Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 10/2017

31-07-2017 | Original Paper

Accurate Autism Screening at the 18-Month Well-Child Visit Requires Different Strategies than at 24 Months

Auteurs: Raymond Sturner, Barbara Howard, Paul Bergmann, Tanya Morrel, Rebecca Landa, Kejuana Walton, Danielle Marks

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Accuracy of autism screening using M-CHAT plus the follow-up interview (M-CHAT/F) for children screened positive at 18-months was compared to screening at 24-months. Formal ASD testing was criterion for a community sample of M-CHAT positive children (n = 98), positive predictive value (PPV) was 0.40 for the M-CHAT and 0.58 for the M-CHAT/F. MCHAT/F PPV was 0.69 among children 20+ months compared to 0.36 for <20 months. Multivariate analyses incorporating data from the Ages and Stages Questionnaire, MacArthur-Bates Communicative Development Inventory, M-CHAT and M-CHAT/F results, and M-CHAT items suggest language variables carry greatest relative importance in contributing to an age-based algorithm with potential to improve PPV for toddlers <20 months to the same level as observed in older toddlers.
Literatuur
go back to reference Allison, C., Baron-Cohen, S., Wheelwright, S., Charman, T., Richler, J., Pasco, G., & Brayne, C. (2008). The Q-CHAT (Quantitative Checklist for Autism in Toddlers): A normally distributed quantitative measure of autistic traits at 18–24 months of age: Preliminary report. Journal of Autism and Developmental Disorders, 38(8), 1414–1425.CrossRefPubMed Allison, C., Baron-Cohen, S., Wheelwright, S., Charman, T., Richler, J., Pasco, G., & Brayne, C. (2008). The Q-CHAT (Quantitative Checklist for Autism in Toddlers): A normally distributed quantitative measure of autistic traits at 18–24 months of age: Preliminary report. Journal of Autism and Developmental Disorders, 38(8), 1414–1425.CrossRefPubMed
go back to reference American Academy of Pediatrics, Committee on Children With Disabilities (1994). Developmental surveillance and screening of infants and young children. Pediatrics, 93, 863. American Academy of Pediatrics, Committee on Children With Disabilities (1994). Developmental surveillance and screening of infants and young children. Pediatrics, 93, 863.
go back to reference American Academy of Pediatrics (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.CrossRef American Academy of Pediatrics (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.CrossRef
go back to reference Baird, G., Charman, T., Baron-Cohen, S., Cox, A., Swettenham, J., Wheelwright, S., & Drew, A. (2000). A screening instrument for autism at 18 months of age: a 6-year follow-up study. Journal of the American Academy of Child & Adolescent Psychiatry, 39(6), 694–702. doi:10.1097/00004583-200006000-00007.CrossRef Baird, G., Charman, T., Baron-Cohen, S., Cox, A., Swettenham, J., Wheelwright, S., & Drew, A. (2000). A screening instrument for autism at 18 months of age: a 6-year follow-up study. Journal of the American Academy of Child & Adolescent Psychiatry, 39(6), 694–702. doi:10.​1097/​00004583-200006000-00007.CrossRef
go back to reference Barbaro, J., & Dissanayake, C. (2010). Prospective identification of autism spectrum disorders in infancy and toddlerhood using developmental surveillance: The social attention and communication study. Journal of Developmental & Behavioral Pediatrics, 31(5), 376–385. doi:10.1097/DBP.0b013e3181df7f3c.CrossRef Barbaro, J., & Dissanayake, C. (2010). Prospective identification of autism spectrum disorders in infancy and toddlerhood using developmental surveillance: The social attention and communication study. Journal of Developmental & Behavioral Pediatrics, 31(5), 376–385. doi:10.​1097/​DBP.​0b013e3181df7f3c​.CrossRef
go back to reference Barger, B. D., Campbell, J. M., & McDonough, J. D. (2013). Prevalence and onset of regression within autism spectrum disorders: A meta-analytic review. Journal of Autism and Developmental Disorders, 43(4), 817–828. doi:10.1007/s10803-012-1621-x.CrossRefPubMed Barger, B. D., Campbell, J. M., & McDonough, J. D. (2013). Prevalence and onset of regression within autism spectrum disorders: A meta-analytic review. Journal of Autism and Developmental Disorders, 43(4), 817–828. doi:10.​1007/​s10803-012-1621-x.CrossRefPubMed
go back to reference Baron-Cohen, S., Allen, J., & Giliberg, C. (1992). Can autism be detected at 18 months? The needle, the haystack, and the CHAT. British Journal of Psychiatry, 161, 839–843.CrossRefPubMed Baron-Cohen, S., Allen, J., & Giliberg, C. (1992). Can autism be detected at 18 months? The needle, the haystack, and the CHAT. British Journal of Psychiatry, 161, 839–843.CrossRefPubMed
go back to reference Breiman, L., Friedman, J. H., Olshen, R. A., & Stone, C. J. (1984). Classification and regression trees. Belmont, CA: Wadsworth Statistical Press. Breiman, L., Friedman, J. H., Olshen, R. A., & Stone, C. J. (1984). Classification and regression trees. Belmont, CA: Wadsworth Statistical Press.
