Screening for Autism Spectrum Disorders in Flemish Day-Care Centres with the Checklist for Early Signs of Developmental Disorders

Dereu, Mieke; Warreyn, Petra; Raymaekers, Ruth; Meirsschaut, Mieke; Pattyn, Griet; Schietecatte, Inge; Roeyers, Herbert

doi:10.1007/s10803-010-0984-0

Cited by 56 publications

(66 citation statements)

References 47 publications

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“…The sample consisted of 41 at-risk children (26 boys and 15 girls) out of a larger screening study that were seen for further assessments at the university lab because they showed signs of ASD on a screening instrument (n = 38) or had language delay (n = 3) [3,23]. All children were screened within a day-care facility when they were on average 22.35 months old (SD = 6.56) and with parent questionnaires when they were on average 25.11 months old (SD = 6.63).…”

Section: Methods Participantsmentioning

confidence: 99%

“…Preliminary results based on a population screening of 6,808 children revealed good psychometric properties: the CESDD had a sensitivity of .80 and a specificity of .94 [3]. The ESAT is a parent questionnaire and consists of 14 dichotomous items.…”

Section: Methodsmentioning

confidence: 99%

“…Some parents also took part in an unpublished validation study on the Dutch translation of the M-CHAT. All children who exhibited signs of ASD or language delay on one of the parent questionnaires used, were invited for further 8 evaluation at the university lab with the ADOS and MSEL (for more details on the screening procedure, see Figure 1) [3,23]. Only the ESAT was filled out for all children and is therefore the only parent questionnaire reported in this study.…”

Section: Methodsmentioning

confidence: 99%

“…For example, Kleinman and colleagues [15] and Pandey and colleagues [16] reported that the M-CHAT resulted in a considerable false positive rate in children between 16 and 30 months, but in both low-risk and high-risk groups these false positive screens mainly consisted of children with language disorders, general developmental delay, or other disorders. Dereu and colleagues [3] found that there were significantly more children with a developmental disorder (other than ASD) or delay in the group of false positive children than in the group of children with a true negative screen, when screening in a population sample with the CESDD. Also, some large scale population screens with instruments with lower Se revealed that all false positive children had other developmental problems.…”

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confidence: 99%

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How useful are screening instruments for toddlers to predict outcome at age 4? General development, language skills, and symptom severity in children with a false positive screen for autism spectrum disorder

Dereu

Roeyers

Raymaekers

et al. 2012

Eur Child Adolesc Psychiatry

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Screening instruments for autism spectrum disorder (ASD) often generate many false positives. It is argued that these children may have other developmental difficulties and are also in need of thorough assessment and early intervention. The current study looked at the predictive validity of positive screens on the Checklist for Early Signs of Developmental Disorders (CESDD) and the Early Screening of Autistic Traits questionnaire (ESAT) at age 2 towards language, cognitive function, and symptom severity at age 4. Children who screened positive on the ESAT scored lower for both language and cognitive functioning at age 4 compared to children who screened negative on the ESAT. Also, the more signs of ASD that were recognized on the CESDD or ESAT, the lower the scores for language and cognitive functioning at age 4. False positive screens could be differentiated from true positive screens on the CESDD only in symptom severity score on the Autism Diagnostic Observation Schedule (ADOS). It seems that early screeners for ASD also detect children with other developmental disorders and that diagnostic instruments such as the ADOS are warranted to differentiate between children with ASD and other developmental problems.

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Section: Methods Participantsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

How useful are screening instruments for toddlers to predict outcome at age 4? General development, language skills, and symptom severity in children with a false positive screen for autism spectrum disorder

Dereu

Roeyers

Raymaekers

et al. 2012

Eur Child Adolesc Psychiatry

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“…Más aún, muchas de las habilidades de atención conjunta, tales como el contacto visual y actos protodeclarativos, se desarrollan gradualmente desde los 9 hasta los 18 meses en niños de desarrollo típico (Carpenter, Nagell y Tomasello, 1998), y son sólo un signo clínico claro cuando éstos no han aparecido después de la edad de 18 meses. Las dificultades en la distinción de los TEA frente a otros trastornos del desarrollo a una edad muy temprana quedaron patentes en el programa de cribado realizado en Holanda con el ESAT a los 14 meses (Dietz, Swinkels, van Daalen, van Engeland y Buitelaar, 2006) y con el CESDD en Bélgica (Dereu et al, 2010). Ambos estudios son consistentes con el hecho ampliamente extendido en la literatura sobre los signos tempranos de TEA que indica que más de un 30% de los niños muestran una regresión después de un periodo de desarrollo normal (Chawarska et al, 2007).…”

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La detección e intervención tempranas en menores con trastorno del espectro autista

Primo

Paz

Cilleros

et al. 2015

Siglo Cero. Revista Española Sobre Discapacidad Intelectual

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A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

2019

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Without intervention, developmental delay (DD) and autism spectrum disorders (ASDs) severely restrict children from reaching their developmental potential. Monitoring child development through the use of screening tools can help identify children who need further assessment or intervention. Screening has been widely encouraged to identify children with ASD or DD, and a large variety of screening instruments are suggested in the literature. There is a lack of consensus around which screening tools are most effective, especially where tools are used in cultures other than those in which they were created. We conducted a review of the literature for screening tools for DD and autism to make recommendations for tool selection and use in low‐ and middle‐income countries (LMIC). We included 99 screening tools in the review and created profiles for each tool to evaluate their properties and determine which tools could be effectively used in various LMIC. Our review identified a substantial number (35 for DD and 6 for ASD) of screening tools from LMIC. We identified 10 tools which show promise for use across settings; these tools are brief, low‐cost and can be implemented by paraprofessionals or lay community health workers. Routine screening is an important first step toward addressing the need for services in LMIC, but high‐quality tools take time to be conceptualized, developed, piloted, and validated, before implementation can happen. A focus on improving the scientific rigor of early detection approaches and on enhancing the reach to underserved populations should be prioritized. Autism Res 2019, 12: 176–199 © 2019 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Screening tools are short questionnaires or brief assessments used to identify children at risk of a developmental disability such as autism. Many screening tools exist, but there is uncertainty about which tools work best in non‐Western cultures or low‐resource settings. We reviewed over 90 screening tools to identify which tools can be easily used in these settings. Selecting tools that are affordable and easy to use will make it easier to identify and support children with developmental difficulties.

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Screening for Autism Spectrum Disorders in Flemish Day-Care Centres with the Checklist for Early Signs of Developmental Disorders

Cited by 56 publications

References 47 publications

How useful are screening instruments for toddlers to predict outcome at age 4? General development, language skills, and symptom severity in children with a false positive screen for autism spectrum disorder

How useful are screening instruments for toddlers to predict outcome at age 4? General development, language skills, and symptom severity in children with a false positive screen for autism spectrum disorder

La detección e intervención tempranas en menores con trastorno del espectro autista

A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low‐ and middle‐income countries

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