Skip to main content
Log in

Identification of Symptoms of Autism Spectrum Disorders in the Second Year of Life at Day-Care Centres by Day-Care Staff: Step One in the Development of a Short Observation List

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Early symptoms of ASD develop through the second year of life, making a stable ASD diagnosis possible at 24 months of age. However, in general, children with ASD have their diagnosis at an older age. This retrospective study, including 30 children with ASD and 30 control children aged 3–6 years, explored the possibility of developing a short observation list to be used in day care settings for children 12–24 months of age. From 73 symptoms selected from published screeners and observation tools, we were able to construct a list of six symptoms that retrospectively differentiated children with ASD from typically developing children at 12–24 months of age when recalled by day-care personnel.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Al-Qabandi, M., Gorter, J. W., & Rosenbaum, P. (2011). Early autism detection: Are we ready for routine screening? Pediatrics, 128(1), e211–217. https://doi.org/10.1542/peds.2010-1881.

    Article  PubMed  Google Scholar 

  • APA. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Publishing.

    Google Scholar 

  • Baranek, G., Watson, L., Crais, E., & Reznick, S. (2003). First-year inventory (FYI) 2.0. Chapel Hill, NC: University of North Carolina at Chapel Hill.

    Google Scholar 

  • Bradshaw, J., Steiner, A. M., Gengoux, G., & Koegel, L. K. (2015). Feasibility and effectiveness of very early intervention for infants at-risk for autism spectrum disorder: A systematic review. Journal of Autism and Developmental Disorders, 45(3), 778–794.

    Article  PubMed  Google Scholar 

  • Branson, D., Vigil, D. C., & Bingham, A. (2008). Community childcare providers’ role in the early detection of autism spectrum disorders. Early Childhood Education Journal, 35(6), 523–530.

    Article  Google Scholar 

  • Brian, J. A., Bryson, S. E., & Zwaigenbaum, L. (2015). Autism spectrum disorder in infancy: Developmental considerations in treatment targets. Current Opinion in Neurology, 28(2), 117–123. https://doi.org/10.1097/WCO.0000000000000182.

    Article  PubMed  Google Scholar 

  • Bryson, S. E., Zwaigenbaum, L., McDermott, C., Rombough, V., & Brian, J. (2008). The Autism Observation Scale for Infants: Scale development and reliability data. Journal of Autism and Developmental Disorders, 38(4), 731–738. https://doi.org/10.1007/s10803-007-0440-y.

    Article  PubMed  Google Scholar 

  • Cadman, D. (1984). Assessing the effectiveness of community screening programs. JAMA: The Journal of the American Medical Association, 251(12), 1580. https://doi.org/10.1001/jama.1984.03340360046028.

    Article  PubMed  Google Scholar 

  • Charman, T., & Gotham, K. (2013). Measurement Issues: Screening and diagnostic instruments for autism spectrum disorders—Lessons from research and practice. Child and Adolescent Mental Health, 18(1), 52–63. https://doi.org/10.1111/j.1475-3588.2012.00664.x.

    Article  PubMed  Google Scholar 

  • Coury, D. L. (2015). Babies, bathwater, and screening for autism spectrum disorder. Journal of Developmental & Behavioral Pediatrics, 36(9), 661–663. https://doi.org/10.1097/dbp.0000000000000227.

    Article  Google Scholar 

  • Daniels, A. M., & Mandell, D. S. (2014). Explaining differences in age at autism spectrum disorder diagnosis: A critical review. Autism, 18(5), 583–597. https://doi.org/10.1177/1362361313480277.

    Article  PubMed  Google Scholar 

  • Dereu, M., Raymaekers, R., Warreyn, P., Schietecatte, I., Meirsschaut, M., & Roeyers, H. (2012a). Can child care workers contribute to the early detection of autism spectrum disorders? A comparison between screening instruments with child care workers versus parents as informants. Journal of Autism and Developmental Disorders, 42(5), 781–796. https://doi.org/10.1007/s10803-011-1307-9.

    Article  PubMed  Google Scholar 

  • Dereu, M., Roeyers, H., Raymaekers, R., Meirsschaut, M., & Warreyn, P. (2012b). How useful are screening instruments for toddlers to predict outcome at age 4? General development, language skills, and symptom severity in children with a false positive screen for autism spectrum disorder. European Child & Adolescent Psychiatry, 21(10), 541–551. https://doi.org/10.1007/s00787-012-0280-y.

