低出生体重児の発達フォローに おける発達行動観 highrisk-...

Download 低出生体重児の発達フォローに おける発達行動観 highrisk- 低出生体重児とASD…

Post on 29-May-2019

215 views

Category:

Documents

0 download

Embed Size (px)

TRANSCRIPT

1

3828122

ASD

3JohnsonS.,etal.JAmAcad Adolesd Psychiat 2010

(cerebralpalsy[CP],autismspectrumdisorder[ASD],intellectualdisability[ID],behavioralconductdisorders,attentiondeficithyperactivitydisorder[ADHD],learningdisability[LD],andotherdevelopmentaldelay)

(Schieve,etal.AnnalsEpidemiol.2016) ADHD

JohnsonS.,etal.JDevBehav Pediatr 2016 ASD

(Pyhala R,etal.Pediatrics2014;Dudova I,etal.Neuropsychiatr DisTreatnment 2014;JohnsonS,etal.JPediatr 2010)

Minimalbraindamage AttentionDeficitHyperactivityDisorder Learningdisorder AutisticSpectrumdisorders

()

2

ADHD minimal braindamage[MBD]

ADHD ASDASDADHDASD?

LD LD ? ?(Hutzler F,etal.BrainLanguage.2004) ?Cf.

(SamuelssonS,etal.JPediatr Psychol 2006) ?

LD

LD

*

3

LD

(Guinchat V, et al.: Acta Obstet Gynecol Scand. 2012; 91(3): 287-300)

(3-5) (36-95) (218) (10)

(CDC website http://www.cdc.gov/ncbddd/autism/data.html)

2

(Schendel D, Bhasin TK.: Pediatrics. 2008; 121(6): 1155-64)

4

ASD

ASD? 2125%

(Limperoloulos C,etal.Pediatrics,2008;KubanKCK,etal.JPediatr,2009)

4%(Hac M,etal.JDev Behav Pediatr 2009)

/1~2ASD(Indredavik MS,etal.ArchDisChildFetalNeaonatal Ed2004)

ASDASD

ASDpretermbirth IVF

ASD

TraitsScreening

Autism

WingThe autistic spectrum(Wing, Lancet 1997; 350: 1761-1766)

3

ICD-10

(Wing)

DSM-5 ASD

A.

B.

5

ASD

ASD Shendel D,etal.Pediatrics,2008

SGA(Larsson,HJ,etal.AmJEpidemiology,2005.)

ASD

ASD

ASDABA,TEACCH

K DenverII()

Bayley

K WISC WISC

6

K PM(CA)(LS)3

1~34

Denver II

Bayley

DevelopmentalAge

DevelopmentalIndex)

MentalDevelopmentIndex(MDI)

PsychomotorDevelopmentIndex(PDI)

WISC-

501611

15105105IQ4

IQ7

WISC- VCI PRI WMI

PSI

24 (ModifiedChecklistforAutisminToddlersMCHAT)

4 AutisticSpectrumQuestionnaireASQ

PervasiveDevelopmentalDisordersAutismSocietyJapanRatingScalePARS

CARSTheChildhoodAutismScale

7

(Modified Checklist for Autism in ToddlersM-CHAT) MCHAT

MCHAT 6279131415 811182022

62233

MCHAT

Autistic Spectrum QuestionnaireASQ

40

134(

9ASD

215313ASD

255720ASD

ChildhoodAutismRatingScaleCARS 15 15

0.5147 1512

33 11529.5 23036.5 33760

8

ChildhoodAutismRatingScaleCARS 151234

56789101112131415

CARS

BeeryBuktenicaDevelopmentalTestofVisualMotorIntegration,SixthEdition,(BEERYVMI)

WISC-

PegpegPointing pointing

9

http://www.mext.go.jp/b_menu/shingi/chukyo/chukyo3/044/attach/1297380.htm

1

1 inclusive education system2

2

1223

1

ICT

http://www.mext.go.jp/b_menu/shingi/chukyo/chukyo3/044/attach/1297380.htm

4

9LDADHD

http://www.mext.go.jp/b_menu/shingi/chukyo/chukyo3/044/attach/1297380.htm

259

()

6

10

Recommended

View more >