A New Screening Programme for Autism in a General Population of Swedish Toddlers

Autor/inn/en	Nygren, Gudrun; Sandberg, Eva; Gillstedt, Fredrik; Ekeroth, Gunnar; Arvidsson, Thomas; Gillberg, Christopher
Titel	A New Screening Programme for Autism in a General Population of Swedish Toddlers
Quelle	In: Research in Developmental Disabilities: A Multidisciplinary Journal, 33 (2012) 4, S.1200-1210 (11 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0891-4222
DOI	10.1016/j.ridd.2012.02.018
Schlagwörter	Evidence; Early Intervention; Autism; Child Health; Clinical Diagnosis; Foreign Countries; Screening Tests; Check Lists; Nurses; Language Impairments; Classification; Measures (Individuals); Health Services; Young Children; Physicians; Health Personnel; Program Descriptions; Sweden + Suchen Sie Ihr Suchwort? Evidenz; Autismus; Ausland; Screening-Verfahren; Checkliste; Speech disorder; Speech disorders; Speech disabilities; Speech disability; Speech handicap; Speech handicaps; Speech impairment; Speech impairments; Language handicaps; Sprachbehinderung; Classification system; Klassifikation; Klassifikationssystem; Messdaten; Health service; Gesundheitsdienst; Gesundheitswesen; Frühe Kindheit; Physician; Doctor; Arzt; Medizinisches Personal; Schweden
Abstract	The evidence from early intervention studies of autism has emphasised the need for early diagnosis. Insight into the early presentation of autism is crucial for early recognition, and routine screening can optimise the possibility for early diagnosis. General population screening was conducted for 2.5-year-old children at child health centres in Gothenburg, Sweden, and the efficacy of the screening instruments in predicting a clinical diagnosis of autism was studied. The tools used for autism screening comprised the Modified Checklist for Autism in Children (M-CHAT) and an observation made by trained nurses of the child's joint attention abilities (JA-OBS). From the new screening procedure a "definitive" suspicion of autism spectrum disorder (ASD) was raised in 64 individuals in the study population of 3999 young children. Fifty-four of these were clinically assessed in detail. Forty-eight children had a confirmed diagnosis of ASD, three had severe language disorder, and three (6%) were classified as having typical development. The "Positive predictive Value" ("PPV") for the combination of M-CHAT and the JA-OBS was 90%. The combination of instruments used showed promise for early detection of autism as a routine in the developmental programme at child health centres. Trained medical staff is a basic requirement and enables earlier detection and the use of screening tools beyond routine population screening regardless of the age at which a suspicion of autism is raised. (Contains 5 figures and 2 tables.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10