Avvenire e Jama

 Sull’Avvenire è stata pubblicata un’intervista al prof. Hanau che da sempre si occupa degli aspetti sopratutto istituzionali e psicosociali dell’autismo.Risultano importanti due elementi in questo articolo che vanno sottolineati: uno è l’aumento epidemiologico del disturbo che non ha ancora giustificazioni chiare, l’altro è la necessità di convogliare le massime energie sulla ricerca di base, in particolare genetica.

Ecco l'articolo: pdfAutismo la diagnosi precoce aiuta

Sull’autorevole rivista Jama è stato di recente pubblicato un lavoro che prende in esame una casistica molto numerosa di bambini autistici, seguiti nel loro sviluppo.L’interesse del lavoro riguarda le diversità delle traiettorie di sviluppo che confermano ancora una volta il fatto che l’autismo è un disturbo complesso,più che una malattia e con una prognosi non sempre così negativa.

Di seguito l'articolo:

 

Diversity in Developmental Trajectories in Kids With Autism

 
 
 
Gennaio 28, 2015
 

CHICAGO -- January 28, 2015 -- Preschool children with autism spectrum disorder (ASD) differed from each other in symptom severity and adaptive  functioning at the time of diagnosis and some of these differences  appeared to increase by age 6, according to a study published online by  JAMA Psychiatry.

Although a small proportion of children with ASD will lose the  diagnosis at some point in their life, some literature suggests that ASD is a lifelong condition involving persistent and stable impairments in  language, social skills, educational attainment, and activities of daily living.

Peter Szatmari, MD, Centre for Addiction and Mental Health, Toronto,  Ontario, and colleagues described the developmental trajectories of  autistic symptom severity and adaptive functioning in a group of 421  children with newly diagnosed ASD who were participating in a large  Canadian study. Data collected at 4 points from diagnosis to age 6 years were used to track the developmental trajectories of the children.

Study results showed 2 distinct trajectory groups for autistic  symptom severity: group 1 (11.4% of the children) had less severe  symptoms and an improving trajectory and group 2 (88.6% of the children) had more severe symptoms and a stable trajectory.

For adaptive functioning, the children fell into 3 distinct  trajectories: group 1 (29.2% of the children) had lower functioning and a worsening trajectory, group 2 (49.9% of the children) had moderate  functioning and a stable trajectory, and group 3 (20.9% of the children) had higher functioning and an improving trajectory.

Researchers found that sex was associated with what autistic symptom  severity group children would be in, and female sex was associated with  the group with less severe and improving symptoms. Age at diagnosis, and language and cognitive scores at baseline were associated with grouping for adaptive functioning.

“During the preschool years, there appears to be only a small amount  of ‘yoking’ of the developmental trajectories in autistic symptom  severity and adaptive functioning,” the authors wrote. “It is imperative that a flexible suite of interventions that target both autistic  symptom severity and adaptive functioning should be implemented and  tailored to each child’s strengths and difficulties.”

SOURCE: JAMA Psychiatry