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Comparison of three screening tests for autism in preterm children with birth weights less than 1,500 grams
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SYSNO ASEP 0437309 Document Type J - Journal Article R&D Document Type Journal Article Subsidiary J Článek ve WOS Title Comparison of three screening tests for autism in preterm children with birth weights less than 1,500 grams Author(s) Dudová, I. (CZ)
Marková, D. (CZ)
Kašparová, M. (CZ)
Zemánková, J. (CZ)
Beranová, Š. (CZ)
Urbánek, Tomáš (PSU-E) RID, ORCID, SAI
Hrdlička, M. (CZ)Number of authors 7 Source Title Neuropsychiatric Disease and Treatment. - : Dove Medical Press Ltd. - ISSN 1176-6328
Roč. 10, č. 11 (2014), s. 2201-2208Number of pages 8 s. Language eng - English Country NZ - New Zealand Keywords autism spectrum disorders ; preterm children ; screening Subject RIV AN - Psychology Institutional support PSU-E - RVO:68081740 UT WOS 000344930800001 DOI 10.2147/NDT.S72921 Annotation Preterm children seem to be at increased risk for autism spectrum disorders (ASD). Parents of 157 children with birth weights less than 1,500 g (age 2 years, corrected for prematurity; 88 boys, 69 girls) completed screening questionnaires. The screening battery included the Modified Checklist for Autism in Toddlers (M-CHAT), Communication and Symbolic Behavior Scales Developmental Profile Infant-Toddler Checklist (CSBS-DP-ITC), and the Infant/Toddler Sensory Profile (ITSP). Children with disabilities were excluded. All children who screened positive on any of the screening tools were subsequently assessed by clinical examination including the Autism Diagnostic Observation Schedule. Fifty-six children (35.7%) screened positive on at least one of the parental screening questionnaires. Of the 56 children who tested positive, 33 participated in the detailed clinical follow-up assessment. A diagnosis of ASD was confirmed in 13 of the 33 children. The ASD prevalence was 9.7% of the sample. Analysis of children with and without an ASD diagnosis found significant differences relative to gestational age (26.9 weeks vs 28.3 weeks, p=0.033) and length of the stay in hospital (89.5 days vs 75.4 days, p=0.042). The screening tool with the most positive results was CSBS-DP-ITC (42 positive screens [PS]), followed by M-CHAT (28 PS), and ITSP (22 PS). Differences in the frequency of PS among the tests were significant (P=0.008). CSBS-DP-ITC had the highest sensitivity (0.846), followed by M-CHAT (0.692) and ITSP (0.462). Our results indicate a higher prevalence of autism in children with birth weights <1,500 g at 2 years of age compared to the general population prevalence. The ASD diagnosis was associated with shorter gestation times and longer hospital stays. Our findings support the simultaneous use of more than one screening tests in order to increase screening sensitivity. Workplace Institute of Psychology Contact Štěpánka Halamová, Halamova@praha.psu.cas.cz, Tel.: 222 222 096 Year of Publishing 2015
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