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Page 1: MRìÊ P z T I]TÐ #PÜ
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1

20062014

20052016

29 12

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2

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3

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4

10

29 2 1EPDS: Edinburgh Postnatal Depression Scale

NBO: Newborn Behavioral Observation system

2500

1500

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5

22 23

3

10

1

ASD: Autism Spectrum Disorder

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6

1 6 1 6 2 3 3 43 4

6 7 9 10 121 5

2 1

2-1

1 3

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7

2-2

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8

1 1

M-CHAT Modified Checklist for Autism in Toddlers Robins et

al., 2001 16 30 Autism Spectrum Disorder

ASD 23

M-CHAT 1 2 2

M-CHAT Inada et al., 2011

M-CHAT 1 6 2

ASD ASD

M-CHAT M-CHAT

M-CHAT23 1

16

1 2 ASD

M-CHAT

8 20 M-CHAT

16 18

75 0

1 1 2 1 3

3 3-1 1 2

2 3 3

M-CHAT

1 2 1

1

https://www.ncnp.go.jp/nimh/jidou/research/elearning9.pdf

1 6 1

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9

3-1 M-CHAT 16

1 8 2 11 12 3 15 17

M-CHAT

10

12

1

4

2

14

5

6

7

13

15

19

8

9

17

23

M-CHAT 1 2

1 1 6

M-CHAT

M-CHAT 1 6

1 10 M-CHAT

ASD ASD

1 6

ASD

M-CHAT

M-CHAT

1 6 2

2

2 ASD

M-CHAT

M-CHATM-CHAT

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10

Inada N, Koyama T, Inokuchi E, Kuroda M & Kamio Y (2011) Reliability and validity of the Japanese version

of the Modified Checklist for autism in toddlers (M-CHAT). Research in Autism Spectrum Disorders, 5(1), 330-336.

Robins DL et al (2001) The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Disord 31, 131-144.

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11

3

34-1

1 63

3

1 6 3

3 1 4 52 3

1

3

4-1

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12

K

PARS-TR12 0 1 2

3

5 38 9 10%

2013) 5 ASD5

4 3

SDQ 5

http://www.sdqinfo.com/py/sdqinfo/b3.py?language=Japanese

PARS-TR SDQ

ASDADHD

SDQ

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13

ADHD ADHD ADHD ADHD

ADHD 50 50Campbell, 1990

ADHD ASD2008) ADHD

ADHD ADHD

Dupaul , 2001) ADHD 2007 ADHD

ADHD

3

3

4-1 4-2

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14

4-2

-

ADHD

2017 100

4-2

3 210 15%

PARS SDQ

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15

3

3

4

1

1

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16

3

Campbell SB & Ewing LJ (1990) Follow-up of hard-to-manage preschoolers: adjustment at age 9 and

predictors of continuing symptoms. J Child Psychol Psychiatry, 31(6), 871-889. DuPaul GJ, McGoey KE, Eckert TL & VanBrakle J (2001) Preschool children with

attention-deficit/hyperactivity disorder: impairments in behavioral, social, and school functioning. J AM Acad Child Adolesc Psychiatry, 50(5), 508-515.

2008 ( ) (58), 82-85.

2013 53(1), 47-57. 2017 B 3 ADHD

2000

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17

1 3

5

2004 1)

2012

6.5 2) 2015

41,986 2006 6.1 3

2017 1 4)

2013 9

5

1 3 (ADHD) (LD)(ASD)

6,7) 5-1 2000 ASD

5-1 ASD 8

2013

5 HFC Study (Hirosaki Five-year-old children Developmental Health Check-up Study)

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18

18 174,106 2018 1 1 5

2000 American Academy of Neurology AAN 29 1

2HFC Study

2016 4 2017 3 51200 1300 2

150

20142 5

7 10 11

5-2

5-2

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19

5-3

ASD ADOS-2 Autism Diagnostic Observation Schedule-the second edition ADI-R Autism Diagnostic Interview Revised

5-3

ASD Autism Spectrum Disorder, ADHD Attention-Deficit / Hyperactivity Disorder, DCD

Developmental Coordination Disorder, ID/BI Intellectual Disability / Borderline intelligence

2013-2015 5 3804 632923 76.8 881

607 20.867.4 13 440 15.1

DSM-52725

5 ASD 3.30% ASD 60.0% ADHD 61.1%

DCD 40.0%ASD 5-4 8 2.64

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20

5-4 ASD 8

2013 5 1310 159 70.4ASD3.26 ADHD5.52 DCD4.29

1 35-5 50

ADHD ASD57 6,7

10

5-5 2013 5 1 3

56

2014

2016

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21

5

10-15) HFC Study 2018

3 2017

2013 5ASD 3

ASD16

3

“ ”

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22

TASP

6-3

JASPER 6-1 2

6-2

TASP 6-3

6-2

5-1

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5-1

1

http://www.mext.go.jp/a_menu/shotou/tokubetu/material/001.htm, 2004 2 ,

http://www.mext.go.jp/a_menu/shotou/tokubetu/material/__icsFiles/afieldfile/2012/12/10/1328729_01.pdf, 2012

3 http://www.mext.go.jp/a_menu/shotou/tokubetu/material/__icsFiles/afieldfile/2017/04/07/1383567_03.pdf, 2015

