JAMA Pediatr:亲子活动、数字媒体暴露与儿童自闭症谱系障碍风险

2020-04-28 网络 网络

幼儿较早、高频接触数字媒体与较高的自闭症谱系障碍程度相关

尽管越来越多的证据表明亲子互动和长时间观看数字媒体影响儿童的成长发育,但这些因素与自闭症谱系障碍(ASD)的相关性研究尚不充分。
 
近日研究人员招募2152名儿童,对儿童在12个月大时是否观看电视和/或视频、在18个月大时观看电视和/或视频的时间、12个月大时儿童阅读所花费的时间以及在12个月大时成人与儿童玩耍频率进行考察。研究的主要终点为M-CHAT评分评估的ASD症状
 
2152名儿童,其中1099名男孩,研究发现,12个月大时看电视和/或视频与2岁时更严重的ASD样症状显著相关,但与ASD风险无关(风险患病率:8.3%vs 4.4%;校正比值比[AOR]:1.40)。类似地,与较少的亲子玩耍儿童相比,父母与孩子每天玩耍,可减少2岁时ASD样症状(变化:-8.9%),但与ASD风险无关(风险患病率:6.4% vs 14.0%;AOR:0.58)。18个月大时的观看电子产品与2岁时的ASD-样症状或ASD风险无显著相关性。
 
研究发现,幼儿较早、高频接触数字媒体与较高的自闭症谱系障碍程度相关。
 
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    2020-10-16 feather89
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    2020-04-30 xiongke014
  7. [GetPortalCommentsPageByObjectIdResponse(id=2009383, encodeId=113520093833c, content=<a href='/topic/show?id=df47284508e' target=_blank style='color:#2F92EE;'>#儿童自闭症#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28450, encryptionId=df47284508e, topicName=儿童自闭症)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=hb2008ye, createdTime=Sun May 24 16:34:45 CST 2020, time=2020-05-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728428, encodeId=452c1e2842862, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Fri Oct 16 04:34:45 CST 2020, time=2020-10-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1639452, encodeId=0a1e16394520b, content=<a href='/topic/show?id=afda591646' target=_blank style='color:#2F92EE;'>#DIA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=5916, encryptionId=afda591646, topicName=DIA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=987022654425, createdName=ms9608593228839890, createdTime=Sun Oct 04 17:34:45 CST 2020, time=2020-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313127, encodeId=28b9131312e0c, content=<a href='/topic/show?id=454286386a1' target=_blank style='color:#2F92EE;'>#自闭症谱系障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86386, encryptionId=454286386a1, topicName=自闭症谱系障碍)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec25412, createdName=yangpeizhi, createdTime=Thu Apr 30 09:34:45 CST 2020, time=2020-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1515586, encodeId=7ac31515586f7, content=<a href='/topic/show?id=d5d2284519e' target=_blank style='color:#2F92EE;'>#儿童自闭症谱系障碍#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28451, encryptionId=d5d2284519e, topicName=儿童自闭症谱系障碍)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=080710833308, createdName=ms705947299214030, createdTime=Thu Apr 30 09:34:45 CST 2020, time=2020-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1527776, encodeId=42ea152e776d8, content=<a href='/topic/show?id=68b5863e5d2' target=_blank style='color:#2F92EE;'>#自闭#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86375, encryptionId=68b5863e5d2, topicName=自闭)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=159511872623, createdName=xiongke014, createdTime=Thu Apr 30 09:34:45 CST 2020, time=2020-04-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036069, encodeId=5174103606980, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Tue Apr 28 21:34:45 CST 2020, time=2020-04-28, status=1, ipAttribution=)]
    2020-04-28 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

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2020年2月,美国神经病学学会(AAN)发布了自闭症谱系障碍儿童和青少年失眠和睡眠行为紊乱的治疗指南,文章通过回顾治疗儿童和青少年自闭症谱系障碍(ASD)睡眠障碍的药物和非药物治疗方法,提出了解决该人群睡眠障碍的建议。

2019 IPS临床实践指南:自闭症谱系障碍

2019年1月,印度精神病学学会(IPS)发布了自闭症谱系障碍管理指南,文章内容涉及自闭症谱系障碍的评估,计分算法,其他因素谱系障碍评估和治疗等。

2019 CPS立场声明:自闭症谱系障碍的诊断评估标准

2019年11月,加拿大儿科学会(CPS)发布了关于自闭症谱系障碍的诊断评估标准的立场声明,自闭症谱系障碍(ASP)的发病率逐渐上升,需要社区儿科医生和其他基层医疗保健工作者扩大自闭症的诊断能力。本文主要为社区儿童医生针对闭症谱系障碍的诊断评估标准提供指导建议。

JAMA:氟西汀治疗儿童自闭症谱系障碍强迫症

在这项针对自闭症谱系障碍的儿童和青少年的初步研究中,与安慰剂相比,氟西汀的治疗在16周时时强迫症行为评分明显降低