Factors Associated with Confirmed and Unconfirmed Autism Spectrum Disorder Diagnosis in Children Volunteering for Research.
Purpose: Diagnostic accuracy of autism spectrum disorder (ASD) is crucial to track and characterize ASD, as well as to guide appropriate interventions at the individual level. However, under-diagnosis, over-diagnosis, and misdiagnosis of ASD are still prevalent. Methods: We describe 232 children (MA...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 55; no. 5; pp. 1660 - 1673 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184706147&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184706147 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: May2025 vid: 55 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 184706147 176528877 184706147 184706147 10.1007/s10803-024-06329-y 184706147 ppf: 1660 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Factors Associated with Confirmed and Unconfirmed Autism Spectrum Disorder Diagnosis in Children Volunteering for Research. aug: au: Duvall, Susanne W. Greene, Rachel K. Phelps, Randi Rutter, Tara M. Markwardt, Sheila Grieser Painter, Julia Cordova, Michaela Calame, Beth Doyle, Olivia Nigg, Joel T. Fombonne, Eric Fair, Damien affil: https://ror.org/009avj582 Departments of Pediatrics and Psychiatry, Institute on Development and Disability, Center for Development and Child Rehabilitation, Oregon Health & Science University, 707 SW Gaines St, 98239, Portland, OR, USA sug: subj: Autism Spectrum Disorder Risk Factors Autism Spectrum Disorder Diagnosis Volunteer Workers Research, Medical Risk Assessment False Positive Results Autism Spectrum Disorder Symptoms Information Resources Human Language Development Scales Child Male Female Community Programs Algorithms Descriptive Statistics Intelligence Anxiety Disorders Disruptive Behavior Affective Disorders Diagnostic Errors Overdiagnosis Child: 6-12 years Male Female ab: Purpose: Diagnostic accuracy of autism spectrum disorder (ASD) is crucial to track and characterize ASD, as well as to guide appropriate interventions at the individual level. However, under-diagnosis, over-diagnosis, and misdiagnosis of ASD are still prevalent. Methods: We describe 232 children (MAge = 10.71 years; 19% female) with community-based diagnoses of ASD referred for research participation. Extensive assessment procedures were employed to confirm ASD diagnosis before study inclusion. The sample was subsequently divided into two groups with either confirmed ASD diagnoses (ASD+) or unconfirmed/inaccurate diagnoses (ASD-). Clinical characteristics differentiating the groups were further analyzed. Results: 47% of children with community-based ASD diagnoses did not meet ASD criteria by expert consensus. ASD + and ASD- groups did not differ in age, gender, ethnicity, or racial make-up. The ASD + group was more likely to have a history of early language delays compared to the ASD- group; however, no group differences in current functional language use were reported by caregivers. The ASD + group scored significantly higher on ADI-R scores and on the ADOS-2 algorithm composite scores and calibrated severity scores (CSSs). The ASD- group attained higher estimated IQ scores and higher rates of psychiatric disorders, including anxiety disorder, disruptive behavior, and mood disorder diagnoses. Broadly, caregiver questionnaires (SRS-2, CCC-2) did not differentiate groups. Conclusion: Increased reported psychiatric disorders in the ASD- group suggests psychiatric complexity may contribute to community misdiagnosis and possible overdiagnosis of ASD. Clinician-mediated tools (ADI-R, ADOS-2) differentiated ASD + versus ASD- groups, whereas caregiver-reported questionnaires did not. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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