go back to reference Chawarska, K., Shic, F., Macari, S., Campbell, D. J., Brian, J., Landa, R., Hutman, T., Nelson, C. A., Ozonoff, S., Tager-Flusberg, H., Young, G. S., Zwaigenbaum, L., Cohen, I. L., Charman, T., Messinger, D. S., Klin, A., Johnson, S., Bryson, S. (2014). 18-Month predictors of later outcomes in younger siblings of children with autism spectrum disorder: A baby siblings research consortium study. Journal of the American Academy of Child & Adolescent Psychiatry, 53(12), 1317–1327. doi:10.1016/j.jaac.2014.09.015.CrossRef Chawarska, K., Shic, F., Macari, S., Campbell, D. J., Brian, J., Landa, R., Hutman, T., Nelson, C. A., Ozonoff, S., Tager-Flusberg, H., Young, G. S., Zwaigenbaum, L., Cohen, I. L., Charman, T., Messinger, D. S., Klin, A., Johnson, S., Bryson, S. (2014). 18-Month predictors of later outcomes in younger siblings of children with autism spectrum disorder: A baby siblings research consortium study. Journal of the American Academy of Child & Adolescent Psychiatry, 53(12), 1317–1327. doi:10.​1016/​j.​jaac.​2014.​09.​015.CrossRef
go back to reference Christensen, D. L., Baio, J., Van Naarden Braun, K., Bilder, D., Charles, J., Constantino, J. N., Daniels, J., Durkin, M. S., Fitzgerald, R. T., Kurzius-Spencer, M., Lee, L. C., Pettygrove, S., Robinson, C., Schulz, E., Wells, C., Wingate, M. S., Zahorodny, W., & Yeargin-Allsopp, M. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summaries, 65(3), 1–23. doi:10.15585/mmwr.ss6503a1. Christensen, D. L., Baio, J., Van Naarden Braun, K., Bilder, D., Charles, J., Constantino, J. N., Daniels, J., Durkin, M. S., Fitzgerald, R. T., Kurzius-Spencer, M., Lee, L. C., Pettygrove, S., Robinson, C., Schulz, E., Wells, C., Wingate, M. S., Zahorodny, W., & Yeargin-Allsopp, M. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. MMWR Surveillance Summaries, 65(3), 1–23. doi:10.​15585/​mmwr.​ss6503a1.
go back to reference Fenson, L., Marchman, V. A., Dale, P. S., Reznick, S., Thal, D., & Bates, E. (2007). The MacArthur Communicative Development Inventories: User’s guide and technical manual (2nd ed.). Baltimore: Paul H. Brookes Publishing Co. Fenson, L., Marchman, V. A., Dale, P. S., Reznick, S., Thal, D., & Bates, E. (2007). The MacArthur Communicative Development Inventories: User’s guide and technical manual (2nd ed.). Baltimore: Paul H. Brookes Publishing Co.
