Screening for autism spectrum disorders in primary care settings.
Screening for autism spectrum disorders in primary care settings.
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DOI：
10.1177/1362361308094502
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发表时间：
2008-09
期刊：
影响因子：
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通讯作者：
Robins DL
中科院分区：
文献类型：
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作者：
Robins DL
在儿科健康儿童就诊期间进行自闭症特异性筛查的必要性已经确定。然而，需要对具体的筛查工具提供更多的支持。本研究使用改良的幼儿自闭症检查表（M-CHAT）和M-CHAT随访访谈对4797名幼儿进行检查。在4797例病例中，466例在M-CHAT上筛查为阳性;在完成随访的362例中，61例继续显示出自闭症谱系障碍（ASD）的风险。共有41名儿童接受了评估; 21名儿童被诊断为ASD，17名儿童被归类为非ASD延迟，3名儿童通常正在发展。M-CHAT+访谈的PPV为0.57。值得注意的是，21例ASD中只有4例被儿科医生标记。这些研究结果表明，M-CHAT在初级保健环境中识别ASD是有效的。未来的研究将纵向跟踪这一样本。
The need for autism-specific screening during pediatric well-child visits has been established. However, additional support for specific screening instruments is needed. The current study used the Modified Checklist for Autism in Toddlers (M–CHAT) and the M–CHAT Follow-Up Interview to screen 4797 children during toddler checkups. Of the 4797 cases, 466 screened positive on the M–CHAT; of the 362 who completed the follow-up interview, 61 continued to show risk for autism spectrum disorders (ASDs). A total of 41 children have been evaluated; 21 children have been diagnosed with ASD, 17 were classified with non-ASD delays, and three were typically developing. The PPV of M–CHAT plus interview was .57. It is notable that only four of the 21 cases of ASD were flagged by their pediatrician. These findings suggest that the M–CHAT is effective in identifying ASD in primary care settings. Future research will follow this sample longitudinally.