Trouble du spectre de l'autisme
Titre original en anglais : Autism spectrum disorder
Lord, C., Brugha, T., Charman, T., Cusack, J., Dumas, G., Frazier, T., Jones, E. J., Jones, R. M., Pickles, A., State, M. W., Taylor, J. L., & Veenstra‐VanderWeele, J. (2020). Autism spectrum disorder. Nature Reviews Disease Primers, 6(1), 5-5. https://doi.org/10.1038/s41572-019-0138-4
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Auteurs
Résumé
Le trouble du spectre de l'autisme est un construit utilisé pour décrire les individus présentant une combinaison spécifique d'altérations de la communication sociale et de comportements répétitifs, d'intérêts très restreints et/ou de comportements sensoriels débutant précocement dans la vie. La prévalence mondiale de l'autisme est légèrement inférieure à 1 %, mais les estimations sont plus élevées dans les pays à revenu élevé. Bien qu'une pathologie cérébrale macroscopique ne soit pas caractéristique de l'autisme, des différences anatomiques et fonctionnelles subtiles ont été observées dans des études post-mortem, de neuroimagerie et électrophysiologiques. Initialement, on espérait qu'une mesure précise des phénotypes comportementaux conduirait à des sous-types génétiques spécifiques, mais les résultats génétiques se sont principalement appliqués à des groupes hétérogènes qui ne sont pas spécifiques à l'autisme. Les interventions psychosociales chez les enfants peuvent améliorer des comportements spécifiques, tels que l'attention conjointe, le langage et l'engagement social, qui peuvent influer sur le développement ultérieur et pourraient réduire la sévérité des symptômes. Cependant, des recherches supplémentaires sont nécessaires pour identifier les besoins à long terme des personnes autistes, ainsi que les traitements et les mécanismes qui les sous-tendent et qui pourraient entraîner une amélioration de l'autonomie et de la qualité de vie au fil du temps. Les familles constituent souvent la principale source de soutien pour les personnes autistes pendant une grande partie de leur vie et doivent être prises en compte, de même que les perspectives des personnes autistes, tant dans la recherche que dans la pratique.
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