Department of Psychological Sciences, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT, 06269-1020, USA.
Department of Psychology, Georgia State University, 33 Gilmer Street, Atlanta, GA, 30303, USA.
J Autism Dev Disord. 2020 Jun;50(6):2030-2040. doi: 10.1007/s10803-019-03959-5.
The American Academy of Pediatrics recommends Autism Spectrum Disorder (ASD) screening at 18 and 24 months. However, utility of rescreening at 24 months, after a negative 18-month screening, remains unknown. We identified cases of ASD detected at 24 months after a negative 18-month screening (i.e., Catch-24 group; n = 10) and compared them to toddlers detected by 18-month screening (i.e., Early Diagnosis group; n = 203). Repeated ASD-specific screening at 24 months detected children who were missed at their 18-month screening. Thus, our findings support repeated screening for ASD at both 18 and 24 months in order to maximize identification of toddlers with ASD and other neurodevelopmental disorders who require intervention.
美国儿科学会建议在 18 个月和 24 个月时进行自闭症谱系障碍（ASD）筛查。然而，在 18 个月筛查呈阴性后，在 24 个月时进行再次筛查的效用尚不清楚。我们确定了在 18 个月筛查呈阴性后 24 个月时发现的 ASD 病例（即“Catch-24 组”，n=10），并将其与通过 18 个月筛查发现的幼儿（即“早期诊断组”，n=203）进行了比较。在 24 个月时对 ASD 进行重复特异性筛查，可以发现在 18 个月筛查时漏诊的儿童。因此，我们的研究结果支持在 18 个月和 24 个月时重复进行 ASD 筛查，以便最大程度地发现需要干预的自闭症和其他神经发育障碍幼儿。
