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[Challenges and Influencial Factors in Autism-Specific Diagnostics in Toddlers]

Birgit Kloidt1, Lisa Blatz1, Marion Flemming2

  • 1Medizinische Fakultät und Uniklinik Köln, Klinik und Poliklinik für Kinder- und Jugendmedizin, Köln, Universität zu Köln, Deutschland.

Zeitschrift Fur Kinder- Und Jugendpsychiatrie Und Psychotherapie
|August 9, 2022
PubMed

Insights

Diagnosing autism spectrum disorder (ASD) in toddlers is challenging due to comorbidities and setting difficulties. A follow-up examination after therapy initiation over 6-9 months is often necessary for accurate diagnosis.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Clinical Psychology

Context:

  • Early diagnosis of autism spectrum disorder (ASD) in toddlers presents unique clinical challenges.
  • Interdisciplinary teams face difficulties in routine outpatient diagnostics for very young children.
  • The study addresses the complexities of diagnosing ASD in toddlers aged 2-3 years.

Purpose:

  • To identify specific challenges in the early clinical diagnosis of ASD in toddlers.
  • To explore recommendations for improving diagnostic practices for young children with suspected ASD.
  • To understand the factors influencing reliable ASD classification in early childhood.

Summary:

  • An interdisciplinary team evaluated 31 toddlers (2-3 years) twice over 6-9 months for suspected ASD, supplemented by an expert online survey.
  • Initial interviews resulted in a differential ASD diagnosis for 26% of toddlers, with comorbidities, family factors, and examination setting posing diagnostic hurdles.
  • A definitive ASD diagnosis often requires a follow-up assessment after a 6-9 month period of therapy and potential environmental or care adjustments.

Impact:

  • Highlights the need for longitudinal assessment in toddler ASD diagnostics.
  • Suggests that therapeutic interventions and environmental changes can facilitate clearer diagnostic outcomes.
  • Informs clinical practice regarding the timing and criteria for diagnosing ASD in toddlers.

Keywords:
Autismus-Spektrum-StörungEinflussfaktorenRe-Evaluation/Verlaufsbeurteilungautism spectrum disorderearly diagnosisfrühe Diagnosestellunginfluencing factorsinterdisziplinäres Vorgehenmultidisciplinarityre-evaluation

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