Checklist for autism in toodlers (CHAT)

Instrument de screening pentru copiii in varsta de 18 luni care prezinta riscul de a avea
tulburari sociale – de comunicare.
Partea A, setul de intrebari pentru parinti:
1. Ii place copilului sa fie leganat, saltat pe genunchi etc.?
Da/ Nu

2. Este copilul interesat de alti copii?

Da/ Nu

3. Ii place copilului sa se catere pe diverse lucruri, cum ar fi treptele?

Da/ Nu

4. Ii place copilului sa se joace de-a v-ati ascunselea/ “cucu-bau”?

Da/ Nu

5. S-a jucat vreodata pretinzand, de exemplu, ca isi face un ceai folosind o cescuta sau ceainic
de jucarie sau alte asemenea jocuri?
Da/ Nu

6. A folosit vreodata copilul degetul aratator pentru a arata, a cere ceva?

Da/ Nu

7.A folosit vreodata copilul degetul aratator pentru a indica interesul sau pentru ceva?
Da/ Nu

8. Poate copilul sa se joace adecvat cu jucarii mici (ex, masinute, lego etc.), nu doar sa le
duca la gura, invarta in gol sau sa le scape, arunce?
Da/ Nu

9. Va aduce copilul vreun obiect pentru a va arata ceva?

Da/ Nu
Partea B, setul de intrebari pentru personalul medical primar/ pediatrul care se
ocupa de copil

1. In timpul vizitei, copilul face contact vizual cu dumneavoastra?

Da/ Nu

2.Captati atentia copilului, apoi aratati-i cu degetul un obiect interesant din incapere si
spuneti-i: ”Uite! E (numele jucariei) acolo! Priviti fata copilului. Se uita in directia respectiva ca
sa vada ce ii aratati? (Obs. Pentru a inregistra cu DA acest item, asigurati-va de faptul ca
copilul nu se uita la mana dvs, ci la obiectul pe care i-l aratati). Da/ Nu

3. Captati atentia copilului, apoi dati-i o cescuta si un ceainic de jucarie si spuneti-i “Poti sa
faci o ceasca de ceai?” Se face copilul ca isi pune ceai, ca-l bea etc.? (Obs. Daca puteti
remarca un exemplu de simulare intr-un alt joc, similar, treceti DA la acest item.) Da/ Nu

4. Intrebati copilul “Unde este becul/ lumina?” sau spuneti-i “Arata-mi becul/ lumina”. Va
arata copilul cu degetul becul/ sursa de lumina? (Obs. Repetati cererea si cu alt obiect pe care
nu-l poate atinge, de ex. Ursuletul/ alta jucarie, in cazul in care copilul nu intelege cuvantul
“lumina”. Pentru a trece DA la acest item, copilul trebuie sa se uite si la dvs. in timp ce arata
cu degetul spre obiect).

***
Daca raspunsurile la majoritatea intrebarilor au fost negative, nu mai trebuie amanat,trebuie
sa duci micutul la un specialist si sa incepi sa lucrezi sistematic cu el.

Symptoms
If you have depression, you may feel hopeless and sad or stop feeling pleasure from almost
everything you do. You may feel down in the dumps, tearful, or discouraged. You may also be
irritable or anxious or have low energy levels. The symptoms of depression are often subtle at
first. It can be hard to recognize that symptoms may be connected and that you might have
depression.

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The two most significant symptoms of depression are:3

• Sadness or hopelessness.

• Loss of interest in or pleasure from most daily activities.

Other symptoms include:3

• Losing or gaining weight because of changes in appetite.

• Sleeping too much or not enough.

• Feeling restless and unable to sit still, or feeling that moving takes a great effort.

• Feeling tired all the time.

• Feeling unworthy or guilty without an obvious reason.

• Having problems concentrating, remembering, or making decisions.

• Thinking often about death or suicide.

If you have at least five of these symptoms for 2 weeks or longer, and one of the symptoms is
either sadness or loss of interest, you may be diagnosed with major depression that needs
treatment. Even if you have fewer than five symptoms, you may still be depressed and need
treatment.

If you have 2 to 4 symptoms for a period of at least 2 years (1 year for a child), you may have a
long-term form of depression called dysthymic disorder (dysthymia).3

Many women experience mood changes before menstruation. Physical and emotional
premenstrual symptoms that interfere with relationships or responsibilities are known as
premenstrual syndrome (PMS). However, women who have emotional and physical premenstrual
symptoms that seriously interfere with daily life may have a type of depression known as
premenstrual dysphoric disorder (PMDD). For more information see the topic Premenstrual
Syndrome (PMS).

Many health professionals see people with general symptoms that may be difficult to link to
depression. These symptoms, which commonly occur with depression, include:

• Having headaches and other body aches and pains.

• Having digestive problems, including constipation or diarrhea.

• Losing interest in sex or being unable to perform sexually.

• Feeling anxious or worried without an obvious reason.

• Blaming yourself or others for your depression.

• Not moving or talking for hours.

Other symptoms of depression may include:4, 3

• Overeating and weight gain (rather than loss of appetite).

• Oversleeping (rather than insomnia).

• Increased tearfulness, anger, and generally not feeling well, along with anxiety and
tension.

• Sometimes, a feeling of heaviness in the arms and legs.

• Sensitivity to rejection.

Depression is a serious problem for people of any age, and older adults with symptoms of
depression should seek treatment right away. Depression in older adults can cause confusion or
forgetfulness (although some medications can cause these symptoms as well). Depression has
also been identified as a significant risk factor for death in older adults with heart problems.5

It is important to recognize the early warning signs of depression so that you can get treatment. If
you think you may have depression, take a short quiz to evaluate your symptoms:

Interactive Tool: Are You Depressed?

The symptoms of depression are often hard to notice at first. It can be hard to recognize that
symptoms may be connected and that you might have depression. Symptoms of depression in
children and teens are sometimes different from adult symptoms, which can make their
depression more difficult to diagnose and treat. For more information, see the topic Depression in
Children and Teens.

Depression can lead to suicide. The warning signs of suicide change with age.

• Warning signs of suicide in children and teens may include preoccupation with death or
suicide or a recent breakup of a relationship.

• Warning signs of suicide in adults may include alcohol or substance abuse, recent job
loss, or divorce.

• Warning signs of suicide in older adults may include the recent death of a partner or
diagnosis of a life-limiting illness.

Author: Jeannette Curtis

Ralph Poore
Medical Review: Martin Gabica, MD - Family Medicine
Lisa S. Weinstock, MD - Psychiatry