Clinical characteristics of children with autism spectrum disorders from 24-72 months in Can Tho city

Tran Thien Thang, Nguyen Minh Phuong, Huynh Nguyen Phuong Quang, Phan Viet Hung, Vo Van Thi, Nguyen Van Tuan

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Abstract

Autism spectrum disorder is a complex developmental disorder, the term "spectrum" refers to the variety of symptoms and severity of the disorder. Early detection of the disorder is very important for effective intervention. Therefore, it is necessary to determine the clinical characteristics of children with ASD by structured questionnaires and a history of detecting children. Through the study of 60 children with ASD from 24-71 months, we noted: parents are the first to detect abnormalities (96.7%), through 2 common symptoms of "speech delay" (60.0%), “lack of eye contact” (16.7%) mainly at the period of 18-24 months (96.7%), average age at diagnosis was 31.07 + 8.3 months, severe children accounted for 59.4 %. The most common symptom was “do not role playing” in both groups of children < 48 months (93.8%) and > 48 months (71.4%). Thereby, it is necessary to guide parents to recognize the signs of "eye contact" and "speech delay" to detect the disorder early, expand research and develop a questionnaire to screen ASD for Vietnamese people.

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References

1. Maenner MJ, Shaw KA, Baio J. Prevalence of autism spectrum disorder among children aged 8 years autism and developmental disabilities monitoring network, 11 sites, United States, 2016. MMWR Surveillance Summaries. 2020;69(4):1-12. doi: 10.15585/mmwr.ss6904a1.
2. American Psychiatric Association. Desk Reference to the Diagnostic Criteria from DSM – 5, American Psychiatric Publishing, Wasington DC. 2013
3. Ngô Văn Truyền, Nguyễn Văn Thống. Tâm Thần Học. Nhà xuất bản Y học. Hà Nội. 2020
4. Lưu Thị Mỹ Thục, Nguyễn Thị Yến. Một vài nhận xét về bệnh tự kỷ tại viện nhi Trung Ương, Tạp Chí Y Học Thực Hành. 2012 (855)-số 12/2012.
5. Hyman SL, Levy SE, Myers SM. Identification, evaluation, and management of children with autism spectrum disorder. Pediatrics. 2020;145(1):e20193447.doi: 10.1542/peds.2019-3447.
6. Lord C, Risi S, DiLavore PS, et al. Autism from 2 to 9 years of age. Arch Gen Psychiatry. 2006;63(6):694-701. doi: 10.1001/archpsyc.63.6.694.
7. Bilszta JL. Early identification of autism: a comparison of the Checklist for Autism in Toddlers and the Modified Checklist for Autism in Toddlers. Journal of paediatrics and child health. 2013;49(6):438-44. doi: 10.1111/j.1440-1754.2012.02558.
8.Christensen DL, Braun KVN, Baio J, et al. Prevalence and characteristics of autism spectrum disorder among children aged 8 years autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summaries. 2018;65(13):1-23. doi: 10.15585/mmwr.ss6513a1.
9. Nicholas JS, Carpenter LA, King LB, et al. Autism spectrum disorders in preschool-aged children: prevalence and comparison to a school-aged population. Annals of Epidemiology. 2009; 19(11):808-14. doi: 10.1016/j.annepidem.2009.04.005.
10. Nguyễn Minh Phương, Trần Thiện Thắng, Phan Việt Hưng, et al. khảo sát tỷ lệ trẻ từ 18-36 tháng có biểu hiện rối loạn phổ tự kỷ bằng thang điểm m-chat tại trường mầm non ở thành phố cà mau 2020. Tạp chí Y học Việt Nam. 2020; 501(1): 124-128. Doi:10.51298/vmj.v502i1.574.
11. Phuong Minh Nguyen, Thang Thien Tran. Clinical characteristics and associated socio-demographic factors of autism spectrum disorder in vietnamese children. Curr Pediatr Res.2021; 25 (1): 308-312
12. Nguyễn Tấn Đức. Rối loạn phổ tự kỷ và một số yếu tố liên quan ở trẻ 24-72 tháng tuổi tại tỉnh Quảng Ngãi. Tạp chí Y Dược học - Trường Đại học Y Dược Huế. 2018. Tập 8, số 6.
13. Phạm Trung Kiên. Nghiên cứu tỉ lệ hiện mắc và kết quả điều trị tự kỷ trẻ em tại tỉnh Thái Nguyên. Trường Đại Học Quốc Gia Hà Nội. 2014
14. Russell G, Mandy W, Elliott D, et al. Selection bias on intellectual ability in autism research: A cross-sectional review and meta-analysis. Molecular autism. 2019 Mar 1;10:9. doi: 10.1186/s13229-019-0260-x