Screening for Behavioral Signs of Autism Spectrum Disorder in 9-Month-Old Infant Siblings.

Autism spectrum disorder Early detection High-risk siblings Parent report Prospective Screening

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:
Mar 2021
Historique:
pubmed: 16 1 2020
medline: 28 4 2021
entrez: 16 1 2020
Statut: ppublish

Résumé

Despite considerable progress in characterizing the early signs of autism spectrum disorder (ASD), more remains to be learned about how symptoms emerge in the first year of life. Parents with a new baby who already had at least one biological child diagnosed with ASD (high-risk) or no family history of ASD (low-risk) completed two measures when their baby was 9 months of age, the Autism Parent Screen for Infants (APSI) questionnaire and the interview-based Parent Concerns Form. Children underwent a blinded independent diagnostic assessment for ASD at age 3 years. Total scores on the APSI and the Parent Concerns Form were both able to independently differentiate high-risk children who were later diagnosed with ASD from other high-risk and low-risk children who were not. Using logistic regression, we found that the total score on the APSI predicted ASD outcomes at age 3 with 70% accuracy, but the Parent Concerns Form did not contribute any unique variance when the APSI was already in the model. The results suggest that the APSI identifies early features predictive of ASD in high-risk infants and can be used to flag them for targeted follow-up and screening.

Identifiants

pubmed: 31939081
doi: 10.1007/s10803-020-04371-0
pii: 10.1007/s10803-020-04371-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

839-848

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Auteurs

Lori-Ann R Sacrey (LR)

Department of Pediatrics, University of Alberta, Edmonton, AB, Canada. sacrey@ualberta.ca.
Department of Pediatrics, Autism Research Centre - E209, Glenrose Rehabilitation Hospital, 10230-111 Avenue, Edmonton, AB, T5G 0B7, Canada. sacrey@ualberta.ca.

Lonnie Zwaigenbaum (L)

Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Department of Pediatrics, Autism Research Centre - E209, Glenrose Rehabilitation Hospital, 10230-111 Avenue, Edmonton, AB, T5G 0B7, Canada.

Susan Bryson (S)

Dalhousie University/IWK Health Centre, Halifax, NS, Canada.

Jessica Brian (J)

Bloorview Research Institute, Toronto, ON, Canada.
University of Toronto, Toronto, ON, Canada.

Isabel M Smith (IM)

Dalhousie University/IWK Health Centre, Halifax, NS, Canada.

Wendy Roberts (W)

ISAND, Toronto, ON, Canada.

Peter Szatmari (P)

University of Toronto, Toronto, ON, Canada.
The Hospital for Sick Children, Toronto, ON, Canada.
Centre for Addiction and Mental Health, Toronto, ON, Canada.

Tracy Vaillancourt (T)

University of Ottawa, Ottawa, ON, Canada.

Caroline Roncadin (C)

University of Toronto, Toronto, ON, Canada.
McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, ON, Canada.

Nancy Garon (N)

Mount Allison University, Sackville, NB, Canada.

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