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Published on: July 31, 2017
Autism Spectrum Disorder: Primary Care Principles.
Kristian E Sanchack1, Craig A Thomas2
1Naval Hospital Jacksonville, Jacksonville, FL, USA.
Early identification of autism spectrum disorder (ASD) is crucial. Experts recommend screening at 18- and 24-month well-child visits, as early behavioral interventions improve outcomes.
Area of Science:
- Neurodevelopmental disorders
- Pediatric psychology
Background:
- Autism spectrum disorder (ASD) is defined by social communication deficits and repetitive behaviors.
- The DSM-5 consolidated previous diagnoses into a single ASD diagnosis.
- Current evidence does not support routine screening for ASD in asymptomatic infants aged 18-30 months.
Purpose of the Study:
- To emphasize the importance of early identification of autism spectrum disorder.
- To highlight the benefits of early intensive behavioral interventions.
Main Methods:
- Review of current evidence regarding screening and intervention for ASD.
- Expert recommendations for screening at 18- and 24-month well-child visits.
Main Results:
Conclusions:
- Early identification and intervention are critical for improving outcomes in children with ASD.
- Validated screening tools at routine pediatric visits are recommended for early detection.
- Optimal outcomes are associated with early, intensive behavioral interventions and reduced pharmacologic treatment.

