Dépouillements

MUSAD-Short ? A music-based screening tool to assess autism spectrum disorder in people with intellectual disability / Marlene TERGEIST in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101971 Titre : MUSAD-Short ? A music-based screening tool to assess autism spectrum disorder in people with intellectual disability Type de document : Texte imprimé et/ou numérique Auteurs : Marlene TERGEIST, Auteur ; Matthias ZIEGLER, Auteur ; Manuel HEINRICH, Auteur ; Tanja SAPPOK, Auteur ; Thomas BERGMANN, Auteur Article en page(s) : 101971 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Intellectual disability  Diagnostics  Screening  Adults  Music Index. décimale : PER Périodiques Résumé : Background The Music-based Scale for Autism Diagnostics (MUSAD) is an observational instrument for assessing ASD in adults with intellectual disability (ID) and limited verbal abilities. The MUSAD prompts diagnostically relevant behaviors in twelve musical interactional situations. This study explores the psychometric properties of a short version (MUSAD-Short) for ASD screening. Method Excerpts from 60 videotaped assessments conducted with the original MUSAD were re-coded with a reduced item set. Based on these ratings, items were selected for the MUSAD-Short. Criterion validity of the MUSAD-Short was tested by comparing the MUSAD-Short assignment with the clinical ASD diagnosis. Inter-rater reliability was tested on a subsample of 22 individuals. A dichotomous response format was also examined to investigate whether further simplification is possible. Results Four situations (congas; ocean drum; symbolic instruments; movement to music) and fourteen items were selected for the MUSAD-Short. The diagnostic accuracy was appropriate, as indicated by sensitivity/specificity values of 73/75% (AUC =0.78). The inter-rater reliability was excellent, measured by the intra-class correlation (ICC) of.77. After item-dichotomization, sensitivity/specificity values were 73/70% (AUC =0.79). Conclusions The results indicate that the MUSAD-Short provides adequate diagnostic accuracy and sufficient inter-rater reliability. Shortening the original MUSAD is a promising approach to improving the scale?s applicability. However, future studies are needed that assess the MUSAD-Short's clinical and psychometric utility in an independent sample. Also, testing its practicability in children and adolescents with ID is indicated. En ligne : https://doi.org/10.1016/j.rasd.2022.101971 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] MUSAD-Short ? A music-based screening tool to assess autism spectrum disorder in people with intellectual disability [Texte imprimé et/ou numérique] / Marlene TERGEIST, Auteur ; Matthias ZIEGLER, Auteur ; Manuel HEINRICH, Auteur ; Tanja SAPPOK, Auteur ; Thomas BERGMANN, Auteur . - 101971. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101971 Mots-clés : Autism spectrum disorder  Intellectual disability  Diagnostics  Screening  Adults  Music Index. décimale : PER Périodiques Résumé : Background The Music-based Scale for Autism Diagnostics (MUSAD) is an observational instrument for assessing ASD in adults with intellectual disability (ID) and limited verbal abilities. The MUSAD prompts diagnostically relevant behaviors in twelve musical interactional situations. This study explores the psychometric properties of a short version (MUSAD-Short) for ASD screening. Method Excerpts from 60 videotaped assessments conducted with the original MUSAD were re-coded with a reduced item set. Based on these ratings, items were selected for the MUSAD-Short. Criterion validity of the MUSAD-Short was tested by comparing the MUSAD-Short assignment with the clinical ASD diagnosis. Inter-rater reliability was tested on a subsample of 22 individuals. A dichotomous response format was also examined to investigate whether further simplification is possible. Results Four situations (congas; ocean drum; symbolic instruments; movement to music) and fourteen items were selected for the MUSAD-Short. The diagnostic accuracy was appropriate, as indicated by sensitivity/specificity values of 73/75% (AUC =0.78). The inter-rater reliability was excellent, measured by the intra-class correlation (ICC) of.77. After item-dichotomization, sensitivity/specificity values were 73/70% (AUC =0.79). Conclusions The results indicate that the MUSAD-Short provides adequate diagnostic accuracy and sufficient inter-rater reliability. Shortening the original MUSAD is a promising approach to improving the scale?s applicability. However, future studies are needed that assess the MUSAD-Short's clinical and psychometric utility in an independent sample. Also, testing its practicability in children and adolescents with ID is indicated. En ligne : https://doi.org/10.1016/j.rasd.2022.101971 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Characteristics associated with healthcare independence among autistic adults / Anne LONGO in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101972 Titre : Characteristics associated with healthcare independence among autistic adults Type de document : Texte imprimé