Behaviors Interfering with Audiometry Associated with Eventual Diagnosis of Autism

被引：5

作者：

Meagher, Sean P. ^{[1
]}

Carlson, Betsy L. ^{[2
]}

Elrod, Marilisa G. ^{[3
]}

机构：

[1] Wilford Hall Ambulatory Surg Ctr, Dept Pediat, 1100 Wilford Hall Loop, San Antonio, TX 78236 USA

[2] Madigan Army Med Ctr, Dept Surg, 9040 Jackson Ave, Tacoma, WA 98431 USA

[3] Naval Med Ctr Portsmouth, Dept Pediat, 620 John Paul Jones Circle, Portsmouth, VA USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2021年 / 51卷 / 03期

关键词：

Autism; Behavior; Childhood; Language; Audiometry; SPECTRUM DISORDER; LANGUAGE DELAY; CHILDREN; SPEECH;

D O I：

10.1007/s10803-020-04385-8

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Children referred for audiology evaluation due to speech and language delays represent a neurodevelopmentally high-risk group. The audiology evaluation is a behaviorally-challenging encounter early in the diagnostic process. We assessed interfering behaviors (IB) that complicated completion of audiometry as predictors of autism spectrum disorder (ASD) diagnosis. This retrospective cohort study using the Military Health System electronic medical record included 296 children aged 18 to 71 months. Children who displayed IB had increased odds of receiving an ASD diagnosis compared to those who did not (OR = 5.6, 95% CI 2.6-12.1). Interfering behaviors had a high specificity (81%) and negative predictive value (94%) for ASD. The audiology evaluation may represent an opportunity early in the diagnostic process to stratify risk for ASD.

引用

页码：849 / 854

页数：6

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