    Article  Google Scholar 

  • Dietz, C., Swinkels, S., van Daalen, E., van Engeland, H., & Buitelaar, J. K. (2006). Screening for autistic spectrum disorder in children aged 14–15 months. II: Population screening with the Early Screening of Autistic Traits Questionnaire (ESAT). Design and general findings. Journal of Autism and Developmental Disorders, 36(6), 713–722. https://doi.org/10.1007/s10803-006-0114-1.

    Article  PubMed  Google Scholar 

  • Duvekot, J., van der Ende, J., Verhulst, F. C., & Greaves-Lord, K. (2015). The screening accuracy of the parent and teacher-reported social responsiveness scale (SRS): comparison with the 3Di and ADOS. Journal of Autism and Developmental Disorders, 45(6), 1658–1672. https://doi.org/10.1007/s10803-014-2323-3.

    Article  PubMed  Google Scholar 

  • Gabrielsen, T. P., Farley, M., Speer, L., Villalobos, M., Baker, C. N., & Miller, J. (2015). Identifying autism in a brief observation. Pediatrics. https://doi.org/10.1542/peds.2014-1428.

    PubMed  Google Scholar 

  • Gammer, I., Bedford, R., Elsabbagh, M., Garwood, H., Pasco, G., Tucker, L., … Team, B. (2015). Behavioural markers for autism in infancy: Scores on the Autism Observational Scale for Infants in a prospective study of at-risk siblings. Infant Behavior and Development, 38, 107–115. https://doi.org/10.1016/j.infbeh.2014.12.017.

    Article  PubMed  PubMed Central  Google Scholar 

  • Green, J., Pickles, A., Pasco, G., Bedford, R., Wan, M. W., Elsabbagh, M., … Charman, T. (2017). Randomised trial of a parent-mediated intervention for infants at high risk for autism: Longitudinal outcomes to age 3 years. Journal of Child Psychology and Psychiatry, 58(12), 1330–1340.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hus, V., Bishop, S., Gotham, K., Huerta, M., & Lord, C. (2013). Factors influencing scores on the social responsiveness scale. Journal of Child Psychology and Psychiatry, 54(2), 216–224. https://doi.org/10.1111/j.1469-7610.2012.02589.x.

    Article  PubMed  Google Scholar 

  • Janvier, Y. M., Harris, J. F., Coffield, C. N., Louis, B., Xie, M., Cidav, Z., & Mandell, D. S. (2015). Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters. Autism. https://doi.org/10.1177/1362361315585055.

    PubMed  Google Scholar 

  • Johnson, C. P., & Myers, S. M. & American Academy of Pediatrics Council on Children With Disabilities. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215. https://doi.org/10.1542/peds.2007-2361.

    Article  PubMed  Google Scholar 

  • Jones, E. J., Gliga, T., Bedford, R., Charman, T., & Johnson, M. H. (2014). Developmental pathways to autism: A review of prospective studies of infants at risk. Neuroscience & Biobehavioral Reviews, 39C, 1–33. https://doi.org/10.1016/j.neubiorev.2013.12.001.

    Article  Google Scholar 

  • Jones, R. M., Risi, S., Wexler, D., Anderson, D., Corsello, C., Pickles, A., & Lord, C. (2015). How interview questions are placed in time influences caregiver description of social communication symptoms on the ADI-R. Journal of Child Psychology and Psychiatry, 56(5), 577–585. https://doi.org/10.1111/jcpp.12325.

    Article  PubMed  Google Scholar 

  • Kasari, C., Siller, M., Huynh, L. N., Shih, W., Swanson, M., Hellemann, G. S., & Sugar, C. A. (2014). Randomized controlled trial of parental responsiveness intervention for toddlers at high risk for autism. Infant Behavior and Development, 37(4), 711–721.

    Article  PubMed  PubMed Central  Google Scholar 

  • Koegel, L. K., Singh, A. K., Koegel, R. L., Hollingsworth, J. R., & Bradshaw, J. (2014). Assessing and improving early social engagement in infants. Journal of Positive Behavior Interventions, 16(2), 69–80.

    Article  PubMed  PubMed Central  Google Scholar 

  • Larsen, K. (2015). The early diagnosis of preschool children with autism spectrum disorder in Norway: A study of diagnostic age and its associated factors. Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, 3(2), 136–145.

