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Screening for autism spectrum disorders in primary care settings
Journal article   Open access   Peer reviewed

Screening for autism spectrum disorders in primary care settings

Diana L Robins
Autism : the international journal of research and practice, v 12(5), pp 537-556
Sep 2008
PMID: 18805946
url
https://europepmc.org/articles/pmc4732522View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Autistic Disorder - diagnosis Autistic Disorder - epidemiology Child, Preschool Female Humans Infant Male Mass Screening - methods Primary Health Care - methods
The need for autism-specific screening during pediatric well-child visits has been established. However, additional support for specific screening instruments is needed. The current study used the Modified Checklist for Autism in Toddlers (M-CHAT) and the M-CHAT Follow-Up Interview to screen 4797 children during toddler checkups. Of the 4797 cases, 466 screened positive on the M-CHAT; of the 362 who completed the follow-up interview, 61 continued to show risk for autism spectrum disorders (ASDs). A total of 41 children have been evaluated; 21 children have been diagnosed with ASD, 17 were classified with non-ASD delays, and three were typically developing. The PPV of M-CHAT plus interview was .57. It is notable that only four of the 21 cases of ASD were flagged by their pediatrician. These findings suggest that the M-CHAT is effective in identifying ASD in primary care settings. Future research will follow this sample longitudinally.

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183 citations in Scopus

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Web of Science research areas
Psychology, Developmental
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