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Diagnosing ASD in Very Early Childhood

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Handbook of Assessment and Diagnosis of Autism Spectrum Disorder

Part of the book series: Autism and Child Psychopathology Series ((ACPS))

Abstract

A large subset of persons with autism can be diagnosed between 16 and 36 months of age. A number of systematized methods are now available to enhance the reliability and validity of these diagnoses. This chapter describes the current state of the art in differential diagnosis with these young children.

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References

  • Albers, C. A., & Grieve, A. J. (2007). Review of Bayley scales of infant and Toddler development--Third Edition. Journal of Psychoeducational Assessment, 25(2), 180–190.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

    Google Scholar 

  • Baghdadli, A., Picot, M. C., Pascal, C., Pry, R., & Aussilloux, C. (2003). Relationship between age of recognition of first disturbances and severity in young children with autism. European Child & Adolescent Psychiatry, 12(3), 122–127.

    Google Scholar 

  • Bayley, N. (2006). Bayley scales of infant and toddler development, third edition: Technical manual. San Antonio, TX: Harcourt.

    Google Scholar 

  • Bertoglio, K., & Hendren, R. L. (2009). New developments in autism. The Psychiatric Clinics of North America, 32(1), 1–14.

    PubMed  Google Scholar 

  • Bliss, S.L. (2007). Test reviews: Newborg, J. (2005). Battelle developmental inventory—Second edition. Itasca, IL: Riverside. Journal of Psychoeducational Assessment, 25(4), 409–415.

    Google Scholar 

  • Centers for Disease Control and Prevention (2014). Prevalence of autism spectrum disorders (ASDs). Retrieved January 7, 2015, from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss6302a1.htm

  • Chawarska, K., Klin, A., Paul, R., & Volkmar, F. (2007). Autism spectrum disorder in the second year: stability and change in syndrome expression. Journal of Child Psychology and Psychiatry, 48(2), 128–138.

    PubMed  Google Scholar 

  • Chlebowski, C., Green, J. A., Barton, M. L., & Fein, D. (2010). Using the childhood autism rating scale to diagnose autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(7), 787–799.

    PubMed  PubMed Central  Google Scholar 

  • Cox, A., Klein, K., Charman, T., Baird, G., Baron-Cohen, S., Swettenham, J., … Wheelwright, S. (1999). Autism spectrum disorders at 20 and 42 months of age: stability of clinical and ADI-R diagnosis. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 40(5), 719–732.

    Google Scholar 

  • De Giacomo, A., & Fombonne, E. (1998). Parental recognition of developmental abnormalities in autism. European Child & Adolescent Psychiatry, 7(3), 131–136.

    Google Scholar 

  • Fombonne, E. (2003). Epidemiological surveys of autism and other pervasive developmental disorders: an update. Journal of Autism and Developmental Disorders, 33(4), 365–382.

    Google Scholar 

  • Gillberg, C., Ehlers, S., Schaumann, H., Jakobsson, G., Dahlgren, S. O., Lindblom, R., & Blidner, E. (1990). Autism under age 3 years: A clinical study of 28 cases referred for autistic symptoms in infancy. Journal of Child Psychology and Psychiatry, 31(6), 921–934.

    Google Scholar 

  • Goin-Kochel, R. P. (2006). How many doctors does it take to make an autism spectrum diagnosis? Autism, 10(5), 439–451.

    PubMed  Google Scholar 

  • Goin-Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2006). How many doctors does it take to make an autism spectrum diagnosis?. Autism, 10(5), 439–451.

    Google Scholar 

  • Goldin, R. L., Matson, J. L., Konst, M. J., & Adams, H. L. (2014). A comparison of children and adolescents with ASD, atypical development, and typical development on the Behavioral Assessment System for Children, Second Edition (BASC-2). Research in Autism Spectrum Disorders, 8(8), 951–957.

    Google Scholar 

  • Guthrie, W., Swineford, L. B., Nottke, C., & Wetherby, A. M. (2013). Early diagnosis of autism spectrum disorder: stability and change in clinical diagnosis and symptom presentation. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 54(5), 582–590.

    PubMed  PubMed Central  Google Scholar 

  • Hedley, D., Nevill, R. E., Monroy-Moreno, Y., Fields, N., Wilkins, J., Butter, E., et al. (2015). Efficacy of the ADEC in identifying autism spectrum disorder in clinically referred toddlers in the US. Journal Of Autism and Developmental Disorders, 45, 2337–2348.

    PubMed  Google Scholar 

  • Horovitz, M., & Matson, J. L. (2013). The baby and infant screen for children with autism traits-part 1: Age-based scoring procedures. Journal of Developmental and Physical Disabilities, 26(1), 1–22.

    Google Scholar 

  • Howlin, P. (2006). Autism spectrum disorders. Psychiatry, 5(9), 320–324.