go back to reference Halladay, A. K., Bishop, S., Constantino, J. N., Daniels, A. M., Koenig, K., Palmer, K., Messinger, D., Pelphrey, K., Sanders, S. J., Singer, A. T., Taylor, J. L., Szatmari, P. (2015). Sex and gender differences in autism spectrum disorder: summarizing evidence gaps and identifying emerging areas of priority. Molecular Autism, 6, 36. doi:10.1186/s13229-015-0019-y.CrossRefPubMedPubMedCentral Halladay, A. K., Bishop, S., Constantino, J. N., Daniels, A. M., Koenig, K., Palmer, K., Messinger, D., Pelphrey, K., Sanders, S. J., Singer, A. T., Taylor, J. L., Szatmari, P. (2015). Sex and gender differences in autism spectrum disorder: summarizing evidence gaps and identifying emerging areas of priority. Molecular Autism, 6, 36. doi:10.​1186/​s13229-015-0019-y.CrossRefPubMedPubMedCentral
go back to reference Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal on Intellectual and Developmental Disabilities, 114(1), 23–41. doi:10.1352/2009.114:23-41.CrossRefPubMed Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal on Intellectual and Developmental Disabilities, 114(1), 23–41. doi:10.​1352/​2009.​114:​23-41.CrossRefPubMed
go back to reference Kamio, Y., Inada, N., Koyama, T., Inokuchi, E., Tsuchiya, K., & Kuroda, M. (2014). Effectiveness of using the Modified Checklist for Autism in Toddlers in two-stage screening of autism spectrum disorder at the 18-month health check-up in Japan. Journal of Autism and Developmental Disorders, 44(1), 194–203. doi:10.1007/s10803-013-1864-1.CrossRefPubMed Kamio, Y., Inada, N., Koyama, T., Inokuchi, E., Tsuchiya, K., & Kuroda, M. (2014). Effectiveness of using the Modified Checklist for Autism in Toddlers in two-stage screening of autism spectrum disorder at the 18-month health check-up in Japan. Journal of Autism and Developmental Disorders, 44(1), 194–203. doi:10.​1007/​s10803-013-1864-1.CrossRefPubMed
go back to reference Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., & Barton, M. (2008). The modified checklist for autism in toddlers: a follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827–839. doi:10.1007/s10803-007-0450-9.CrossRefPubMedPubMedCentral Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., & Barton, M. (2008). The modified checklist for autism in toddlers: a follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827–839. doi:10.​1007/​s10803-007-0450-9.CrossRefPubMedPubMedCentral
go back to reference Luyster, R., Gotham, K., Guthrie, W., Coffing, M., Petrak, R., Pierce, K., Bishop, S., Esler, A., Hus, V., Oti, R., Richler, J., Risi, S., & Lord, C. (2009). The Autism Diagnostic Observation Schedule—Toddler Module: A new module of a standardized diagnostic measure for autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(9), 1305–1320.CrossRefPubMedPubMedCentral Luyster, R., Gotham, K., Guthrie, W., Coffing, M., Petrak, R., Pierce, K., Bishop, S., Esler, A., Hus, V., Oti, R., Richler, J., Risi, S., & Lord, C. (2009). The Autism Diagnostic Observation Schedule—Toddler Module: A new module of a standardized diagnostic measure for autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(9), 1305–1320.CrossRefPubMedPubMedCentral
go back to reference Makransky, G., Dale, P. S., Havmose, P., Bleses. D. (2016), An IRT-based, computerized adaptive testing version of the MacArthur-Bates Communicative Development Inventory: Words & sentences (CDI:WS). Journal of Speech, Language, and Hearing Research, 59(2), 281–289.CrossRefPubMed Makransky, G., Dale, P. S., Havmose, P., Bleses. D. (2016), An IRT-based, computerized adaptive testing version of the MacArthur-Bates Communicative Development Inventory: Words & sentences (CDI:WS). Journal of Speech, Language, and Hearing Research, 59(2), 281–289.CrossRefPubMed
go back to reference Mullen, E. M. (1995). The Mullen Scales of Early Learning: AGS edition. Circle Pines, MN: American Guidance Service, Inc. Mullen, E. M. (1995). The Mullen Scales of Early Learning: AGS edition. Circle Pines, MN: American Guidance Service, Inc.
go back to reference National Research Council (2001). Educating children with autism. Washington, DC: National Academies Press. National Research Council (2001). Educating children with autism. Washington, DC: National Academies Press.