et/ou numérique Auteurs : Anne LONGO, Auteur ; Dan GILMORE, Auteur ; Jennifer GARVIN, Auteur ; J. Madison HYER, Auteur ; Daniel COURY, Auteur ; Christopher HANKS, Auteur ; Susan MOFFATT-BRUCE, Auteur ; Amy HESS, Auteur ; Brittany N. HAND, Auteur Article en page(s) : 101972 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Adults  Healthcare independence  Healthcare transition  Autism Index. décimale : PER Périodiques Résumé : Background Healthcare independence refers to someone?s ability to assume responsibility for their own health and complete tasks like taking medication as prescribed or scheduling healthcare appointments. Prior studies have shown that autistic people tend to need more support with healthcare tasks than people with other chronic conditions. We sought to identify modifiable and non-modifiable factors linked with healthcare independence among autistic adults. Method We conducted a cross-sectional survey to examine how executive functioning skills, restrictive and repetitive behaviors, gender, education, and age were linked with healthcare independence among this population. Participants included: (a) autistic adults (n = 19) who are their own legal guardian, who participated via self-report; and (b) family members of autistic adults with a legal guardian (n = 11), who provided proxy-reports. Results Findings differed between self- and proxy-reports. Among autistic adults who self-reported, difficulties in executive functioning were strongly linked with less healthcare independence. Among proxy-reports, greater restrictive and repetitive behaviors were strongly linked with less healthcare independence. According to the proxy-reports, having not completed high school, being older during the healthcare transition, and being male were all independently linked with less healthcare independence. Conclusions Interventions aimed at supporting executive functioning, providing opportunities to increase independence with healthcare tasks, and reducing the extent to which restrictive and repetitive behaviors interfere with daily activities may be viable options for supporting healthcare independence among autistic adults. Our findings are an important first step for future initiatives to better identify individuals who need additional care coordination, supports, or services to maximize healthcare independence. En ligne : https://doi.org/10.1016/j.rasd.2022.101972 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Characteristics associated with healthcare independence among autistic adults [Texte imprimé et/ou numérique] / Anne LONGO, Auteur ; Dan GILMORE, Auteur ; Jennifer GARVIN, Auteur ; J. Madison HYER, Auteur ; Daniel COURY, Auteur ; Christopher HANKS, Auteur ; Susan MOFFATT-BRUCE, Auteur ; Amy HESS, Auteur ; Brittany N. HAND, Auteur . - 101972. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101972 Mots-clés : Autism spectrum disorder  Adults  Healthcare independence  Healthcare transition  Autism Index. décimale : PER Périodiques Résumé : Background Healthcare independence refers to someone?s ability to assume responsibility for their own health and complete tasks like taking medication as prescribed or scheduling healthcare appointments. Prior studies have shown that autistic people tend to need more support with healthcare tasks than people with other chronic conditions. We sought to identify modifiable and non-modifiable factors linked with healthcare independence among autistic adults. Method We conducted a cross-sectional survey to examine how executive functioning skills, restrictive and repetitive behaviors, gender, education, and age were linked with healthcare independence among this population. Participants included: (a) autistic adults (n = 19) who are their own legal guardian, who participated via self-report; and (b) family members of autistic adults with a legal guardian (n = 11), who provided proxy-reports. Results Findings differed between self- and proxy-reports. Among autistic adults who self-reported, difficulties in executive functioning were strongly linked with less healthcare independence. Among proxy-reports, greater restrictive and repetitive behaviors were strongly linked with less healthcare independence. According to the proxy-reports, having not completed high school, being older during the healthcare transition, and being male were all independently linked with less healthcare independence. Conclusions Interventions aimed at supporting executive functioning, providing opportunities to increase independence with healthcare tasks, and reducing the extent to which restrictive and repetitive behaviors interfere with daily activities may be viable options for supporting healthcare independence among autistic adults. Our findings are an important first step for future initiatives to better identify individuals who need additional care coordination, supports, or services to maximize healthcare independence. En ligne : https://doi.org/10.1016/j.rasd.2022.101972 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