    Google Scholar 

  • Inglese, M. D. (2009). Caring for children with autism spectrum disorder, part II: Screening, diagnosis, and management. Journal of Pediatric Nursing, 24(1), 49–59.

    PubMed  Google Scholar 

  • Inglese, M. D., & Elder, J. H. (2009). Caring for children with autism spectrum disorder, part I: Prevalence, etiology, and core features. Journal of Pediatric Nursing, 24, 41–48.

    PubMed  Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact. Acta Paedopsychiatrica, 35(4), 100–136.

    Google Scholar 

  • Klin, A., & Jones, W. (2008). Altered face scanning and impaired recognition of biological motion in a 15-month-old infant with autism. Developmental Science, 11(1), 40–46.

    PubMed  Google Scholar 

  • Klin, A., Lin, D. J., Gorrindo, P., Ramsay, G., & Jones, W. (2009). Two-year-olds with autism orient to non-social contingencies rather than biological motion. Nature, 459(7244), 257–261.

    PubMed  PubMed Central  Google Scholar 

  • Landa, R., & Garrett-Mayer, E. (2006). Development in infants with autism spectrum disorders: A prospective study. Journal of Child Psychology and Psychiatry, 47(6), 629–638.

    PubMed  Google Scholar 

  • Lord, C. (1995). Follow-up of two-year-olds referred for possible autism. Journal of Child Psychology and Psychiatry, 36(8), 1365–1382.

    PubMed  Google Scholar 

  • Lord, C., Luyster, R. J., Gotham, K., & Guthrie, W. (2012). Autism diagnostic observation schedule, second edition (ADOS-2) manual (Part II): Toddler module. Torrance, CA: Western Psychological Services.

    Google Scholar 

  • Lord, C., Pickles, A., McLennan, J., Rutter, M., Bregman, J., Folstein, S., … Minshew, N. (1997). Diagnosing autism: analyses of data from the autism diagnostic interview. Journal of Autism & Developmental Disorders, 27(5), 501–517.

    Google Scholar 

  • Lord, C., & Risi, S. (1998). Frameworks and methods in diagnosing autism spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews, 4(2), 90–96.

    Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule (2nd ed.). Torrance, CA: Western Psychological Services.

    Google Scholar 

  • Lord, C., Rutter, M., & LeCouteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.

    PubMed  Google Scholar 

  • Luyster, R., Gotham, K., Guthrie, W., Coffing, M., Petrak, R., Pierce, K., … Lord, C. (2009). The autism diagnostic observation schedule-toddler module: A new module of a standardized diagnostic measure for autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(9), 1305–1320.

    Google Scholar 

  • Martínez-Pedraza, F. de L., & Carter, A. S. (2009). Autism spectrum disorders in young children. Child and Adolescent Psychiatric Clinics of North America, 18(3), 645–663.

    Google Scholar 

  • Matson, J. L., Boisjoli, J. A., Hess, J. A., & Wilkins, J. (2010). Factor structure and diagnostic fidelity of the Baby and Infant Screen for Children with aUtIsm traits–Part 1 (BISCUIT–part 1). Developmental Neurorehabilitation, 13(2), 72–79.

    PubMed  Google Scholar 

  • Matson, J. L., Boisjoli, J. A., & Wilkins, J. (2007). The baby and infant screen for children with aUtIsm traits (BISCUIT). Baton Rouge, LA: Disability Consultants, LLC.

    Google Scholar 

  • Matson, J. L., Wilkins, J., Sevin, J. A., Knight, C., Boisjoli, J. A., & Sharp, B. (2009). Reliability and item content of the baby and infant screen for children with aUtIsm traits (BISCUIT): Parts 1–3. Research in Autism Spectrum Disorders, 3(2), 336–344.

    Google Scholar 

  • Matson, J. L., Wilkins, J., Sharp, B., Knight, C., Sevin, J. A., & Boisjoli, J. A. (2009). Sensitivity and specificity of the baby and infant screen for children with aUtIsm traits (BISCUIT): Validity and cutoff scores for autism and PDD-NOS in toddlers. Research in Autism Spectrum Disorders, 3(4), 924–930.

    Google Scholar 

  • Mayes, S. D., Calhoun, S. L., Murray, M. J., Morrow, J. D., Yurich, K. K. L., Mahr, F., …Petersen, C. (2009). Comparison of scores on the checklist for autism spectrum disorder, childhood autism rating scale, and Gilliam Asperger’s disorder scale for children with low functioning autism, high functioning autism, Asperger’s disorder, ADHD, and typical development. Journal of Autism and Developmental Disorders, 39(12), 1682–1693.

    Google Scholar 

  • Michalec, D. (2011). Bayley scales of infant development: Third edition. In S. Goldstein & J. A. Naglieri (Eds.), Encyclopedia of child behavior and development (p. 215). New York, NY: Springer US. Retrieved from http://link.springer.com/referenceworkentry/10.1007/978-0-387-79061-9_295.

