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自闭症的数据和事实——来自美国CDC的报告(上)

作者:大语儿童中心

以下这份报告来自于美国疾病预防与控制中心(CDC),是笔者认为2021年以来数据最全面,表述最清晰的一份报告。分两次为大家呈现,希望对家长们有所帮助。

01

Autism Prevalence

  • In 2021, the CDC reported that approximately 1 in 44 children in the U.S. is diagnosed with an autism spectrum disorder (ASD), according to 2018 data.

  • 1 in 27 boys identified with autism

  • 1 in 116 girls identified with autism


  • Boys are four times more likely to be diagnosed with autism than girls.


  • Most children were still being diagnosed after age 4, though autism can be reliably diagnosed as early as age 2.


  • 31% of children with ASD have an intellectual disability (intelligence quotient [IQ] <70), 25% are in the borderline range (IQ 71–85), and 44% have IQ scores in the average to above average range (i.e., IQ >85).


  • Autism affects all ethnic and socioeconomic groups.


  • Minority groups tend to be diagnosed later and less often.


  • Early intervention affords the best opportunity to support healthy development and deliver benefits across the lifespan.


  • There is no medical detection for autism.

自闭症患病率

  • 2021年美国CDC发布报告,根据2018年的数据,美国每44个孩子中有一例被确诊为自闭症谱系障碍。


  • 1/27的男孩被诊断自闭症。


  • 1/116的女孩被诊断自闭症。


  • 男孩确诊自闭症的可能性是女孩的4倍。


  • 大多数孩子是在4岁后确诊的,尽管自闭症可以在2岁前被诊断。


  • 31%被确诊自闭症的孩子连带有智力障碍(智商IQ<70),25%的孩子为智商临界水平(IQ71-85),44%的孩子智商水平高于平均标准(IQ>85)。


  • 自闭症群体涵盖所有种族和社会经济群体。


  • 通常少数族裔群体被诊断得晚一些,而且频率较低。


  • 早期干预是支持孩子健康发展最好的机会,而且让他们受益终生。


  • 自闭症没有(特定的)医学检测。

02

What causes autism?

  • Research indicates that genetics are involved in the vast majority of cases. 


  • Children born to older parents are at a higher risk for having autism. 


  • Parents who have a child with ASD have a 2 to 18 percent chance of having a second child who is also affected. 


  • Studies have shown that among identical twins, if one child has autism, the other will be affected about 36 to 95 percent of the time. In non-identical twins, if one child has autism, then the other is affected about 31 percent of the time.  


  • Over the last two decades, extensive research has asked whether there is any link between childhood vaccinations and autism. The results of this research are clear: Vaccines do not cause autism. 

自闭症患病原因

  • 研究揭示,遗传因素与绝大多数病例有关。


  • 高龄父母产下自闭症患儿的风险更高。


  • 如果第一胎是自闭症患儿,那么有2%-18%的几率第二胎也是此谱系的儿童。


  • 研究揭示在同卵双胞胎中,如果一个孩子罹患自闭症,那么另一个孩子有36—95%的几率会受到影响。非同卵双胞胎中,如果一个孩子罹患自闭症,另一个孩子受到影响的几率是31%。


  • 最近20年,更多研究集中在探索儿童早期疫苗接种和自闭症的关系,结果清晰地表明,疫苗接种不会引发自闭症。

03

Intervention and Supports 

  • Early intervention can improve learning, communication and social skills, as well as underlying brain development.  


  • Applied behavior analysis (ABA) and therapies based on its principles are the most researched and commonly used behavioral interventions for autism. 


  • Many children affected by autism also benefit from other interventions such as speech and occupational therapy. 


  • Developmental regression, or loss of skills, such as language and social interests, affects around 1 in 5 children who will go on to be diagnosed with autism and typically occurs between ages 1 and 3. 

干预和支持:

  • 早期干预训练能够改善孩子的学习、交流和社交技巧,同时促进潜在的大脑发育。


  • 应用行为分析学(ABA)和基于其原理的干预方法是经过深入研究且运用最广泛的自闭症谱系障碍行为干预措施。


  • 很多自闭症谱系障碍的孩子也受益于其他的干预训练方法,比如言语和作业疗法(OT)。


  • 发展衰退和技能缺失,比如语言和社交兴趣缺失,影响到1/5将会被确诊为自闭症的孩子,典型的年龄段在1—3岁。

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