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: Autismo 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
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