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Problems of diagnosing autism spectrum disorders in children

https://doi.org/10.34215/1609-1175-2020-4-35-43

Abstract

The review of the publications devoted to the methods of early diagnosing autism spectrum disorders (ASD) among children. The spread of this pathology causes mixed assessments in scientific community. The frequency of ASD in different countries makes up from 5 to 90 among 10,000 children and teenagers. An increase in morbidity makes the problem of diagnosing ASD among children very urgent. The main method of diagnosing is behavioral, but they allow to diagnose autism when the child is older than 1.5 years old, when medical and corrective actions are no longer effective. The prenatal diagnostics of the ASD are almost unused. The methods of genetic analysis are considered to be additional and don’t have the direct diagnostic meaning connected with the lack of clear understanding of the etiology and pathogenesis of ASD. According to Russian medical regulations children having early signs of autism can’t be defined in the age when timely medical treatment is effective. Due to this fact it was concluded that it is necessary to develop screening methods and regulations of providing medical treatment to children an teenagers having ASD.

About the Authors

E. A. Tkachuk
Scientific Center for Family Health and Human Reproduction; Irkutsk State Medical University
Russian Federation

MD, PhD, professor, 

1 Krasnogo Vosstaniya St., Irkutsk, 664003



N. N. Martynovich
Irkutsk State Medical University
Russian Federation

MD, PhD, professor, head of the Department of Pediatrics, 

1 Krasnogo Vosstaniya St., Irkutsk, 664003



L. V. Rychkova
Scientific Center for Family Health and Human Reproduction
Russian Federation

MD, PhD, Corresponding Member of the Russian Academy of Sciences, head of the Research Center,

16 Timirazeva St., Irkutsk, 664003



V. M. Polyakov
Scientific Center for Family Health and Human Reproduction
Russian Federation

PhD, head of the Laboratory of Psychoneurosomatic Pathology of Childhood, 

16 Timirazeva St., Irkutsk, 664003



References

1. Kanner L. Autistic disturbances of affective contact. Nervous Child. 1943. URL: http://www.neurodiversity.com/library_kanner_1943.pdf (Accessed: 11 August 2020).

2. Asperger H. “Die Autistishen Psychopathen” im. Kindesalter. Archiv fur Psychiatrie und Nervenk-rankbeiten. 1944. URL: http://www.autismus-biberach.com/Asperger_Hans-_Autistischen_Psychopathen.pdf (Accessed: 11 August 2020).

3. Maltinskaya NA. The history of the development of the doctrine of autism. Koncept. 2017;S11:53–61 (In Russ). URL: http://e-koncept.ru/2017/470137.htm (Accessed: 17 July 2020).

4. Filippova NV, Barylnik YuB. The epidemiology of autism: a modern perspective on the problem. Journal of Social and Clinical Psychiatry. 2014;24(3):96–101 (In Russ).

5. Dyusova SG, Kaibalieva GKh, Shevtsova OS. Features of mental development in early childhood autism: specific disorders of perception, speech, thinking, fears. In the world of scientific discoveries. Collection of scientific works. Taganrog; 2015:28–31 (In Russ).

6. Chigrinets AN. Concept, signs of early childhood autism and support strategies for children with early childhood autism. Lomonosov Readings in Altai: Fundamental Problems of Science and Education. Barnaul; 2015:2248–9 (In Russ).

7. Reznikov MK, Pryputnevich DN. Use of Risperidone in childhood autism. Scientific Medical Bulletin of the Central Chernozem Region. 2010;41:52–4 (In Russ).

8. Neison B. On the key issues of autism. Sensory aspects of autism. Autism and developmental disabilities. 2016;14(3):42–8 (In Russ).

9. Fesenko YuA, Shigashov DYu. Early childhood autism: medical and social problem. Health is the basis of human potential: Problems and solutions. 2013 (In Russ). URL: https://cyberleninka.ru/article/n/ranniy-detskiy-autizm-mediko-soialnaya-problema (Accessed: 9 July 2020).

10. Albitskaya ZhV. Early childhood autism – problems and difficulties of initial diagnosis in interdisciplinary interaction. Medical Almanac. 2016;2:108–11 (In Russ).

11. Bogdashina OB. Synesthesia in autism. Autism and Developmental Disabilities. 2016;14(3):21–31 (In Russ).

12. Kayumova LN, Sami B., Bruskin SA, Garanyan LG, Kochergin NG, Olisova OYu. Modern ideas about the epigenetic mechanisms of the formation of atopic dermatitis. Russian Journal of Skin and Venereal Diseases. 2014;4:42–50 (In Russ).

13. Pavlova TA, Grechany SV. Gastrointestinal symptoms and the role of nutritional management in childhood autism. Mental Health Issues for Children and Adolescents. 2017;17(2):180–1 (In Russ).

