Autism spectrum disorder: perspectives from paediatricians

Year 2023, , 484 - 491, 27.10.2023

Müslüm Kul , Mahmut Zabit Kara

https://doi.org/10.38053/acmj.1348621

Abstract

Aims: Since the first medical contact of children and families is mostly with paediatricians, the knowledge and experience of paediatricians on Autism Spectrum Disorder (ASD) is extremely significant. It was aimed to investigate paediatricians’ general knowledge on ASD, daily practices in the outpatient clinic and ability to recognize warning signs.
Methods: A 40-item questionnaire prepared by the researchers was completed with 116 specialists or subspecialties working in public and private hospitals of two cities in Türkiye.
Results: While 41.7% of paediatricians received rotation training in residency, 32.8 % reported they have enough experience. While 87% considered ASD screening among their duties, only 12.8% stated they have enough time. The number of patients referred for formal assessment of ASD was low. Gender, type of expertise, duration of experience, and sense of competence were not associated with referral frequency. It’s been determined paediatricians have a lack of knowledge about ASD. While not responding to name and difficulty following the instructions were seen as most warning symptoms, other diagnostic criteria and accompanying symptoms were recognized insufficiently.
Conclusions: In addition to increasing the duration and quality of child psychiatry education during residency, regulating the outpatient clinic conditions can overcome an important obstacle in the early diagnosis of ASD.

Keywords

paediatricians, awareness, autistic disorder, early diagnosis, knowledge

Otizm spektrum bozukluğu: pediatristlerin bakış açıları

Abstract

Giriş ve Amaç: Çocukların ve ailelerin ilk tıbbi teması çoğunlukla pediatristler ile olduğundan pediatristlerin Otizm Spektrum Bozukluğu (OSB) konusundaki bilgi ve deneyimi son derece önemlidir. Pediatristlerin OSB ile ilgili genel bilgilerinin, poliklinikteki günlük uygulamalarının ve uyarı işaretlerini tanıma becerilerinin incelenmesi amaçlandı.
Yöntemler: Araştırmacılar tarafından hazırlanan 40 maddelik anket, Türkiye'deki iki ildeki kamu ve özel hastanelerde çalışan 116 uzman veya yan dal uzmanına uygulandı.
Bulgular: Pediatristlerin %41,7'si uzmanlık alanında rotasyon eğitimi alırken, %32,8'i yeterli tecrübeye sahip olduğunu bildirdi. %87'si OSB taramasını görevleri arasında görürken, yalnızca %12,8'i yeterli zamanının olduğunu belirtti. OSB'nin resmi değerlendirmesi için yönlendirilen hasta sayısı düşüktü. Cinsiyet, uzmanlık türü, deneyim süresi ve yeterlilik duygusu sevk sıklığı ile ilişkili değildi. Pediatristlerin OSB konusunda bilgi eksikliği olduğu belirlendi. İsme yanıt vermeme ve talimatlara uymada zorluk en çok uyarıcı belirti olarak görülürken, diğer tanı ölçütleri ve eşlik eden belirtiler yeterince tanınamadı.
Sonuç: Uzmanlık döneminde çocuk psikiyatrisi eğitiminin süresinin ve kalitesinin artırılmasının yanı sıra poliklinik koşullarının düzenlenmesi OSB'nin erken tanısında önemli bir engelin aşılmasına yardımcı olabilir.

Keywords

Pediatristler, farkındalık, otizm bozukluğu, erken tanı, bilgi

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