转诊至三级发育障碍中心的高危儿童发育筛查的结果与启示
Findings and implications of developmental screening for high-risk children referred to a tertiary developmental disability center.
作者信息
Mathews Therese L, King Melissa Lynne, Kupzyk Kevin A, Lake Candice M
出版信息
J Pediatr Health Care. 2014 Nov-Dec;28(6):507-15. doi: 10.1016/j.pedhc.2014.03.002. Epub 2014 May 2.
INTRODUCTION
The primary goal of this article is to describe an intake process and results of screening for developmental and autism spectrum disorders in children referred to a tertiary center. A secondary analysis of abnormal screening results, demographic variables, and parental concerns of autism was conducted, along with a correlation analysis between developmental and autism-specific screening tools.
METHODS
A total of 379 children younger than 6 years were "prescreened" with the Ages and Stages Questionnaire-3 and the Modified Checklist for Autism in Toddlers or the Social Communication Questionnaire. Medical records were reviewed to identify demographic variables and parental primary concerns.
RESULTS
In approximately 11% of participants who screened positive for autism, no parental concerns of autism were present. Medium effect size correlations were found between the failed autism screening tools and delays in two domains on the Ages and Stages Questionnaire-3.
DISCUSSION
Clinical implications are addressed concerning diligent use of developmental and autism-specific rating scales to identify children at risk.
引言
本文的主要目的是描述在一家三级医疗中心就诊的儿童中，发育障碍和自闭症谱系障碍的筛查流程及结果。同时，对异常筛查结果、人口统计学变量以及家长对自闭症的担忧进行了二次分析，并对发育筛查工具和自闭症特异性筛查工具之间进行了相关性分析。
方法
共有379名6岁以下儿童接受了《年龄与发育阶段问卷第3版》以及《幼儿自闭症修正检查表》或《社会沟通问卷》的“预筛查”。通过查阅病历确定人口统计学变量和家长的主要担忧。
结果
在约11%自闭症筛查呈阳性的参与者中，家长并未对自闭症表示担忧。在未能通过的自闭症筛查工具与《年龄与发育阶段问卷第3版》中两个领域的发育迟缓之间发现了中等效应量的相关性。
讨论
探讨了在谨慎使用发育筛查量表和自闭症特异性评定量表以识别高危儿童方面的临床意义。
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