14. Levisohn P.M. The autism-epilepsy connection. Epilepsia. 2007;48(9):33–5.

15. Childhood autism spectrum disorders: Diagnosis, therapy, prevention, rehabilitation. Clinical guidelines. Moscow: Russian Society of Psychiatrists; 2020 (In Russ).

16. Radzivil MG. Structure of mental retardation in progressive child autism. Social and Clinical Psychiatry. 2006; 1:10–20 (In Russ).

17. Kazari K. Current state of behavioral interventions for autism and developmental disabilities. Autism and Developmental Disabilities. 2016;14(4):68–76 (In Russ).

18. Vorsanova SG, Yurov YB, Kurinnaya OS, Zelenova MA, Demidova IA, Yurov IYu. Genomic abnormalities in autism: The search for biomarkers using molecular cytogenetic technologies. Modern Problems of Science and Education. 2016;2 (In Russ). URL: http://www.science-education.ru/ru/article/view?id=24356 (Accessed: 9 July, 2020).

19. Shaposhnikova AF. Screening diagnostics and dynamic control of children with autism spectrum diseases using a rating scale for assessing children's autism. Social and Clinical Psychiatry. 2012;22(2):63–8 (In Russ).

20. Yurov YuB, Vorsanova SG, Demidova IA, Kravets VS, Soloviev IV, Yurov IYu. Mosaic aneuploidy in brain cells in schizophrenia, autism and idiopathic mental retardation. Russian Bulletin of Perinatology and Pediatrics. 2016;4:205. (In Russ).

21. Bardyshevskaya MK. Developmental disorders of affective-behavioral complexes in autism: determining the possibilities of their recovery. Bulletin of the Ural Federal University. 2016;1:102–13 (In Russ).

22. Petrov AM, Kasimov MR, Zefirov AL. Cholesterol in the pathogenesis of Alzheimer's, Parkinson's and autism: A link with synaptic dysfunction. Acta Naturae. 2017;9(1):27–39 (In Russ).

23. Simashkova NV, Klyushnik TP, Yakupova LP, Koval-Zaitsev AA, Lobacheva MV. Multidisciplinary clinical and biological characteristics of hyperkinetic disorders in childhood autism. Neurology, Neuropsychiatry, Psychosomatics. 2012;2:78–83 (In Russ).

24. Simashkova NV, Makushkin EV. Autism spectrum disorders: Diagnosis, treatment, observation. Clinical guidelines (treatment protocol). Moscow; 2015 (In Russ). URL: https://psychiatr.ru/download/2100?view=1&name=Симашкова_Макушкин_клинические_рекомендациии_РАС.pdf (Accessed: 9 July 2020).

25. Wing L, Potter D. The epidemiology of autistic spectrum disorders: is the prevalence rising? Ment Retard Dev Disabil Res Rev. 2002;8(3):151–61.

26. Wing L, Potter D. National Autistic Society. Notes on the prevalence of autism spectrum disorders; 1999. Retrieved. 2007;12–10.

27. Bogdashina OB. The role of sensory differences in autism: A brief review of past and present scientific research. Bulletin of the KSPU them. V.P. Astafiev. 2013;4:14–22 (In Russ).

28. Porokhovnik LN, Kostyuk SV, Ershova ES, Stukalov SM, Veiko NN, Korovina NYu, et al. Maternal effect in childhood autism: Increased levels of DNA damage in patients and their mothers. Biomedical Chemistry. 2016;62(4):466–70 (In Russ).

29. Lushchekina EA, Podreznaya ED, Lushchekin VS, Strelets VB. Comparative study of EEG in health and early childhood autism. Journal of Higher Nervous Activity. 2010;60(6):657–66 (In Russ).

30. Klinkov VN, Soiko VV. Gender differences in childhood autism. Tavrichesky Journal of Psychiatry. 2015;19(4):9–14 (In Russ).

31. Schopler E, Reichler RJ, DeVellis RF, Daly K. Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). J Autism Dev Disord. 1980;10(1):91–103.

32. Zhurba LT, Mastyukova EM. Violation of psychomotor development in children of the first year of life. Moscow: Medicine; 1981 (In Russ).

33. Bakushkina NI, Kiselev SYu, Lvova OA, Suleimanova EV, Tuktareva IV. Using the Bayley-III scales to assess the neurocognitive development of children in health and disease. Theoretical and Experimental Psychology. 2018;11(1):85–94 (In Russ).

34. Barabanshchikov VA, ed. Eye tracking in psychological science and practice. Moscow: Kogito-Center; 2015 (In Russ).


Review

For citations:


Tkachuk E.A., Martynovich N.N., Rychkova L.V., Polyakov V.M. Problems of diagnosing autism spectrum disorders in children. Pacific Medical Journal. 2020;(4):35-43. (In Russ.) https://doi.org/10.34215/1609-1175-2020-4-35-43

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ISSN 1609-1175 (Print)