Identification of Early Signs of Autism According to a Structured Observational Protocol: a Follow-up Study

Authors

  • Felipe Alckmin-Carvalho Universidade de São Paulo
  • Maria Cristina Triguero Veloz Teixeira Universidade Presbiteriana Mackenzie
  • Décio Brunoni Universidade Presbiteriana Mackenzie
  • Vanessa Godoy Strauss Universidade Presbiteriana Mackenzie
  • Cristiane Silvestre Paula Universidade Presbiteriana Mackenzie

DOI:

https://doi.org/10.15448/1980-8623.2014.4.15873

Keywords:

Autism spectrum disorders, Early diagnosis, Child development.

Abstract

Early, intensive and long-term interventions are associated with a positive impact on the prognosis of children with Autism Spectrum Disorders-ASD. The objectives of this study were to follow children with 16-24 months until three years of age in order to confirm/refute the diagnosis of ASD and verify if a structured observation protocol developed in Brazil would be able to discriminate children at high/low risk for ASD. Instruments: Modified Checklist for Autism in Toddlers-M-CHAT, Autism Behavior Checklist-ABC, Structured Observation for Autism Screening-OERA, Bayley and Vineland Scales. Of the 11 participants, none confirmed ASD diagnosis according to DSM-IV. The OERA was able to discriminate all negative cases of ASD. Conclusion: it was verified that M-CHAT was sensitive to identify developmental delays, but not specific regarding to ASD, being necessary other assessments to confirm the diagnosis; OERA was considered low cost, well accepted and important to discriminate developmental delays from ASD.

Downloads

Download data is not yet available.

Author Biographies

Felipe Alckmin-Carvalho, Universidade de São Paulo

Mestrando pelo Departamento de Psicologia Clínica do Instituto de Psicologia da Universidade de São Paulo

(contato principal para correspondência)

Maria Cristina Triguero Veloz Teixeira, Universidade Presbiteriana Mackenzie

Professora Doutora no Programa de Distúrbios do Desenvolvimento da Universidade Presbiteriana Mackenzie

Décio Brunoni, Universidade Presbiteriana Mackenzie

Professor Doutor no Programa de Distúrbios do Desenvolvimento da Universidade Presbiteriana Mackenzie.

Vanessa Godoy Strauss, Universidade Presbiteriana Mackenzie

Graduada em Psicologia pela Universidade Presbiteriana Mackenzie.

Cristiane Silvestre Paula, Universidade Presbiteriana Mackenzie

Professora Doutora no Programa de Distúrbios do Desenvolvimento da Universidade Presbiteriana Mackenzie

References

American Psychiatric Association (APA). (2000). Diagnostic and Statistic Manual of Mental Disorders – Text Revision (DSM-IV-TR) (4th ed.). Washington.

American Psychiatric Association (APA). (2013). Diagnostic and Statistic Manual of Mental Disorders (DSM-V) (5th ed.). Washington.

Baranek, G. T. (1999). Autism during infancy: a retrospective video analysis of sensory-motor and social behaviors at 9-12 months of age. Journal of Autism and Developmental Disorders, 29(3), 213-224. doi: 10.1023/A:1023080005650.

Belini, A. E. G. & Fernandes, F. D. M. (2007). Olhar de bebês em desenvolvimento típico: correlações longitudinais encontradas. Revista da Sociedade Brasileira de Fonoaudiologia, 12(3),

-173. doi: 10.1590/S1516-80342007000300003.

Becker, M. M., Wagner, M. B., Bosa, C. A., Schmidt, C., Longo, D., Papaleo, C., & Riesgo, R. S. (2012). Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil. Arquivos de Neuro-psiquiatria, 70(3), 185-190. doi:

1590/S0004-282X2012000300006.

Bosa, C. A. (2006). Autismo: intervenções psicoeducacionais. Revista Brasileira de Psiquiatria, 28(1), 47-53. doi: 10.1590/S1516-44462006000500007.

Cardoso, C. & Fernandes, F. D. M. (2006). Relação entre os aspectos sócio cognitivos e perfil funcional da comunicação em um grupo de adolescentes do espectro autístico. Pró-Fono Revista de Atualização Científica, 18(1), 89-98.

Carvalho, F. A., Paula, C. S., Teixeira, M. C. T. V., Zaqueu, L. D. C. C., & D’Antino, M. E. F. (2013). Rastreamento de sinais precoces de transtorno do espectro do autismo em crianças de creches de um município de São Paulo. Revista Psicologia: Teoria e Prática, 15(2), 144-154.

