Identification of Early Signs of Autism According to a Structured Observational Protocol: a Follow-up Study
DOI:
https://doi.org/10.15448/1980-8623.2014.4.15873Keywords:
Autism spectrum disorders, Early diagnosis, Child development.Abstract
Early, intensive and long-term interventions are associated with a positive impact on the prognosis of children with Autism Spectrum Disorders-ASD. The objectives of this study were to follow children with 16-24 months until three years of age in order to confirm/refute the diagnosis of ASD and verify if a structured observation protocol developed in Brazil would be able to discriminate children at high/low risk for ASD. Instruments: Modified Checklist for Autism in Toddlers-M-CHAT, Autism Behavior Checklist-ABC, Structured Observation for Autism Screening-OERA, Bayley and Vineland Scales. Of the 11 participants, none confirmed ASD diagnosis according to DSM-IV. The OERA was able to discriminate all negative cases of ASD. Conclusion: it was verified that M-CHAT was sensitive to identify developmental delays, but not specific regarding to ASD, being necessary other assessments to confirm the diagnosis; OERA was considered low cost, well accepted and important to discriminate developmental delays from ASD.Downloads
References
American Psychiatric Association (APA). (2000). Diagnostic and Statistic Manual of Mental Disorders – Text Revision (DSM-IV-TR) (4th ed.). Washington.
American Psychiatric Association (APA). (2013). Diagnostic and Statistic Manual of Mental Disorders (DSM-V) (5th ed.). Washington.
Baranek, G. T. (1999). Autism during infancy: a retrospective video analysis of sensory-motor and social behaviors at 9-12 months of age. Journal of Autism and Developmental Disorders, 29(3), 213-224. doi: 10.1023/A:1023080005650.
Belini, A. E. G. & Fernandes, F. D. M. (2007). Olhar de bebês em desenvolvimento típico: correlações longitudinais encontradas. Revista da Sociedade Brasileira de Fonoaudiologia, 12(3),
-173. doi: 10.1590/S1516-80342007000300003.
Becker, M. M., Wagner, M. B., Bosa, C. A., Schmidt, C., Longo, D., Papaleo, C., & Riesgo, R. S. (2012). Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil. Arquivos de Neuro-psiquiatria, 70(3), 185-190. doi:
1590/S0004-282X2012000300006.
Bosa, C. A. (2006). Autismo: intervenções psicoeducacionais. Revista Brasileira de Psiquiatria, 28(1), 47-53. doi: 10.1590/S1516-44462006000500007.
Cardoso, C. & Fernandes, F. D. M. (2006). Relação entre os aspectos sócio cognitivos e perfil funcional da comunicação em um grupo de adolescentes do espectro autístico. Pró-Fono Revista de Atualização Científica, 18(1), 89-98.
Carvalho, F. A., Paula, C. S., Teixeira, M. C. T. V., Zaqueu, L. D. C. C., & D’Antino, M. E. F. (2013). Rastreamento de sinais precoces de transtorno do espectro do autismo em crianças de creches de um município de São Paulo. Revista Psicologia: Teoria e Prática, 15(2), 144-154.
Clifford, S., Young, R., & Williamson, P. (2007). Assessing the early characteristics of autistic disorder using video analysis. Journal of Autism and Developmental Disorders, 37(2), 301-313. doi: 10.1007/s10803-006-0160-8.
Delgado, C., Mundy, P., & Block, J. (2001). Pictorial infant communication scale (PICS) version 1.3. Coral Gables: University of Miami.
DiLavore, P. C., Lord, C., & Rutter, M. (1995). The pre-linguistic autism diagnostic observation schedule. Journal of Autism and Developmental Disorders, 25(4), 355-379. doi: 10.1007/BF02179373.
Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-Analysis of Early Intensive Behavioral Intervention for Children with Autism. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 38(3), 439-450. doi: 10.1080/15374410902851739.
Elsabbagh, M., Divan, G., Koh, Y. J., Kim, Y. S., Kauchali, S., Marcín, C., & Fombonne, E. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5(3), 160-179. doi: 10.1002/aur.239.
Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65, 591-598. doi:10.1203/pdr. 0b013e31819e7203.
Gray, K. M. & Tonge, B. J. (2005). Screening for autism in infants and preschool children with developmental delay. Australian and New Zealand Journal of Psychiatry, 39(5), 378-386. doi: 10.1111/j.1440-1614.2005.01585.x.
Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of autism and developmental disorders, 39(5), 693-705. doi: 10.1007/s10803-008-0674-3.
Hathorn, C., Alateeqi, N., Graham, C., & O’Hare, A. (2014). Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder. Journal of autism and developmental disorders, 1-8. doi: 10.1007/s10803-014-2057-
Kalb, L. G., Law, J. K., Landa, R., & Law, P. A. (2010). Onset patterns prior to 36 months in autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(11), 1389-1402. doi: 10.1007/s10803-010-0998-7.
Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., & Fein, D. (2008). The modified checklist for autism in toddlers: a follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827-839. doi: 10.1007/s10803-007-0450-9.
Krug D. A., Arick J., & Almond P. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 21(3), 221-9. doi: 10.1111/j.1469-7610.1980.tb01797.x.
Ozonoff, S., Young, G. S., Goldring, S., Greiss-Hess, L., Herrera, A. M., Steele, J., & Rogers, S. J. (2008). Gross motor development, movement abnormalities, and early identification of autism. Journal of Autism and Developmental Disorders, 38(4), 644-656. doi: 10.1007/s10803-007-0430-0.
Ozonoff, S., Iosif, A. M., Baguio, F., Cook, I. C., Hill, M. M., Hutman, T., & Young, G. S. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child and Adolescent Psychiatry, 49(3), 256-266. doi:10.1016/j.jaac.2009.11.009.
Paula, C. S., Ribeiro, S. H., Fombonne, E., & Mercadante, M. T. (2011). Brief report: Prevalence of pervasive developmental disorder in Brazil: A pilot study. Journal of Autism and Developmental Disorders, 41(12), 1738-1742. doi: 10.1007/s10803-011-1200-6.
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131-144. doi: 10.1023/A: 1010738829569.
Sparrow, S. S. & Cicchetti, D. V. (1985). Diagnostic uses of the vineland adaptive behavior scales. Journal of Pediatric Psychology, 10(2), 215-225. doi: 10.1093/jpepsy/10.2.215.
Tamanaha, A. C., Perissinoto, J., & Chiari, B. M. (2008). Evolução da criança autista a partir da resposta materna ao Autism Behavior Checklist. Pró-Fono, 20(3), 165-70.
Teixeira, M. C. T. V., Mecca, T. P., Velloso, R. L., Bravo, R. B., Ribeiro, S. H. B., Mercadante, M. T., & Silvestre, C. (2010). Literatura científica brasileira sobre transtornos do espectro autista. Revista da Associação Médica Brasileira, 56(5), 607-614. doi: 10.1590/S0104-42302010000500026.
Zwaigenbaum, L. (2010). Advances in the Early Detection of Autism. Current Opinion in Neurology, 23(2), 97-102.
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