DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY

Pelin ÇELİK, (Ankara Şehir Hastanesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Gelişimsel ve Davranışsal Pediatri Anabilim Dalı, Ankara, Türkiye)
İclal SUCAKLI, (Ankara Şehir Hastanesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Gelişimsel ve Davranışsal Pediatri Anabilim Dalı, Ankara, Türkiye)
Gulser DİNÇ, (Ankara Şehir Hastanesi, Çocuk ve Ergen Psikiyatrisi Bölümü, Ankara, Türkiye)
Halil YAKUT (Ankara Şehir Hastanesi, Çocuk Sağlığı ve Hastalıkları Bölümü, Ankara, Türkiye)
Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi
1 0
Yıl: 2020 Cilt: 53 Sayı: 3 Sayfa Aralığı: 148 - 154 Metin Dili: İngilizce DOI: 10.20492/aeahtd.709373 İndeks Tarihi: 26-11-2021

DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY

Öz:
AIM: The aim of the study was to describe the clinical and developmental characteristics of toddlers with autism spectrum disorder (ASD); and find out early manifestations. MATERIAL AND METHOD: Medical records of 134 ASD diagnosed children under 4 years of age between January 2017-May 2019 were retrospectively reviewed. Developmental characteristics of the children diagnosed at ≤24 months and >24 months of age were compared. RESULTS: Forty-three (32.1%) of the children were diagnosed with autism at ≤24 months of age, and 91 (67.9%) were diagnosed at > 24 months. The most common concern expressed by parents at admission was language delay (46.2%). While only 1.5% of parents named “autism” spontaneously as a concern at admission, 73.9% of parents expressed concerns about ASD when the history was detailed. Parental concern about ASD (p=0.031) and mothers’ educational level >8 years (p=0.002) were correlated with earlier diagnosis. Children diagnosed at ≤24 months of age were more likely to have inability to follow verbal commands (p=0.012) and delayed motor milestones (p=0.008). Other ASD signs and clinical characteristics were similar between children who diagnosed at ≤24 and >24 months of age. CONCLUSION: The signs of ASD emerge over the first 2 years of life. Children who diagnosed ASD at ≤24 months of age have poorer receptive language and motor skills. Parents recognized the warning signs of ASD, but they might have not express their concerns clearly. Pediatricians should take time to listen the parents’ developmental concerns and notice the early symptoms of ASD.
Anahtar Kelime:

ÜÇÜNCÜ BASAMAK SAĞLIK HİZMETİ VEREN BİR MERKEZDE OTİZM SPEKTRUM BOZUKLUĞU NEDENİYLE İZLENEN KÜÇÜK ÇOCUKLARIN GELİŞİMSEL ÖZELLİKLERİ

Öz:
AMAÇ: Çalışmanın amacı otizm spektrum bozukluğu (OSB) tanısı alan küçük çocukların klinik ve gelişimsel özelliklerini tanımlamak ve OSB’nin erken belirtilerini araştırmaktı. GEREÇ VE YÖNTEM: Ocak 2017-Mayıs 2019 tarihleri arasında, 4 yaş altında, otizm tanısı alan 134 çocuğun tıbbi kayıtları geriye dönük olarak incelendi. Yirmi dört aylık ve öncesinde tanı alan çocuklarla, 24 aylıktan sonra tanı alanların gelişimsel özellikleri karşılaştırıldı. BULGULAR: Çocukların 43'ü (%32,1) 24 aylık ve öncesinde, 91'i (%67,9) ise 24 aylıktan sonra otizm tanısı almıştı. Ebeveynlerin en sık başvuru yakınması konuşma gecikmesiydi (%46,2). Ebeveynlerin sadece %1,5'inin başvuru yakınmalarını kendiliğinden “otizm” olarak bildirdikleri, %73,9'unun ise öykü derinleştirildiğinde OSB ile ilgili kaygılarını dile getirdikleri saptandı. Ebeveynlerin OSB ile ilişkili kaygı bildirmesi (p=0,031) ve anne eğitim süresinin >8 yıl olması (p = 0,002) daha erken tanı ile ilişkili saptandı. Yirmi dört aylık ve öncesinde tanı alan çocuklarda, komut almada zorluk (p=0,012) ve hareket alanında gecikme (p=0,008) daha sıktı. Diğer OSB bulguları ve klinik özellikler ≤24 ay ve >24 ay tanı alan çocuklarda benzerdi. SONUÇ: OSB belirtileri yaşamın ilk 2 yılında ortaya çıkmaktadır. OSB tanısını 24 aylık ve öncesinde alan çocuklarda, alıcı dil ve hareket işlevlerinde zorluk daha sıktır. Ebeveynler OSB belirtilerini farketmelerine rağmen, endişelerini açıkça ifade etmeyebilirler. Çocuk hekimleri ailelerin gelişim ile ilgili kaygılarını dinlemek için onlara zaman ayırmalı ve OSB'nin erken belirtilerini farketmelidirler.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Celik P, sucaklı i, Dinc G, yakut i (2020). DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. , 148 - 154. 10.20492/aeahtd.709373
Chicago Celik Pelin,sucaklı iclal ayrancı,Dinc Gulser,yakut ibrahim DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. (2020): 148 - 154. 10.20492/aeahtd.709373
MLA Celik Pelin,sucaklı iclal ayrancı,Dinc Gulser,yakut ibrahim DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. , 2020, ss.148 - 154. 10.20492/aeahtd.709373
AMA Celik P,sucaklı i,Dinc G,yakut i DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. . 2020; 148 - 154. 10.20492/aeahtd.709373
Vancouver Celik P,sucaklı i,Dinc G,yakut i DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. . 2020; 148 - 154. 10.20492/aeahtd.709373
IEEE Celik P,sucaklı i,Dinc G,yakut i "DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY." , ss.148 - 154, 2020. 10.20492/aeahtd.709373
ISNAD Celik, Pelin vd. "DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY". (2020), 148-154. https://doi.org/10.20492/aeahtd.709373
APA Celik P, sucaklı i, Dinc G, yakut i (2020). DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, 53(3), 148 - 154. 10.20492/aeahtd.709373
Chicago Celik Pelin,sucaklı iclal ayrancı,Dinc Gulser,yakut ibrahim DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 53, no.3 (2020): 148 - 154. 10.20492/aeahtd.709373
MLA Celik Pelin,sucaklı iclal ayrancı,Dinc Gulser,yakut ibrahim DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, vol.53, no.3, 2020, ss.148 - 154. 10.20492/aeahtd.709373
AMA Celik P,sucaklı i,Dinc G,yakut i DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2020; 53(3): 148 - 154. 10.20492/aeahtd.709373
Vancouver Celik P,sucaklı i,Dinc G,yakut i DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY. Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi. 2020; 53(3): 148 - 154. 10.20492/aeahtd.709373
IEEE Celik P,sucaklı i,Dinc G,yakut i "DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY." Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi, 53, ss.148 - 154, 2020. 10.20492/aeahtd.709373
ISNAD Celik, Pelin vd. "DEVELOPMENTAL PROFILE OF TODDLERS WITH AUTISM SPECTRUM DISORDER AT A TERTIARY CENTRE IN TURKEY". Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi 53/3 (2020), 148-154. https://doi.org/10.20492/aeahtd.709373
Sayfa Oluşturulma Tarihi
17-04-2024 22:16

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