The psychometric properties of the Norwegian version of the social responsiveness scale in a neuropediatric sample / Sabine KAISER in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101973 Titre : The psychometric properties of the Norwegian version of the social responsiveness scale in a neuropediatric sample Type de document : Texte imprimé et/ou numérique Auteurs : Sabine KAISER, Auteur ; Kjersti Åby BERGQUIST, Auteur ; Marianne BERG HALVORSEN, Auteur Article en page(s) : 101973 Langues : Anglais (eng) Mots-clés : Assessment  Autism spectrum disorder  Neurodevelopmental disorder  Psychometrics  Social responsiveness scale Index. décimale : PER Périodiques Résumé : Background The current study is an examination of the psychometric properties of the Norwegian Social Responsiveness Scale (SRS), a measure of deficits in social behavior, in a neuropediatric outpatient sample of children and adolescents with neurological and neurodevelopmental disorders. Method The internal consistency of the SRS, the convergent validity of the SRS with the Vineland Adaptive Behavior Scale-II (VABS-II), the Strengths and Difficulties Questionnaire (SDQ), and the Aberrant Behavior Checklist (ABC) were examined, in addition to four different factor models of the SRS (i.e., a one-factor, the original five-factor, a second-order five-factor model, and a 16-item one-factor model) using confirmatory factor analyses. Results There was satisfactory internal consistency on all subscales, except for the Social Awareness subscale. The SRS showed a somewhat meaningful overlap with parts of the related scales on the VABS-II, the SDQ, and the ABC. Model fit indices were mixed for evaluating the four different factor models. Overall, however, the model fit was rather poor. Conclusions The original SRS subscales showed adequate internal consistency and satisfactory convergent validity on some of the subscales. The construct validity in terms of factor structure was not acceptable. Future research should examine the psychometric properties of an improved version of the SRS, especially in terms of improving the scale?s construct validity. En ligne : https://doi.org/10.1016/j.rasd.2022.101973 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] The psychometric properties of the Norwegian version of the social responsiveness scale in a neuropediatric sample [Texte imprimé et/ou numérique] / Sabine KAISER, Auteur ; Kjersti Åby BERGQUIST, Auteur ; Marianne BERG HALVORSEN, Auteur . - 101973. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101973 Mots-clés : Assessment  Autism spectrum disorder  Neurodevelopmental disorder  Psychometrics  Social responsiveness scale Index. décimale : PER Périodiques Résumé : Background The current study is an examination of the psychometric properties of the Norwegian Social Responsiveness Scale (SRS), a measure of deficits in social behavior, in a neuropediatric outpatient sample of children and adolescents with neurological and neurodevelopmental disorders. Method The internal consistency of the SRS, the convergent validity of the SRS with the Vineland Adaptive Behavior Scale-II (VABS-II), the Strengths and Difficulties Questionnaire (SDQ), and the Aberrant Behavior Checklist (ABC) were examined, in addition to four different factor models of the SRS (i.e., a one-factor, the original five-factor, a second-order five-factor model, and a 16-item one-factor model) using confirmatory factor analyses. Results There was satisfactory internal consistency on all subscales, except for the Social Awareness subscale. The SRS showed a somewhat meaningful overlap with parts of the related scales on the VABS-II, the SDQ, and the ABC. Model fit indices were mixed for evaluating the four different factor models. Overall, however, the model fit was rather poor. Conclusions The original SRS subscales showed adequate internal consistency and satisfactory convergent validity on some of the subscales. The construct validity in terms of factor structure was not acceptable. Future research should examine the psychometric properties of an improved version of the SRS, especially in terms of improving the scale?s construct validity. En ligne : https://doi.org/10.1016/j.rasd.2022.101973 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

CPAP may be helpful for autistic patients with sleep apnea / Luke CURTIS in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101974 Titre : CPAP may be helpful for autistic patients with sleep apnea Type de document : Texte imprimé et/ou numérique Auteurs : Luke CURTIS, Auteur Article en page(s) : 101974 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : https://doi.org/10.1016/j.rasd.2022.101974 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] CPAP may be helpful for autistic patients with sleep apnea [Texte imprimé et/ou numérique] / Luke CURTIS, Auteur . - 101974. