{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T15:45:39Z","timestamp":1694619939763},"reference-count":32,"publisher":"Hogrefe Publishing Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2002,8]]},"abstract":"<jats:p> Zusammenfassung: Fragestellung: Das Alter bei Beginn autistischer Auff\u00e4lligkeiten und fr\u00fche Abbauprozesse im sozialen oder sprachlichen Bereich werden bei Kindern mit fr\u00fchkindlichem Autismus als Hinweis auf eine spezielle Untergruppe angesehen. Angaben zur H\u00e4ufigkeit variieren in den verschiedenen Arbeiten. Ziel der Untersuchung ist es, an einer klinischen Stichprobe festzustellen, wie h\u00e4ufig ein Beginn nach dem ersten Lebensjahr oder Abbauprozesse im sozialen und sprachlichen Bereich beobachtet werden und mit welchen weiteren Auff\u00e4lligkeiten sie kombiniert sind. Methode: Den Akten von 101 Kindern, die seit 1993 mit der Diagnose eines fr\u00fchkindlichen Autismus in einer Spezialambulanz untersucht wurden, entnahmen wir die Diagnosen auf den sechs Achsen des multiaxialen Klassifikationssystems, Angaben zum Alter bei Beginn der Auff\u00e4lligkeiten bzw. des Abbaus und zum Alter bei der 1. Untersuchung. Ergebnisse: 75% der Kinder werden als von Anfang an auff\u00e4llig beschrieben. 14 der 101 Kinder zeigten einen Abbau im sozialen Bereich und 21 Kinder einen Verlust sprachlicher F\u00e4higkeiten. Ein Zusammenhang mit dem IQ oder dem Sprachentwicklungsstand bei der Untersuchung wurde nicht gefunden. Kinder mit Abbauprozessen hatten h\u00e4ufiger eine Epilepsie als Kinder ohne berichtete Abbauprozesse. Schlussfolgerungen: Die vorhandenen Daten berechtigen zu der Hypothese, dass der versp\u00e4tete Beginn der autistischen Symptomatik, insbesondere aber der Verlust von F\u00e4higkeiten, ein Hinweis auf eine spezielle Untergruppe innerhalb der autistischen Kinder ist. Diese Symptome sollten unbedingt zu einer genauen diagnostischen Abkl\u00e4rung einer epileptischen Genese f\u00fchren. <\/jats:p>","DOI":"10.1024\/\/1422-4917.30.3.211","type":"journal-article","created":{"date-parts":[[2003,4,17]],"date-time":"2003-04-17T21:58:48Z","timestamp":1050616728000},"page":"211-220","source":"Crossref","is-referenced-by-count":3,"title":["Fr\u00fchkindlicher Autismus: Alter bei Beginn und fr\u00fche Abbauprozesse"],"prefix":"10.1024","volume":"30","author":[{"given":"H.","family":"Amorosa","sequence":"first","affiliation":[{"name":"Heckscher Klinik M\u00fcnchen, Abteilung Solln (Direktor: Dr. F.J. Freisleder)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Noterdaeme","sequence":"additional","affiliation":[{"name":"Heckscher Klinik M\u00fcnchen, Abteilung Solln (Direktor: Dr. F.J. 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