DOI QR코드

DOI QR Code

자폐스펙트럼장애의 조기선별에 대한 관련 분야 종사자의 인식 조사

A Study on Practitioner's Perceptions on Early Screening of Autism Spectrum Disorder

  • 선우현정 (울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 노동현 (울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 김경미 (울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 김주현 (울대학교 의과대학 분당서울대학교병원 정신건강의학과) ;
  • 유희정 (울대학교 의과대학 분당서울대학교병원 정신건강의학과)
  • Sunwoo, Hyun-Jung (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Noh, Dong-Hyun (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Kyung Mee (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Joo-Hyun (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Yoo, Hee Jeong (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 투고 : 2016.09.01
  • 심사 : 2017.02.04
  • 발행 : 2017.04.01

초록

Objectives: The purpose of this study is to investigate the professional knowledge and perceptions of the early screening of Autism Spectrum Disorder (ASD) in practitioners who have contact with patients with ASD. Methods: A survey was carried out among 674 practitioners in total, where practitioners are defined as those who work at primary medical centers, public institutions, educational institutions and treatment institutions. The survey was carried out both online and offline, and it mainly focused on 1) knowledge about ASD symptoms, 2) knowledge about the early screening of ASD, 3) measures taken after ASD detection, 4) thoughts on the development of early screening tools for ASD, and 5) the current status of ASD treatment. The data collected were analyzed through descriptive statistics, analysis of frequency and cross tabulation analysis using SPSS WIN 22.0. Results: The results of this study suggest that the practitioners were not aware of the exact symptoms of ASD and their professional knowledge and the environment for early screening were insufficient. Furthermore, very few and inappropriate measures were taken after the detection of ASD. In addition, there was a high demand for early ASD screening tools to be used on site and, regarding treatment, the significance of the implementation of evidence based treatments as well as the continuity of relevant research came to the fore. Conclusion: It seems that there is a lack of knowledge and perception of the early screening of ASD and that education and training among practitioners is urgently required. This issue is discussed in more detail in the paper.