    Article  Google Scholar 

  • Mazurek, M. O., Handen, B. L., Wodka, E. L., Nowinski, L., Butter, E., & Engelhardt, C. R. (2014). Age at first autism spectrum disorder diagnosis: The role of birth cohort, demographic factors, and clinical features. Journal of Developmental and Behavioral Pediatrics. https://doi.org/10.1097/DBP.0000000000000097.

    PubMed  Google Scholar 

  • Regional kompetansetjeneste (2012). Identifisering, diagnostisering og oppfølging/behandling av førskolebarn med autismespekterforstyrrelser (ASF)—en undersøkelse av systemer og rutiner i Helse Sør-Øst. Oslo: Oslo Universty Hospital.

    Google Scholar 

  • Regional kompetansetjeneste (2013). Regional retningslinje for diagnostisering av autismespekterforstyrrelser. Oslo: Oslo universitetssykehus.

    Google Scholar 

  • Revelle, W. (in preparation). An Introduction to Psychometric Theory with applications in R. Springer.

  • 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.

    Article  PubMed  Google Scholar 

  • Rowberry, J., Macari, S., Chen, G., Campbell, D., Leventhal, J. M., Weitzman, C., & Chawarska, K. (2014). Screening for autism spectrum disorders in 12-month-old high-risk siblings by parental report. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2211-x.

    Google Scholar 

  • Sacrey, L. A., Zwaigenbaum, L., Bryson, S., Brian, J., Smith, I. M., Roberts, W., … Armstrong, V. (2015). Can parents’ concerns predict autism spectrum disorder? A prospective study of high-risk siblings from 6 to 36 months of age. Journal of the American Academy of Child and Adolescent Psychiatry, 54(6), 470–478. https://doi.org/10.1016/j.jaac.2015.03.014.

    Article  PubMed  Google Scholar 

  • Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., … Cuniff, C. (2009). Timing of identification among children with an autism spectrum disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), 474–483. https://doi.org/10.1097/CHI.0b013e31819b3848.

    Article  PubMed  PubMed Central  Google Scholar 

  • Smith, G. T., McCarthy, D. M., & Anderson, K. G. (2000). On the sins of short-form development. Psychological Assessment, 12(1), 102.

    Article  PubMed  Google Scholar 

  • Stenberg, N., Bresnahan, M., Gunnes, N., Hirtz, D., Hornig, M., Lie, K. K., … Schjølberg, S. (2014). Identifying children with autism spectrum disorder at 18 months in a general population sample. Paediatric and Perinatal Epidemiology, 28(3), 255–262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Utdanningsdirektoratet. (2015). Barnehagespeilet. Oslo: Utdanningsdirektoratet.

    Google Scholar 

  • Wickham, H., & Francois, R. (2014). dplyr: A grammar of data manipulation. http://cran.R-project.org/package=dplyr. R package version 0.2.

  • Williams, K. (2015). Timely identification of children with autism: Are we asking the right question? Developmental Medicine & Child Neurology. https://doi.org/10.1111/dmcn.12896.

    Google Scholar 

  • Zander, E., & Bölte, S. (2015). The new DSM-5 impairment criterion: a challenge to early autism spectrum disorder diagnosis? Journal of Autism and Developmental Disorders, 45(11), 3634–3643.

    Article  PubMed  Google Scholar 

  • Zuckerman, K. E., Lindly, O. J., & Sinche, B. K. (2015). Parental concerns, provider response, and timeliness of autism spectrum disorder diagnosis. The Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2015.03.007.

    PubMed  PubMed Central  Google Scholar 

Download references

Funding

This study was funded by Oslo University Hospital, Regional resource center for autism, ADHD, Tourette’s syndrome and narcolepsy.

Author information

Authors and Affiliations

Authors

Contributions

KL, AA, THD contributed in preparing, writing and editing of the manuscript.

Corresponding author

Correspondence to Kenneth Larsen.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Regional Committee for Medical and Health Research Ethics, ref. no 2013/2101 and with the 1964 Helsinki declaration and its later amendments.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Larsen, K., Aasland, A. & Diseth, T.H. Identification of Symptoms of Autism Spectrum Disorders in the Second Year of Life at Day-Care Centres by Day-Care Staff: Step One in the Development of a Short Observation List. J Autism Dev Disord 48, 2267–2277 (2018). https://doi.org/10.1007/s10803-018-3489-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-018-3489-x

Keywords

Navigation