4 , http://www.soumu.go.jp/main_content/000458761.pdf, 2017

5 . : 21 ( 2 ) ( ). . ;56(5):679-87. 2015

6 . / 5 . . ;37(2):145-9. 2005

7 , , . --5 ( ). LD . ;16(3):265-72. 2007

8 Center of Disease Control and Prevention (CDC). Summary of Autism Spectrum Disorder (ASD) Prevalence Studies. https://www.cdc.gov/ncbddd/autism/documents/ASDPrevalenceDataTable2016.pdf. 2016

9 P.A. Filipek, et al. Practice parameter: Screening and diagnosis of autism. Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. NEUROLOGY ;55:468–479. 2000

10 , . 5 , Vol.27, No.2, 2016 11 , . 5 57(2) 254-260. 2016 12 , . 5 . 2016 13 , . ASSQ 5 . 57 4 603 617.

2016 14 Takayanagi N, et al.: Psychometric properties of the Japanese ADHD-RS in preschool children. Res Dev

Disabil.;55:268-78. 2016 15 Takahashi M, et al.: Coordination difficulties in preschool-aged children are associated with maternal parenting

stress: A community-based cross-sectional study. Res Dev Disabil. Aug 30;70:11-21.2017 16 Dawson G, Bernier R. (2013). A quarter century of progress on the early detection and treatment of autism

spectrum disorder. Development and Psychopathology 25 , 1455–1472.

23

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24

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25

3

6-1

6-1

6-5

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26

2

1

TEACCH

Where WhenWhat How much How to do

What’s next ASD6 4

1 1

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27

TEACCH

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28

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29

/

1

JASPER

6-1

6-1

6-2

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30

6-2

JASPER Joint Attention, Symbolic Play, Engagement and RegulationASD

UCLA Kasari

Goods et al., 2013

SPACE Short Play And Communication Evaluation, Shire, 2016SPACE

1520 6-3 SPACE6-4

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31

6-3 SPACE

6-4 SPACE

6-4 6-2

6-2 SPACE

6-5

子ども用イス

子ども

実施者

使用するオモチャ

を並べるテーブル

「指差し」で用いるイラスト(壁等に貼る)

① 子どもにとって、見えるが手が届かない場所にオモチャを並べ、「遊ぼう!」と子どもに声をかける。

② 子どもの要求に合わせてオモチャを机に置く。(要求が出なければ型はめパズルなどひとつ選んで机に置く)

③ 遊び方、共同注意の様子を見る

④ 机の上のオモチャである程度遊べたら他のオモチャへの移行を呼びかける。使ったオモチャは片付ける。

繰り返す。全てのオモチャを使用したら終了となる。

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32

6-5 SPACE

JASPER

JASPER 6 6-3

Shire SY, Shih W, Chang YC, & Kasari C (2016) Short Play and Communication Evaluation: Teachers’ assessment of core social communication and play skills with young children with autism. Autism, online.

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6-3 JASPER 6

regulation

JASPER JASPER

JASPER JASPER

2017

6-6

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34

6-6

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6-7

6-7

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36

6 110~12 6

NPO2015

BDI-

2 1

GHQ12

3

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37

6

70

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38

GHQ12

6

1

TASP; Transition Assessment Sheet for Preschoolers

ASD ADHDDCD Developmental Coordination Disorder

TASP

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39

TASP

6-4 TASP ADHD ASD DCD 3

6-4 TASP

TASP 76-8

TASP

TASP

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40

6-8

TASP35

5 1020 2 3

TASPTASP TASP1 2

TASP

3TASP

TASP5

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41

TASP

TASP

TASP

TASP

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6-9

Goods KS, Ishijima E, Chang YC, & Kasari C. (2013) Preschool based JASPER intervention in minimally

verbal children with autism: pilot RCT. J Autism Dev Disord. 43(5):1050-6. 2017

http://www.mhlw.go.jp/file/06-Seisakujouhou-12200000-Shakaiengokyokushougaihokenfukushibu/0000171670.pdf

Shire SY, Shih W, Chang YC, Kasari C. (2016) Short Play and Communication Evaluation: Teachers’ assessment of core social communication and play skills with young children with autism. Autism.

20152015-2020.

(2017) TASP (Transition Assessment Sheet for Preschoolers)

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43

4

7-14

7-1

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44

4 500 11 10

10

1-1, 1-2

1 5 2

1-2 10 50

3

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45

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46

51

11 9 2 3 5 12 14

H28.4. 719,302 H29.4.146 67 64 4 12 6 8

9 2 1214

ASD ADHD130 600

12 6 10

3 5

6 3 3

5 615

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47

13

12 3

11 3 338 2 16

8862

4 3 20

23 4

3

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48

20163 1275 2017971

ASD ADHD

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49

2

ASD ADHD

1

7-2

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50

1 1 4

LD ADHD ASDLD ADHD ASD

5

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51

12

3

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52

TASP

TASP

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53

TASP

JASPER SPACE

2

ABA

CBT

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54

SOS30

2011

1 30 40 20111 1 30 40

2011

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55

2011

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56

RPD

5-1

5-2 6-4

6-1 7-2 7-3

6-2 6-3

6-5

6-6

6-6

7-1

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