初级保健自闭症查与父母对社会互动的观察
Paul S Carbone1, Kathleen Campbell2, Michele Villalobos3
1Department of Pediatrics, University of Utah, 295 Chipeta Way, Salt Lake City, UT, 84108, USA. paul.carbone@hsc.utah.edu.
Journal of autism and developmental disorders
|February 22, 2025
概括
父母对社会互动的观察 (POSI) 工具有效地选自闭症,识别有更高诊断可能性和更早检测的儿童. 然而,其较低的积极预测值需要仔细解释以进一步评估.
科学领域:
- 发育儿科 发育儿科
- 自闭症谱系障碍研究研究
- 选工具验证验证 选工具验证
背景情况:
- 早期发现自闭症谱系障碍 (ASD) 对于及时干预至关重要.
- 父母对社交互动行为的报告可以为发展轨迹提供有价值的见解.
- 父母对社交互动的观察 (POSI) 是一种选工具,旨在评估幼儿的社交互动技能.
研究的目的:
- 评估父母对社会互动的观察 (POSI) 选工具的结果.
- 确定POSI结果与发展评估的转诊之间的关联.
- 调查POSI结果与随后的自闭症诊断之间的关系.
主要方法:
- 分析了6669名儿童的电子健康记录,这些儿童在18个月和24个月的健康儿童访问时使用POSI进行了查.
- 利用描述性统计和回归模型来分析查结果,转诊和自闭症诊断.
- 在2018年7月至2022年7月期间收集的数据.
主要成果:
- POSI确定了25.2%的18个月大的孩子和17.4%的24个月大的孩子是阳性查者.
- 在POSI查结果呈阳性的儿童中,有21%的儿童被转诊进行发育评估.
- 在所有儿童中,自闭症被诊断为2.8%;正确的POSI显著增加了可能性 (aOR为5.21在18个月,10.21在24个月),并导致更早的诊断 (13个月更早).
结论:
- POSI显示出对自闭症查的高灵敏度,但具有较低的积极预测值,强调需要仔细解释.
- 积极的POSI结果与自闭症谱系障碍的可能性增加和早期诊断密切相关.
- 这些发现支持POSI在识别可能受益于进一步发展自闭症评估的儿童方面的实用性.
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