키워드

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5(R)). 5th ed. Washington, DC: American Psychiatric Association;2013.
  2. Kim YS, Leventhal BL, Koh YJ, Fombonne E, Laska E, Lim EC, et al. Prevalence of autism spectrum disorders in a total population sample. Am J Psychiatry 2011;168:904-912. https://doi.org/10.1176/appi.ajp.2011.10101532
  3. Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J, et al. Randomized, controlled trial of an intervention for toddlers with autism: the early start denver model. Pediatrics 2010;125:e17-e23. https://doi.org/10.1542/peds.2009-0958
  4. Drew A, Baird G, Baron-Cohen S, Cox A, Slonims V, Wheelwright S, et al. A pilot randomised control trial of a parent training intervention for pre-school children with autism. Preliminary findings and methodological challenges. Eur Child Adolesc Psychiatry 2002;11:266-272. https://doi.org/10.1007/s00787-002-0299-6
  5. Jocelyn LJ, Casiro OG, Beattie D, Bow J, Kneisz J. Treatment of children with autism: a randomized controlled trial to evaluate a caregiver-based intervention program in community day-care centers. J Dev Behav Pediatr 1998;19:326-334. https://doi.org/10.1097/00004703-199810000-00002
  6. Aldred C, Green J, Adams C. A new social communication intervention for children with autism: pilot randomised controlled treatment study suggesting effectiveness. J Child Psychol Psychiatry 2004;45:1420-1430. https://doi.org/10.1111/j.1469-7610.2004.00338.x
  7. Dawson G. Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Dev Psychopathol 2008;20:775-803.
  8. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: American Psychiatric Association;1994.
  9. Baron-Cohen S, Cox A, Baird G, Swettenham J, Nightingale N, Morgan K, et al. Psychological markers in the detection of autism in infancy in a large population. Br J Psychiatry 1996;168:158-163. https://doi.org/10.1192/bjp.168.2.158
  10. Turner LM, Stone WL, Pozdol SL, Coonrod EE. Follow-up of children with autism spectrum disorders from age 2 to age 9. Autism 2006;10:243-265. https://doi.org/10.1177/1362361306063296
  11. Young RL, Brewer N, Pattison C. Parental identification of early behavioural abnormalities in children with autistic disorder. Autism 2003;7:125-143. https://doi.org/10.1177/1362361303007002002
  12. Shin MS, Kim HJ, Jang HJ, Jeon HS. A study of behavioral problems and coping strategies in children with developmental disorder. J Speech Lang Hear Disord 2015;24:121-135. https://doi.org/10.15724/jslhd.2015.24.3.010
  13. Lee SH, Lee S, Yoon SA. A study of support system for facilitating early diagnosis and intervention for young children with autism spectrum disorders: based on the experiences and the perceptions of parents. J Korean Assoc Pers Autism 2013;13:167-199.
  14. Cho JG. A study on parent's needs of special education related services for students with disabilities in the special school. J Spec Educ Rehabil Sci 2010;49:113-138.
  15. Kim GH. The teachers' perspective on young children with autism. J Spec Educ Rehabil Sci 2013;52:1-21.
  16. Korea National Institute for Special Education. 2014 study on the current status of special education [cited 2016 May 7]. Available from: http://www.nise.go.kr/boardCnts/view.do?boardID=137&boardSeq=102520&lev=0&searchType=null&statusYN=W&page=6&s=nise&m=0101&opType=N.
  17. Lee KS, Yoon HS, Chung HS, Yoo HJ. A study on early screening of young children with autism spectrum disorder in Korea and its support system. J Korean Assoc Pers Autism 2015;15:93-120.
  18. Kim JH, Sunwoo HJ, Park SB, Noh DH, Jung YK, Cho IH, et al. A validation study of the Korean version of Social Communication Questionnaire. J Korean Acad Child Adolesc Psychiatry 2015;26:197-208. https://doi.org/10.5765/jkacap.2015.26.3.197
  19. Shin MS, Kim YH. Standardization study for the Korean version of Childhood Autism Rating Scale: reliability, validity and cut-off score. Korean J Clin Psychol 1998;17:1-15.
  20. Virues-Ortega J, Julio FM, Pastor-Barriuso R. The TEACCH program for children and adults with autism: a meta-analysis of intervention studies. Clin Psychol Rev 2013;33:940-953. https://doi.org/10.1016/j.cpr.2013.07.005
  21. Eldevik S, Hastings RP, Hughes JC, Jahr E, Eikeseth S, Cross S. Meta-analysis of early intensive behavioral intervention for children with autism. J Clin Child Adolesc Psychol 2009;38:439-450. https://doi.org/10.1080/15374410902851739
  22. Yoo HJ, Bahn G, Cho IH, Kim EK, Kim JH, Min JW, et al. A randomized controlled trial of the Korean version of the PEERS((R)) parent-assisted social skills training program for teens with ASD. Autism Res 2014;7:145-161. https://doi.org/10.1002/aur.1354
  23. Frankel F, Myatt R, Sugar C, Whitham C, Gorospe CM, Laugeson E. A randomized controlled study of parent-assisted children's friendship training with children having autism spectrum disorders. J Autism Dev Disord 2010;40:827-842. https://doi.org/10.1007/s10803-009-0932-z
  24. Lang R, O'Reilly M, Healy O, Rispoli M, Lydon H, Streusand W, et al. Sensory integration therapy for autism spectrum disorders: a systematic review. Res Autism Spectr Disord 2012;6:1004-1018. https://doi.org/10.1016/j.rasd.2012.01.006

피인용 문헌

  1. The Feasibility and Validity of Autism Spectrum Disorder Screening Instrument: Behavior Development Screening for Toddlers (BeDevel)-A Pilot Study vol.12, pp.7, 2019, https://doi.org/10.1002/aur.2117