go back to reference Pandey, J., Verbalis, A., Robins, D. L., Boorstein, H., Klin, A., Babitz, T., & Fein, D. (2008). Screening for autism in older and younger toddlers with the Modified Checklist for Autism in Toddlers. Autism: The International Journal of Research and Practice, 12(5), 513–535. doi:10.1177/1362361308094503.CrossRef Pandey, J., Verbalis, A., Robins, D. L., Boorstein, H., Klin, A., Babitz, T., & Fein, D. (2008). Screening for autism in older and younger toddlers with the Modified Checklist for Autism in Toddlers. Autism: The International Journal of Research and Practice, 12(5), 513–535. doi:10.​1177/​1362361308094503​.CrossRef
go back to reference Reznick, J. S., Baranek, G. T., Reavis, S., Watson, L. R., & Crais, E. R. (2007). A parent-report instrument for identifying one-year-olds at risk for an eventual diagnosis of autism: the first year inventory. Journal of autism and developmental disorders, 37(9), 1691–1710.CrossRefPubMed Reznick, J. S., Baranek, G. T., Reavis, S., Watson, L. R., & Crais, E. R. (2007). A parent-report instrument for identifying one-year-olds at risk for an eventual diagnosis of autism: the first year inventory. Journal of autism and developmental disorders, 37(9), 1691–1710.CrossRefPubMed
go back to reference Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism: The International Journal of Research and Practice, 12, 537.CrossRef Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism: The International Journal of Research and Practice, 12, 537.CrossRef
go back to reference Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144. DOI:10.1177/1362361308094502.CrossRefPubMed Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144. DOI:10.​1177/​1362361308094502​.CrossRefPubMed
go back to reference Siu, A. L., & The US Preventive Services Task Force (USPSTF). (2016). Screening for autism spectrum disorder in young children. US preventive services task force recommendation statement. JAMA: The Journal of the American Medical Association, 315(7), 691–696. doi:10.1001/jama.2016.0018.CrossRefPubMed Siu, A. L., & The US Preventive Services Task Force (USPSTF). (2016). Screening for autism spectrum disorder in young children. US preventive services task force recommendation statement. JAMA: The Journal of the American Medical Association, 315(7), 691–696. doi:10.​1001/​jama.​2016.​0018.CrossRefPubMed
go back to reference StataCorp (2015). Stata statistical software: Release 14. College Station, TX: StataCorp LP. StataCorp (2015). Stata statistical software: Release 14. College Station, TX: StataCorp LP.
go back to reference Stenberg, N., Bresnahan, M., Gunnes, N., Hirtz, D., Hornig, M., Lie, K. K., & Schjølberg, S. (2014). Identifying children with autism spectrum disorder at 18 months in a general population sample. Paediatric and Perinatal Epidemiology, 28(3), 255–262. doi:10.1111/ppe.12114.CrossRefPubMedPubMedCentral Stenberg, N., Bresnahan, M., Gunnes, N., Hirtz, D., Hornig, M., Lie, K. K., & Schjølberg, S. (2014). Identifying children with autism spectrum disorder at 18 months in a general population sample. Paediatric and Perinatal Epidemiology, 28(3), 255–262. doi:10.​1111/​ppe.​12114.CrossRefPubMedPubMedCentral
go back to reference Veness, C., Prior, M., Veness, C., Eadie, P., Cini, E., Reilly, S. (2012). Early indicators of autism spectrum disorders at 12 and 24 months of age: a prospective, longitudinal comparative study. Autism, 16(2), 163–177.CrossRefPubMed Veness, C., Prior, M., Veness, C., Eadie, P., Cini, E., Reilly, S. (2012). Early indicators of autism spectrum disorders at 12 and 24 months of age: a prospective, longitudinal comparative study. Autism, 16(2), 163–177.CrossRefPubMed
Metagegevens
Titel
Accurate Autism Screening at the 18-Month Well-Child Visit Requires Different Strategies than at 24 Months
Auteurs
Raymond Sturner
Barbara Howard
Paul Bergmann
Tanya Morrel
Rebecca Landa
Kejuana Walton
Danielle Marks
Publicatiedatum
31-07-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 10/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-017-3231-0

Andere artikelen Uitgave 10/2017

Journal of Autism and Developmental Disorders 10/2017 Naar de uitgave