ISSN: 1300-0292 İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED CINAHL, Index Copernicus, Chemical Abstracts (CA), Excerpta Medica / EMBASE Dil: Türkçe, İngilizce İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Separation Anxiety: Autistic Findings And Ontogenic Behavior Developmental Delay
Dr. Sabiha KESKİNa
aÇocuk Sağlığı ve Hastalıkları ABD, Çocuk Nörolojisi BD, İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, İSTANBUL Objective: Separation anxiety results in introvertedness and hence a delay or loss in ontogenic behavior development which simulates autism. This study was designed to prove the hypothesis that autistic findings regress with a catch-up gain in ontogenic behavior development with re-attachment, if separation anxiety is the cause in at least a subgroup of children with autistic findings.
Material and Methods: Included in the study were 90 children with autistic findings according to the DSM IV criteria of whom 84 (93%) were boys and 6 (7%) were girls aged 17 and 48 months. (30.30 ± 9.17). The initial neuropsychiatric findings were compared with those of gained following re-attachment for 1-7 mos. (3.2 ± 1.2).
Results: The comparison of the initial findings with those of gained following re-attachment (2.36 ± 0.57; 1.01 ± 0.89, p= 0.000) showed amelioration in autistic findings (2.60 ± 0.47; 1.35 ± 0.92, p= 0.000) and obsessive behavior (2.17 ± 0.63; 1.06 ± 0.85, p= 0.000), along with an improvement in ontogenic behavior development.
Conclusion: It is believed that separation anxiety is a cause in at least a subset of children with autistic findings, since re-attachment prior to age 4 ameliorated autistic behavior and improved ontogenic behavior development.Keywords: Anxiety, separation; obsessive behavior; autistic disorderTurkiye Klinikleri J Med Sci 2007, 27:664-671
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