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101974 Index. décimale : PER Périodiques En ligne : https://doi.org/10.1016/j.rasd.2022.101974 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Subgrouping school-aged children on the autism spectrum based on co-occurring psychiatric symptoms / Antonia M. H. PIERGIES in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101983 Titre : Subgrouping school-aged children on the autism spectrum based on co-occurring psychiatric symptoms Type de document : Texte imprimé et/ou numérique Auteurs : Antonia M. H. PIERGIES, Auteur ; Tomoya HIROTA, Auteur ; Rei MONDEN, Auteur ; Shuting ZHENG, Auteur Article en page(s) : 101983 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Latent class analysis  Co-occurring psychiatric symptoms  Nonverbal IQ  Atypical sleep duration  Medical conditions Index. décimale : PER Périodiques Résumé : Background Phenotypic heterogeneity along the autism spectrum is compounded by co-occurring psychiatric conditions. Deriving subgroups of autistic individuals based on symptoms of these conditions could better our understanding of psychiatric symptom patterns existing within this population. This study?s goals were to derive subgroups of school-aged autistic children based on co-occurring psychiatric symptoms while controlling for age and sex and to examine correlates of subgroup membership while controlling for the degree of ASD-related diagnostic features. Method Latent class models were estimated in a sample from the Simons Simplex Collection (n = 2087) using ?borderline/clinical? versus ?normative? range data from five of the DSM-Oriented Scales from the CBCL/6?18 as indicator variables. We evaluated the predictive value of NVIQ < 70, atypical sleep duration, allergies/autoimmune conditions, gastrointestinal conditions, and neurological conditions on subgroup membership using multinomial logistic regression. Results Four subgroups emerged: Low Psychiatric Symptoms (41.02%), Externalizing Symptoms (12.36%), Internalizing Symptoms (31.58%), and High Psychiatric Symptoms (15.05%). Key findings were that NVIQ < 70 was associated with decreased odds of belonging to the Internalizing Symptoms and High Psychiatric Symptoms subgroups over the Low Psychiatric Symptoms subgroup, while atypical sleep duration and gastrointestinal conditions were associated with increased odds of belonging to the Externalizing Symptoms and High Psychiatric Symptoms subgroups. Neurological conditions were also associated with increased odds of belonging to the Externalizing Symptoms subgroup. Conclusion Distinct patterns of psychiatric symptoms exist within school-aged autistic children and are correlated with NVIQ < 70, atypical sleep duration, and medical conditions, providing insights for clinical practice and etiology-driven research. En ligne : https://doi.org/10.1016/j.rasd.2022.101983 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Subgrouping school-aged children on the autism spectrum based on co-occurring psychiatric symptoms [Texte imprimé et/ou numérique] / Antonia M. H. PIERGIES, Auteur ; Tomoya HIROTA, Auteur ; Rei MONDEN, Auteur ; Shuting ZHENG, Auteur . - 101983. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101983 Mots-clés : Autism spectrum disorder  Latent class analysis  Co-occurring psychiatric symptoms  Nonverbal IQ  Atypical sleep duration  Medical conditions Index. décimale : PER Périodiques Résumé : Background Phenotypic heterogeneity along the autism spectrum is compounded by co-occurring psychiatric conditions. Deriving subgroups of autistic individuals based on symptoms of these conditions could better our understanding of psychiatric symptom patterns existing within this population. This study?s goals were to derive subgroups of school-aged autistic children based on co-occurring psychiatric symptoms while controlling for age and sex and to examine correlates of subgroup membership while controlling for the degree of ASD-related diagnostic features. Method Latent class models were estimated in a sample from the Simons Simplex Collection (n = 2087) using ?borderline/clinical? versus ?normative? range data from five of the DSM-Oriented Scales from the CBCL/6?18 as indicator variables. We evaluated the predictive value of NVIQ < 70, atypical sleep duration, allergies/autoimmune conditions, gastrointestinal conditions, and neurological conditions on subgroup membership using multinomial logistic regression. Results Four subgroups emerged: Low Psychiatric Symptoms (41.02%), Externalizing Symptoms (12.36%), Internalizing Symptoms (31.58%), and High Psychiatric Symptoms (15.05%). Key findings were that NVIQ < 70 was associated with decreased odds of belonging to the Internalizing Symptoms and High Psychiatric Symptoms subgroups over the Low Psychiatric Symptoms subgroup, while atypical sleep duration and gastrointestinal conditions were associated with increased odds of belonging to the Externalizing Symptoms and High Psychiatric Symptoms subgroups. Neurological conditions were also associated with increased odds of belonging to the Externalizing Symptoms subgroup. Conclusion Distinct patterns of psychiatric symptoms exist within school-aged autistic children and are correlated with NVIQ < 70, atypical sleep duration, and medical conditions, providing insights for clinical practice and etiology-driven research. En ligne : https://doi.org/10.1016/j.rasd.2022.101983 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries / Dejan STEVANOVIC