    Google Scholar 

  • Newborg, J. (2005). Battelle developmental inventory (2nd ed.). Itasca: Riverside.

    Google Scholar 

  • Ozonoff, S., Heung, K., Byrd, R., Hansen, R., & Hertz-Picciotto, I. (2008). The onset of autism: patterns of symptom emergence in the first years of life. Autism Research, 1(6), 320–328.

    PubMed  PubMed Central  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children (2nd ed.). Circle Pines, MN: AGS Publishing.

    Google Scholar 

  • 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.

    PubMed  Google Scholar 

  • Rogers, S. J. (2009). What are infant siblings teaching us about autism in infancy? Autism Research, 2(3), 125–137.

    PubMed  PubMed Central  Google Scholar 

  • Rutter, M., LeCouteur, A., & Lord, C. (2003). Autism diagnostic interview-revised manual. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Saint-Georges, C., Cassel, R. S., Cohen, D., Chetouani, M., Laznik, M.-C., Maestro, S., et al. (2010). What studies of family home movies can teach us about autistic infants: A literature review. Research in Autism Spectrum Disorders, 4(3), 355–366.

    Google Scholar 

  • Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). The childhood autism rating scale (2nd ed.). Los Angeles: Western Psychological Services.

    Google Scholar 

  • Shah, K. (2001). What do medical students know about autism?. Autism, 5(2), 127–133.

    Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland adaptive behavior scales: Second edition (Vineland II), survey interview form/caregiver rating form. Livonia, MN: Pearson Assessments.

    Google Scholar 

  • Sparrow, S. S. (2011). Vineland Adaptive Behavior Scales. In J. S. Kreutzer, J. DeLuca, & B. Caplan (Eds.), Encyclopedia of Clinical Neuropsychology (pp. 2618–2621). New York: Springer.

    Google Scholar 

  • Tager-Flusberg, H. (2010). The origins of social impairments in autism spectrum disorder: Studies of infants at risk. Neural Networks, 23(8–9), 1072–1076.

    PubMed  PubMed Central  Google Scholar 

  • Volker, M. A., Lopata, C., Smerbeck, A. M., Knoll, V. A., Thomeer, M. L., Toomey, J. A., & Rodgers, J. D. (2010). BASC-2 PRS profiles for students with high-functioning autism spectrum disorders. Journal of Autism and Developmental Disorders, 40(2), 188–199.

    Google Scholar 

  • Volkmar, F. R., State, M., & Klin, A. (2009). Autism and autism spectrum disorders: diagnostic issues for the coming decade. Journal of Child Psychology and Psychiatry, 50(1–2), 108–115.

    PubMed  Google Scholar 

  • Werner, E., Dawson, G., Munson, J., & Osterling, J. (2005). Variation in early developmental course in autism and its relation with behavioral outcome at 3–4 years of age. Journal of Autism and Developmental Disorders, 35(3), 337–350.

    PubMed  Google Scholar 

  • Wetherby, A. M., Watt, N., Morgan, L., & Shumway, S. (2007). Social communication profiles of children with autism spectrum disorders late in the second year of life. Journal of Autism and Developmental Disorders, 37(5), 960–975.

    PubMed  Google Scholar 

  • Wetherby, A. M., Woods, J., Allen, L., Cleary, J., Dickinson, H., & Lord, C. (2004). Early indicators of autism spectrum disorders in the second year of life. Journal of Autism and Developmental Disorders, 34(5), 473–493.

    PubMed  Google Scholar 

  • White, S. W., Keonig, K., & Scahill, L. (2007). Social skills development in children with autism spectrum disorders: A review of the intervention research. Journal of Autism and Developmental Disorders, 37(10), 1858–1868.

    Google Scholar 

  • Zwaigenbaum, L., Thurm, A., Stone, W., Baranek, G., Bryson, S., Iverson, J., … Sigman, M. (2007). Studying the emergence of autism spectrum disorders in high-risk infants: Methodological and practical issues. Journal of Autism and Developmental Disorders, 37(3), 466–480.

    Google Scholar 

  • Zwaigenbaum, L. (2010). Advances in the early detection of autism. Current Opinion in Neurology, 23(2), 97–102.

    Google Scholar 

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Authors and Affiliations

  1. Louisiana State University, Baton Rouge, LA, USA

    Paige E. Cervantes, Johnny L. Matson & Rachel L. Goldin

Authors
  1. Paige E. Cervantes
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  2. Johnny L. Matson
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  3. Rachel L. Goldin
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Correspondence to Paige E. Cervantes .

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Editors and Affiliations

  1. Department of Psychology, Louisiana State University, Baton Rouge, LA, USA

    Johnny L. Matson

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Cervantes, P.E., Matson, J.L., Goldin, R.L. (2016). Diagnosing ASD in Very Early Childhood. In: Matson, J.L. (eds) Handbook of Assessment and Diagnosis of Autism Spectrum Disorder. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-319-27171-2_9

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