Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value?
Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value?
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DOI：
10.1007/s10803-022-05541-y
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发表时间：
2023-08
影响因子：
3.9
通讯作者：
Attar, Shana
中科院分区：
文献类型：
--
作者：
Sturner, Raymond;Bergmann, Paul;Howard, Barbara;Bet, Kerry;Stewart-Artz, Lydia;Attar, Shana
先前的研究表明，自闭症特异性和一般发育筛查对于识别自闭症和发育迟缓（DD）是互补的。父母在18个月的访问之前完成了自闭症和发育筛查。自闭症筛查失败的儿童（n = 167）和年龄、性别和实践匹配的通过筛查的儿童（n = 241）完成了自闭症和发育迟缓的诊断评估。当考虑到自闭症和/或DD的转诊时，自闭症筛查的总体假阳性率低于单独的自闭症转诊。在发育筛选中存在失败的沟通子量表是自闭症和/或DD的危险信号。当考虑自闭症和/或DD时，普通评分的自闭症筛查具有更有利的特征，但在18个月时，没有一个筛查达到推荐标准，这加强了在自闭症出现在早期发育时进行反复筛查的必要性。
Prior studies suggest autism-specific and general developmental screens are complementary for identifying both autism and developmental delay (DD). Parents completed autism and developmental screens before 18-month visits. Children with failed screens for autism (n = 167) and age, gender, and practice-matched children passing screens (n = 241) completed diagnostic evaluations for autism and developmental delay. When referral for autism and/or DD was considered, overall false positives from the autism screens were less frequent than for referral for autism alone. Presence of a failed communication subscale in the developmental screen was a red flag for autism and/or DD. An ordinally-scored autism screen had more favorable characteristics when considering autism and/or DD, yet none of the screens achieved recommended standards at 18 months, reinforcing the need for recurrent screening as autism emerges in early development.
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