When Are We Sure? Predictors of Clinician Certainty in the Diagnosis of Autism Spectrum Disorder.
Autism spectrum disorder
Diagnostic certainty
Differential diagnosis
Journal
Journal of autism and developmental disorders
ISSN: 1573-3432
Titre abrégé: J Autism Dev Disord
Pays: United States
ID NLM: 7904301
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
pubmed:
30
11
2018
medline:
30
5
2019
entrez:
30
11
2018
Statut:
ppublish
Résumé
Differential diagnosis of autism spectrum disorder (ASD) is challenging, and uncertainty regarding a child's diagnosis may result in under-identification or prolonged diagnostic pathways. The current study examined diagnostic certainty, or how sure clinicians were that their diagnosis was accurate, among 478 toddler and preschool-aged children referred for possible ASD to academic medical specialty clinics. Overall, 60 percent of diagnoses were made with complete certainty. Clinicians were more certain when positively identifying ASD than ruling it out. Children presenting with a moderate (vs high or low) level of observable ASD symptoms were less likely to have a certain diagnosis. Further, clinicians rated less diagnostic certainty for older children, those with public insurance, and those with higher IQ and adaptive behavior abilities.
Identifiants
pubmed: 30488151
doi: 10.1007/s10803-018-3831-3
pii: 10.1007/s10803-018-3831-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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