Diagnosing Autism Spectrum Disorder in Toddlers Born Very Preterm: Estimated Prevalence and Usefulness of Screeners and the Autism Diagnostic Observation Schedule (ADOS).

Tytuł:: Diagnosing Autism Spectrum Disorder in Toddlers Born Very Preterm: Estimated Prevalence and Usefulness of Screeners and the Autism Diagnostic Observation Schedule (ADOS).
Autorzy:: Vermeirsch J; Department of Experimental Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium. .
Verhaeghe L; Centre for Rehabilitation Accent, Lageplein 12/14, 8501, Heule, Belgium.
Casaer A; Department of Neonatal Medicine, General Hospital of Saint-Jan Bruges-Ostend, Ruddershove 10, 8000, Bruges, Belgium.
Faes F; Centre for Developmental Disorders, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Oostra A; Centre for Developmental Disorders, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
Roeyers H; Department of Experimental Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
Źródło:: Journal of autism and developmental disorders [J Autism Dev Disord] 2021 May; Vol. 51 (5), pp. 1508-1527.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: <2006- >: New York, NY : Springer
Original Publication: New York, Plenum Press.
MeSH Terms:: Diagnostic and Statistical Manual of Mental Disorders*
Autism Spectrum Disorder/*diagnosis
Autism Spectrum Disorder/*epidemiology
Infant, Extremely Premature/*physiology
Algorithms ; Autism Spectrum Disorder/psychology ; Child, Preschool ; Cohort Studies ; Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Extremely Premature/psychology ; Infant, Newborn ; Male ; Prevalence ; Prospective Studies ; Risk Factors
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Grant Information:: G.0939.12N Fonds Wetenschappelijk Onderzoek
Contributed Indexing:: Keywords: Autism diagnostic observation schedule; Autism spectrum disorder; Early diagnosis; Parent-reported screening questionnaires; Preterm birth; Very preterm-born children
Entry Date(s):: Date Created: 20200807 Date Completed: 20210614 Latest Revision: 20210614
Update Code:: 20240105
DOI:: 10.1007/s10803-020-04573-6
PMID:: 32757085
: Czasopismo naukowe

Pełny tekst

This study estimated ASD prevalence in a cohort of 3-year-old very preterm children (N = 55) and investigated the usefulness of parent-reported ASD screeners and the ADOS-2. 12.7% received an ASD diagnosis by clinical judgment based on DSM-5 criteria. An additional 14.5% were classified as having a broader-autism-phenotype outcome. Sensitivity values for the screeners were poor, whereas specificity values ranged from poor to excellent. The ADOS-2 identified all children with ASD and had a fair specificity. These findings confirm the elevated ASD prevalence made by previous studies with preterm children but also highlight the challenges of successfully identifying ASD in this at-risk group. Caution is warranted when interpreting results of ASD instruments with the currently available cut-off scores and algorithms, especially when developmental challenges are present.

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