexandru Obregia”, Bucuresti; tel 0213344266; simona.macovei@gmail.com

٭٭Profesor Universitar, UMF “ Victor Babes” Timisoara, Clinica de Psihiatrie  pentru Copii si Adolescenti a Spitalului Clinic de Urgenta pentru copii “L. Tutcanu”, Timisoara; tel. 0256201976; tiberiumircea@yahoo.com