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A Perturbação do Espetro do Autismo na Primeira Infância: O Modelo do Centro de Estudos do Bebé e da Criança de Avaliação Diagnóstica e Intervenção Terapêutica

2021Journal article Open access
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dc.contributor.authorHalpern, CM
dc.contributor.authorCaldeira da Silva, P
dc.contributor.authorCosta, D
dc.contributor.authorNascimento, MJ
dc.contributor.authorMesquita Reis, J
dc.contributor.authorMartins, MT
dc.contributor.authorPinto Ferreira, B
dc.contributor.authorSantos, I
dc.contributor.authorCarvalho, L
dc.contributor.authorPaiva Gomes, M
dc.contributor.authorMartins, M
dc.contributor.authorPimentel, MJ
dc.contributor.authorLopes, P
dc.contributor.authorSilva, P
dc.contributor.authorRapazote, R
dc.contributor.authorCatarino, S
dc.contributor.authorAires Pereira, S
dc.contributor.authorPereira, S
dc.contributor.authorAfonso, S
dc.date.accessioned2023-02-08T15:31:08Z
dc.date.available2023-02-08T15:31:08Z
dc.date.issued2021
dc.description.abstractIntroduction: The Centro de Estudos do Bebé e da Criança in Hospital Dona Estefânia has organized a multidisciplinary model for children under three with suspected autism spectrum disorder, thus implementing the recent guidelines established by the Directorate General for Health. The aim of this study is to describe this model and case series. Material and methods: A retrospective descriptive study of observed children with suspected ASD. They were observed according to the model of the Centro de Estudos do Bebé e da Criança and DC:0-5TM classification, between January 2018 and September 2019. Results: The study included 178 children. The average age at the initial assessment was 27 months. From the total sample, 116 children concluded the diagnostic sessions (axis I): Autism Spectrum Disorder/Early Atypical (36%), Developmental Language Disorder (18%), Other (19%). Factors of axes II, III, IV and V of DC:0-5TM were determinant for clinical diagnosis in 26%. Discussion: Of 116 children, 36% were diagnosed with Autism Spectrum Disorder. This highlights the diagnostic challenge posed by neurodevelopmental disorders in early infancy. The sample shows that the characteristics of the relationship with the caregiver (axis II), presence of physical conditions (axis III), psycho-social stressors (axis IV) and developmental trajectory (axis V) have a significant clinical impact. In the future, the initial assessment should take place well before the age of 27 months because of the impact on prognosis. Conclusion: This model is a pioneering approach in Portugal. It promotes a common approach of Child and Adolescent Psychiatry and Neuropediatrics/Developmental Pediatrics in early infancy. Moreover, it increases the diagnostic acuity of Autism Spectrum Disorders and early therapeutic intervention.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port . 2021 Oct 1;34(10):657-663pt_PT
dc.identifier.doi10.20344/amp.13397pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4385
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Editor Livreiro da Ordem dos Médicospt_PT
dc.subjectAutism Spectrum Disorder/diagnosispt_PT
dc.subjectAutism Spectrum Disorder/therapypt_PT
dc.subjectChildpt_PT
dc.subjectInfantpt_PT
dc.subjectPortugalpt_PT
dc.subjectHDE PEDOPpt_PT
dc.titleA Perturbação do Espetro do Autismo na Primeira Infância: O Modelo do Centro de Estudos do Bebé e da Criança de Avaliação Diagnóstica e Intervenção Terapêuticapt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage663pt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPage657pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume34pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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