Diagnosing Autism Spectrum Disorder in Children with Low Mental Age
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| 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 |
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| 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. |
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| ISSN: | 0162-3257 |
| DOI: | 10.1007/s10803-018-3810-8 |