Clifford, S., Young, R., & Williamson, P. (2007). Assessing the early characteristics of autistic disorder using video analysis. Journal of Autism and Developmental Disorders, 37(2), 301-313. doi: 10.1007/s10803-006-0160-8.

Delgado, C., Mundy, P., & Block, J. (2001). Pictorial infant communication scale (PICS) version 1.3. Coral Gables: University of Miami.

DiLavore, P. C., Lord, C., & Rutter, M. (1995). The pre-linguistic autism diagnostic observation schedule. Journal of Autism and Developmental Disorders, 25(4), 355-379. doi: 10.1007/BF02179373.

Eldevik, S., Hastings, R. P., Hughes, J. C., Jahr, E., Eikeseth, S., & Cross, S. (2009). Meta-Analysis of Early Intensive Behavioral Intervention for Children with Autism. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53, 38(3), 439-450. doi: 10.1080/15374410902851739.

Elsabbagh, M., Divan, G., Koh, Y. J., Kim, Y. S., Kauchali, S., Marcín, C., & Fombonne, E. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5(3), 160-179. doi: 10.1002/aur.239.

Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65, 591-598. doi:10.1203/pdr. 0b013e31819e7203.

Gray, K. M. & Tonge, B. J. (2005). Screening for autism in infants and preschool children with developmental delay. Australian and New Zealand Journal of Psychiatry, 39(5), 378-386. doi: 10.1111/j.1440-1614.2005.01585.x.

Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of autism and developmental disorders, 39(5), 693-705. doi: 10.1007/s10803-008-0674-3.

Hathorn, C., Alateeqi, N., Graham, C., & O’Hare, A. (2014). Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder. Journal of autism and developmental disorders, 1-8. doi: 10.1007/s10803-014-2057-

Kalb, L. G., Law, J. K., Landa, R., & Law, P. A. (2010). Onset patterns prior to 36 months in autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(11), 1389-1402. doi: 10.1007/s10803-010-0998-7.

Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., & Fein, D. (2008). The modified checklist for autism in toddlers: a follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827-839. doi: 10.1007/s10803-007-0450-9.

Krug D. A., Arick J., & Almond P. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 21(3), 221-9. doi: 10.1111/j.1469-7610.1980.tb01797.x.

Ozonoff, S., Young, G. S., Goldring, S., Greiss-Hess, L., Herrera, A. M., Steele, J., & Rogers, S. J. (2008). Gross motor development, movement abnormalities, and early identification of autism. Journal of Autism and Developmental Disorders, 38(4), 644-656. doi: 10.1007/s10803-007-0430-0.

Ozonoff, S., Iosif, A. M., Baguio, F., Cook, I. C., Hill, M. M., Hutman, T., & Young, G. S. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child and Adolescent Psychiatry, 49(3), 256-266. doi:10.1016/j.jaac.2009.11.009.

Paula, C. S., Ribeiro, S. H., Fombonne, E., & Mercadante, M. T. (2011). Brief report: Prevalence of pervasive developmental disorder in Brazil: A pilot study. Journal of Autism and Developmental Disorders, 41(12), 1738-1742. doi: 10.1007/s10803-011-1200-6.

Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131-144. doi: 10.1023/A: 1010738829569.

Sparrow, S. S. & Cicchetti, D. V. (1985). Diagnostic uses of the vineland adaptive behavior scales. Journal of Pediatric Psychology, 10(2), 215-225. doi: 10.1093/jpepsy/10.2.215.

Tamanaha, A. C., Perissinoto, J., & Chiari, B. M. (2008). Evolução da criança autista a partir da resposta materna ao Autism Behavior Checklist. Pró-Fono, 20(3), 165-70.

Teixeira, M. C. T. V., Mecca, T. P., Velloso, R. L., Bravo, R. B., Ribeiro, S. H. B., Mercadante, M. T., & Silvestre, C. (2010). Literatura científica brasileira sobre transtornos do espectro autista. Revista da Associação Médica Brasileira, 56(5), 607-614. doi: 10.1590/S0104-42302010000500026.

Zwaigenbaum, L. (2010). Advances in the Early Detection of Autism. Current Opinion in Neurology, 23(2), 97-102.

Published

2014-12-23

How to Cite

Alckmin-Carvalho, F., Teixeira, M. C. T. V., Brunoni, D., Strauss, V. G., & Paula, C. S. (2014). Identification of Early Signs of Autism According to a Structured Observational Protocol: a Follow-up Study. Psico, 45(4), 502–512. https://doi.org/10.15448/1980-8623.2014.4.15873

Issue

Section

Articles

Most read articles by the same author(s)