in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101984 Titre : Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries Type de document : Texte imprimé et/ou numérique Auteurs : Dejan STEVANOVIC, Auteur ; Diana L. ROBINS, Auteur ; Floriana COSTANZO, Auteur ; Elisa FUCA, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur ; Handan Ozek ERKURAN, Auteur ; Ferhat YAYLACI, Auteur ; Lilia ALBORES-GALLO, Auteur ; Gabriel GATICA-BAHAMONDE, Auteur ; Maia GABUNIA, Auteur ; Medea ZIRAKASHVILI, Auteur ; Tony CHARMAN, Auteur ; Sayyed Ali SAMADI, Auteur ; Teck-Hock TOH, Auteur ; Windham GAYLE, Auteur ; Laura BRENNAN, Auteur ; Tatjana ZORCEC, Auteur ; Alejandra AUZA, Auteur ; Maretha DE JONGE, Auteur ; Noordeen SHOQIRAT, Auteur ; Rajna KNEZ, Auteur Article en page(s) : 101984 Langues : Anglais (eng) Mots-clés : Toddlers  Autism  Screening  Culture  Equivalence Index. décimale : PER Périodiques Résumé : Background This study aimed to evaluate the endorsement rates of M-CHAT(-R) items by parents/caregivers of toddlers with autism spectrum disorder (ASD) synthesizing data from ten countries: Albania, Chile, Georgia, Macedonia, Malaysia, Mexico, Serbia, Turkey, United Kingdom, and the United States of America. Method Data were aggregated for toddlers aged 14?36 months who participated in previous studies or completed clinical screening. An item with < 30% of endorsements was classified as low endorsement, an item falling within the range of 30?60% as moderate endorsement, and an item with > 60% as high endorsement. Results All items had a low endorsement rate in at least one country and moderate to high in others. Of 20 items, 14 had a moderate to high endorsement rate in seven to nine countries. Of particular relevance are items with moderate to high endorsement rates in all countries excluding Malaysia, such as points to get help, points to show, brings things to show, follows a point, follows your gaze, and understands what is said. On the other hand, makes eye contact, responds to name, hearing concerns, and reciprocal smile were interpreted differently across the countries. Conclusions This study showed differences in parent/caregiver responding to M-CHAT(-R) items across ten countries, which may indicate cross-country variations in the recognition and evaluation of autistic symptoms in toddlers. Items related to joint attention, social engagement, and language comprehension were reported in a similar manner across countries and could be interpreted as universal autistic symptoms in toddlers. En ligne : https://doi.org/10.1016/j.rasd.2022.101984 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries [Texte imprimé et/ou numérique] / Dejan STEVANOVIC, Auteur ; Diana L. ROBINS, Auteur ; Floriana COSTANZO, Auteur ; Elisa FUCA, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur ; Handan Ozek ERKURAN, Auteur ; Ferhat YAYLACI, Auteur ; Lilia ALBORES-GALLO, Auteur ; Gabriel GATICA-BAHAMONDE, Auteur ; Maia GABUNIA, Auteur ; Medea ZIRAKASHVILI, Auteur ; Tony CHARMAN, Auteur ; Sayyed Ali SAMADI, Auteur ; Teck-Hock TOH, Auteur ; Windham GAYLE, Auteur ; Laura BRENNAN, Auteur ; Tatjana ZORCEC, Auteur ; Alejandra AUZA, Auteur ; Maretha DE JONGE, Auteur ; Noordeen SHOQIRAT, Auteur ; Rajna KNEZ, Auteur . - 101984. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101984 Mots-clés : Toddlers  Autism  Screening  Culture  Equivalence Index. décimale : PER Périodiques Résumé : Background This study aimed to evaluate the endorsement rates of M-CHAT(-R) items by parents/caregivers of toddlers with autism spectrum disorder (ASD) synthesizing data from ten countries: Albania, Chile, Georgia, Macedonia, Malaysia, Mexico, Serbia, Turkey, United Kingdom, and the United States of America. Method Data were aggregated for toddlers aged 14?36 months who participated in previous studies or completed clinical screening. An item with < 30% of endorsements was classified as low endorsement, an item falling within the range of 30?60% as moderate endorsement, and an item with > 60% as high endorsement. Results All items had a low endorsement rate in at least one country and moderate to high in others. Of 20 items, 14 had a moderate to high endorsement rate in seven to nine countries. Of particular relevance are items with moderate to high endorsement rates in all countries excluding Malaysia, such as points to get help, points to show, brings things to show, follows a point, follows your gaze, and understands what is said. On the other hand, makes eye contact, responds to name, hearing concerns, and reciprocal smile were interpreted differently across the countries. Conclusions This study showed differences in parent/caregiver responding to M-CHAT(-R) items across ten countries, which may indicate cross-country variations in the recognition and evaluation of autistic symptoms in toddlers. Items related to joint attention, social engagement, and language comprehension were reported in a similar manner across countries and could be interpreted as universal autistic symptoms in toddlers. En ligne : https://doi.org/10.1016/j.rasd.2022.101984 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475