Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value?

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 practi...

Full description

Saved in:
Bibliographic Details
Published inJournal of autism and developmental disorders Vol. 53; no. 8; pp. 3065 - 3076
Main Authors Sturner, Raymond, Bergmann, Paul, Howard, Barbara, Bet, Kerry, Stewart-Artz, Lydia, Attar, Shana
Format Journal Article
LanguageEnglish
Published New York Springer US 01.08.2023
Springer
Springer Nature B.V
Subjects
Accuracy
Autism
Autism Spectrum Disorder - diagnosis
Autism Spectrum Disorders
Autistic children
Autistic Disorder - diagnosis
Behavioral Science and Psychology
Child
Child and School Psychology
Clinical Diagnosis
Clinical standards
Developmental Delays
Developmentally delayed children
Diagnosis
Evaluation
Humans
Infant
Mass Screening
Medical screening
Neurosciences
Original Paper
Parents
Pediatrics
Pervasive developmental disorders
Psychology
Public Health
Recurrent
Referral
Referrals
Screening Tests
Surveys and Questionnaires
United States
M-CHAT-R
M-CHAT-R/F
Q-CHAT-10
Autism screening
Developmental screening
ASQ-3
Online AccessGet full text

Cover

More Information
Summary: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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Author Contributions Raymond Sturner and Barbara Howard conceptualized, designed, and oversaw data collection during the study, drafted the initial manuscript, and approved the final manuscript as submitted. Lydia Stewart-Artz and Kerry Bet managed data collection and data entry, coordinated with offices, reviewed the manuscript and approved the final manuscript as submitted. Shana Attar performed autism and developmental evaluations, entered autism diagnostic conclusions, helped prepare the data for analysis, reviewed the manuscript and approved the final manuscript as submitted. Paul Bergmann helped design the project, carried out the analyses, reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-022-05541-y