دانلود مقاله ISI انگلیسی شماره 39276
ترجمه فارسی عنوان مقاله

تشخیص بیماری به عنوان تعیین کننده های اجتماعی: توسعه رفتار موافق اجتماعی قبل و بعد از تشخیص طیف اوتیسم

عنوان انگلیسی
Diagnosis as a social determinant: The development of prosocial behaviour before and after an autism spectrum diagnosis
کد مقاله سال انتشار تعداد صفحات مقاله انگلیسی
39276 2012 8 صفحه PDF
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Social Science & Medicine, Volume 75, Issue 9, November 2012, Pages 1642–1649

ترجمه کلمات کلیدی
انگلستان؛ اوتیسم؛ جامعه شناسی تشخیص؛ تشخیص؛ عوامل اجتماعی؛ سلامت کودکان؛ مسیر رشد؛ اختلال فراگیر رشد
کلمات کلیدی انگلیسی
UK; ALSPAC; Autism; ASD; Sociology of diagnosis; Diagnosis; Social determinant; Child health; Developmental trajectory; Pervasive developmental disorder
پیش نمایش مقاله
پیش نمایش مقاله  تشخیص بیماری به عنوان تعیین کننده های اجتماعی: توسعه رفتار موافق اجتماعی قبل و بعد از تشخیص طیف اوتیسم

چکیده انگلیسی

Jutel and Nettleton (2011) discuss diagnosis as not only a major classification tool for medicine but also an interactive social process that itself may have ramifications for health. Consideration of diagnosis as a social determinant of health outcomes led to the formulation of our research question: Can we detect a change in the development of prosocial symptoms before and after an Autism Spectrum Disorder (ASD) diagnosis? We examined the developmental trajectory of prosocial skills of children, as impairment in social skills is given as a core symptom for children with ASD. We used a validated scale measuring prosocial behaviour for a sample of 57 children where the measure was repeatedly recorded over ten years. We plotted the developmental trajectory of the prosocial trait in this sample who were enrolled in a longitudinal birth cohort study based in South West England. Multi-factorial fixed effect modelling suggests that the developmental trajectory of this measure of behaviour was not significantly altered by ASD diagnosis, or the consequences of diagnosis, either for better or worse. Further analysis was conducted on a subset of 33 of the children who had both pre-diagnosis and post-diagnosis information, and the same result obtained. The results indicate that prosocial behaviours may be resistant to typical ‘treatments’: provision of educational and specialist health services triggered by a clinical ASD diagnosis. The implications of this for considering diagnosis as a social determinant are discussed.