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Risiko autisme meningkat untuk anak-anak terlantar yang ditempatkan di lembaga-lembaga
Date:
February 2, 2015
Source:
Elsevier
Summary:
Penelitian menunjukkan , Anak-anak yang ditinggalkan untuk perawatan institusional memiliki peningkatan risiko untuk perilaku serupa dengan yang terlihat pada anak-anak dengan autisme , termasuk gangguan komunikasi sosial. Ketika anak-anak ini pindah ke perawatan keluarga asuh yang berpusat pada anak di usia muda , perilaku sosial mereka meningkat .
............. Pada usia 10 tahun , 117 anak-anak dinilai . Pengasuh utama setiap anak mengisi Komunikasi Kuesioner Sosial ( SCQ ) , yang menilai untuk gejala yang berhubungan dengan autisme , termasuk kemampuan komunikasi sosial . Anak-anak dengan perhatian untuk kemungkinan autisme kemudian dirujuk untuk evaluasi perkembangan saraf penuh untuk menentukan apakah mereka bertemu Diagnostik dan Statistik manual Gangguan Mental ( DSM ) kriteria untuk autisme .....more
Risk for autism
increases for abandoned children placed in institutions
Date:
February 2, 2015
Source:
Elsevier
Summary:
Children who were abandoned to institutional care have an increased risk
for behaviors similar to those seen in children with autism, including impaired
social communication, research shows. When these children were moved into
child-centered foster family care at a young age, their social behaviors
improved.
.............
A recent study published in the February 2015 issue of the Journal of the American Academy of Child and Adolescent Psychiatry demonstrates that
children who were abandoned to institutional care have an increased risk for
behaviors similar to those seen in children with autism, including impaired
social communication. When these children were moved into child-centered foster
family care at a young age, their social behaviors improved.
As part of the Bucharest Early Intervention Project, 136 children abandoned
at birth and raised in institutions in Bucharest, Romania were randomly
assigned to either continued care as usual in the institution, or high quality
foster care created and maintained by the investigators. The children averaged
23 months of age at the time of randomization.
At 10 years of age, 117 children were assessed. Each child's primary
caregiver filled out the Social Communication Questionnaire (SCQ), which
assesses for symptoms associated with autism, including social communication
skills. Children with concern for possible autism were then referred for a full
neurodevelopmental evaluation to determine whether they met the Diagnostic and
Statistical Manual of Mental Disorders (DSM) criteria for autism.
Five children with a history of institutional care (three in the
institutional care as usual group and two in the foster care group) met the DSM
diagnostic criteria for autism spectrum disorder. In a comparison group of 100
age-matched, never-institutionalized children living in Bucharest, Romania, no
child met criteria for autism spectrum disorder. Based on SCQ scores, children
in the foster care group were identified as having more typical social
behaviors compared to children in the institutional care as usual group.
These findings suggest that children with a history of institutional care
are at increased risk for behaviors associated with autism, including social
communication difficulties. These behaviors improved with an early intervention
of quality foster care.
The authors strongly emphasize that in the vast majority of autism cases in
the general population, children are raised in caring families, and
psychosocial deprivation plays no role. "Although the institutionalized
children with autism resemble children with autism in the general population,
the origins of their symptoms are very different," says Charles A. Nelson
PhD of Boston Children's Hospital and Harvard Medical School, who is senior
author on the paper. "We believe that both groups suffer deprivation, but
of different types: In institutionalized children, the deprivation comes from
their environment, while in the general population, the autism itself causes a
kind of deprivation, making it harder for children to perceive and understand
social cues."
Story Source:
The above post is reprinted from materials provided byElsevier. Note: Materials
may be edited for content and length.
Journal Reference:
1.
April R. Levin, Nathan A. Fox, Charles H. Zeanah, Charles A. Nelson. Social
Communication Difficulties and Autism in Previously Institutionalized Children. Journal
of the American Academy of Child & Adolescent Psychiatry, 2015; 54 (2):
108 DOI: 10.1016/j.jaac.2014.11.011