Prevalence and Nature of Prior Developmental and Medical Concerns in Toddlers Who Screen Positive for Autism in Primary Care

Autor/inn/en	Herkert, Darby; Sullivan, Connor; Zhu, YiQin; Dawson, Geraldine
Titel	Prevalence and Nature of Prior Developmental and Medical Concerns in Toddlers Who Screen Positive for Autism in Primary Care
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 8, S.2361-2371 (11 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Herkert, Darby)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613231162146
Schlagwörter	Autism Spectrum Disorders; Incidence; Child Development; Toddlers; Screening Tests; Disability Identification; Symptoms (Individual Disorders); Clinical Diagnosis; North Carolina + Suchen Sie Ihr Suchwort? Autism; Autismus; Vorkommen; Kindesentwicklung; Infant; Infants; Toddler; Kleinkind; Screening-Verfahren; Psychiatrische Symptomatik
Abstract	The American Academy of Pediatrics recommends that children be screened for autism at 18 and 24 months. It is unknown whether a positive screen usually represents the first developmental concern or is typically preceded by other developmental and/or medical concerns. This study evaluated the proportions of toddlers (M = 18.69 months) who screened positive for autism for whom caregivers or providers had prior concerns, the nature and timing of prior concerns, and their relationship with family characteristics. The electronic health records of 242 children who screened positive using the Modified Checklist for Autism in Toddlers--Revised with Follow-up during routine well-child visits were reviewed. Among toddlers who screened positive for autism, the majority (79.34%) had a documented prior motor, language, and/or autism concern. The presence of specific concerns was associated with earlier timing and higher Modified Checklist for Autism in Toddlers--Revised with Follow-up scores. Prior medical concerns were common, such as sleep (23.14%) and gastrointestinal (66.12%) problems. A positive autism screen often occurs in the context of pre-existing concerns. Thus, screening can provide providers with an opportunity to contextualize feedback about autism in the context of prior developmental and medical concerns. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01