Accuracy of Modified Checklist for Autism in Toddlers (M-CHAT) in Detecting Autism and Other Developmental Disorders in Community Clinics

被引:23
|
作者
Toh, Teck-Hock [1 ,2 ,3 ]
Tan, Vivian Wee-Yen [2 ]
Lau, Peter Sie-Teck [1 ,3 ,5 ]
Kiyu, Andrew [4 ,6 ]
机构
[1] Sibu Hosp, Div Hlth Off, Lau King Howe Mem Children Clin, KM 8,Old Oya Rd, Sibu 96000, Sarawak, Malaysia
[2] Sibu Hosp, Clin Res Ctr, Sibu, Sarawak, Malaysia
[3] SEGi Univ, Fac Med, Sibu Clin Campus, Sibu, Sarawak, Malaysia
[4] Sarawak State Hlth Dept, Publ Hlth Res Unit, Kuching, Sarawak, Malaysia
[5] Bintulu Hosp, Dept Pediat, Bintulu, Sarawak, Malaysia
[6] Univ Sarawak Malaysia, Fac Med & Hlth Sci, Dept Community Med & Publ Hlth, Kota Samarahan, Sarawak, Malaysia
关键词
Autism spectrum disorder; Developmental disorders; Developmental screening; Accuracy; Early detection; Community; SPECTRUM DISORDERS; YOUNG-CHILDREN; DISABILITIES; SURVEILLANCE; PREVALENCE; DIAGNOSIS; STABILITY; INFANTS; AGE;
D O I
10.1007/s10803-017-3287-x
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
This study determined the accuracy of Modified Checklist for Autism in Toddlers (M-CHAT) in detecting toddlers with autism spectrum disorder (ASD) and other developmental disorders (DD) in community mother and child health clinics. We analysed 19,297 eligible toddlers (15-36 months) who had M-CHAT performed in 2006-2011. Overall sensitivities for detecting ASD and all DD were poor but better in the 21 to < 27 months and 27-36-month age cohorts (54.5-64.3%). Although positive predictive value (PPV) was poor for ASD, especially the younger cohort, positive M-CHAT helped in detecting all DD (PPV = 81.6%). This suggested M-CHAT for screening ASD was accurate for older cohorts (> 21 months) and a useful screening tool for all DD.
引用
收藏
页码:28 / 35
页数:8
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