Upload
others
View
5
Download
0
Embed Size (px)
Citation preview
1
20062014
20052016
29 12
2
3
4
10
29 2 1EPDS: Edinburgh Postnatal Depression Scale
NBO: Newborn Behavioral Observation system
2500
1500
5
22 23
3
10
1
ASD: Autism Spectrum Disorder
6
1 6 1 6 2 3 3 43 4
6 7 9 10 121 5
2 1
2-1
1 3
7
2-2
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
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
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.
11
3
34-1
1 63
3
1 6 3
3 1 4 52 3
1
3
4-1
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
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
14
4-2
-
ADHD
2017 100
4-2
3 210 15%
PARS SDQ
15
3
3
4
1
1
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
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)
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
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
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
21
5
10-15) HFC Study 2018
3 2017
2013 5ASD 3
ASD16
3
“ ”
22
TASP
6-3
JASPER 6-1 2
6-2
TASP 6-3
6-2
5-1
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
24
25
3
6-1
6-1
6-5
26
2
1
TEACCH
Where WhenWhat How much How to do
What’s next ASD6 4
1 1
27
TEACCH
28
29
/
1
JASPER
6-1
6-1
6-2
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
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
机
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。
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.
33
6-3 JASPER 6
regulation
JASPER JASPER
JASPER JASPER
2017
6-6
34
6-6
35
6-7
6-7
36
6 110~12 6
NPO2015
BDI-
2 1
GHQ12
3
37
6
70
38
GHQ12
6
1
TASP; Transition Assessment Sheet for Preschoolers
ASD ADHDDCD Developmental Coordination Disorder
TASP
39
TASP
6-4 TASP ADHD ASD DCD 3
6-4 TASP
TASP 76-8
TASP
TASP
40
6-8
TASP35
5 1020 2 3
TASPTASP TASP1 2
TASP
3TASP
TASP5
41
TASP
TASP
TASP
TASP
42
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)
43
4
7-14
7-1
44
4 500 11 10
10
1-1, 1-2
1 5 2
1-2 10 50
3
45
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
47
13
12 3
11 3 338 2 16
8862
4 3 20
23 4
3
48
20163 1275 2017971
ASD ADHD
49
2
ASD ADHD
1
7-2
50
1 1 4
LD ADHD ASDLD ADHD ASD
5
51
12
3
52
TASP
TASP
53
TASP
JASPER SPACE
2
ABA
CBT
54
SOS30
2011
1 30 40 20111 1 30 40
2011
55
2011
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
452-0821 2-187
201 TEL/FAX 052-505-5000 MAIL [email protected]