Diagnosing Autism Spectrum Disorder in Children with Low Mental Age

Saved in:
Bibliographic Details
Title: Diagnosing Autism Spectrum Disorder in Children with Low Mental Age
Language: English
Authors: Miller, Lauren E., Burke, Jeffrey D., Robins, Diana L., Fein, Deborah A.
Source: Journal of Autism and Developmental Disorders. Mar 2019 49(3):1080-1095.
Availability: Springer. Available from: Springer Nature. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Peer Reviewed: Y
Page Count: 16
Publication Date: 2019
Sponsoring Agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (NIH)
Health Resources and Services Administration (DHHS), Maternal and Child Health Bureau
Department of Education (ED)
Contract Number: R01HD039961
R40MC00270
Document Type: Journal Articles
Reports - Research
Descriptors: Autism, Clinical Diagnosis, Screening Tests, Observation, Diagnostic Tests, Pervasive Developmental Disorders, Rating Scales, Toddlers, Item Analysis, Social Behavior, Nonverbal Communication, Play, Developmental Delays, Child Development
Assessment and Survey Identifiers: Autism Diagnostic Observation Schedule, Childhood Autism Rating Scale
DOI: 10.1007/s10803-018-3810-8
ISSN: 0162-3257
Abstract: Autism Spectrum Disorder (ASD) diagnostic tools are not designed for mental ages (MA) below 12 months. Autism Diagnostic Observation Schedule (ADOS) and Childhood Autism Rating Scale (CARS) were examined in 2-year-olds with ASD-low MA (n = 53), Global Developmental Delay (GDD; n = 175), and ASD-higher MA (n = 425). ADOS and CARS demonstrated similar agreement with clinical diagnosis, but ADOS over-classified ASD in low MA, whereas CARS both over- and under-classified. All ADOS items differentiated GDD from ASD. Elementary social behaviors (e.g., eye contact, social interest) were similar across ASD groups, although advanced skills (e.g., pointing, play) were more impaired in ASD-low MA. ASD-low MA, a severe presentation, may require a modified ADOS algorithm to account for developmental delays.
Abstractor: As Provided
Entry Date: 2019
Accession Number: EJ1206852
Database: ERIC
Full text is not displayed to guests.
Description
Abstract:Autism Spectrum Disorder (ASD) diagnostic tools are not designed for mental ages (MA) below 12 months. Autism Diagnostic Observation Schedule (ADOS) and Childhood Autism Rating Scale (CARS) were examined in 2-year-olds with ASD-low MA (n = 53), Global Developmental Delay (GDD; n = 175), and ASD-higher MA (n = 425). ADOS and CARS demonstrated similar agreement with clinical diagnosis, but ADOS over-classified ASD in low MA, whereas CARS both over- and under-classified. All ADOS items differentiated GDD from ASD. Elementary social behaviors (e.g., eye contact, social interest) were similar across ASD groups, although advanced skills (e.g., pointing, play) were more impaired in ASD-low MA. ASD-low MA, a severe presentation, may require a modified ADOS algorithm to account for developmental delays.
ISSN:0162-3257
DOI:10.1007/s10803-018-3810-8