Gubitak kriterija mentalne retardacije i smanjenje simptoma autizma u djetinjstvu tijekom petogodišnjeg praćenja - prikaz slučaja

Abstract

It is usually held that most individuals with childhood autism have poor prognosis. According to our knowledge, a favorable outcome of a child with childhood autism is quite rare and inspires a number of controversies. A 4-year-old boy was diagnosed with childhood autism and mild mental retardation. Interviews and findings reported by other specialists were used in the diagnosis and follow-up that lasted for five years, along with parental counseling and therapy. After three years, regression of the symptoms of childhood autism and loss of the criteria for mental retardation were observed. The difference between the second and first examination was 30 and 24 IQ points. The boy attends regular school with individual approach. Childhood autism and mental retardation should not be viewed as static conditions. Early and intensive therapy is recommended. Some children that make good progress can attend regular school.Općenito se smatra da je autizam u djetinjstvu u većine osoba lošije prognoze. Pozitivan ishod djeteta s autizmom je prema našim saznanjima prilično rijedak i pobuđuje niz proturječja. Četverogodišnjem dječaku je bio dijagnosticiran autizam i blaža mentalna retardacija. U dijagnostici i praćenju koje je trajalo oko pet godina primijenili smo klinički psihijatrijski intervju kao i nalaze drugih stručnjaka. Primijenjeno je savjetovanje roditelja i terapija. Tri godine od prvoga pregleda kod dječaka je zabilježena regresija simptoma autizma uz gubitak kriterija za mentalnu retardaciju. Razlika globalnog IQ između drugog i prvog ispitivanja ovisno o tehnici bila je 30 i 24 boda. Dječak danas polazi osnovnu školu po redovnom programu uz individualizirani pristup. Mentalnu retardaciju i autizam u djetinjstvu ne treba shvaćati statično. Preporuča se rana intenzivna terapija. Pojedina djeca koja dobro napreduju mogu polaziti redovnu školu