[article]
| Titre : |
Investigating the Predictive Validity of the Quantitative Checklist for Autism in Toddlers and the Autism Diagnostic Observation Schedule-2 in Children at Elevated Likelihood for Autism |
| Type de document : |
texte imprimé |
| Auteurs : |
Sarah SCHAUBROECK, Auteur ; Ellen DEMURIE, Auteur ; Jannath BEGUM-ALI, Auteur ; Sven BÖLTE, Auteur ; Sofie BOTERBERG, Auteur ; Jan BUITELAAR, Auteur ; Tony CHARMAN, Auteur ; Terje FALCK-YTTER, Auteur ; Sabine HUNNIUS, Auteur ; Mark JOHNSON, Auteur ; Emily JONES, Auteur ; Greg PASCO, Auteur ; Carlijn VAN DEN BOOMEN, Auteur ; Petra WARREYN, Auteur ; Herbert ROEYERS, Auteur |
| Article en page(s) : |
p.633-647 |
| Langues : |
Anglais (eng) |
| Index. décimale : |
PER Périodiques |
| Résumé : |
This study examined the recurrence rate of autism in siblings at elevated likelihood (EL) and the predictive validity of the Q-CHAT and ADOS-2 at 14 and 24Â months (m) for a clinical best estimate (CBE) autism diagnosis at 3Â years. 331 EL-siblings (47.9% girls) from the prospective longitudinal EuroSibs study underwent ADOS-2 assessments and caregivers completed the Q-CHAT at 14Â m and 24Â m. At 3Â years CBE was determined using DSM-5 criteria. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were estimated. Autism recurrence rate was 25.7% [95% CI (21.1, 30.6)]. Q-CHAT sensitivity was 31.8% [95% CI (21.4, 43.6)] at 14Â m and 30.6% [95% CI (20.7, 41.7)] at 24Â m. Specificity was 81.2% [95% CI (75.4, 86.2)] at 14Â m and 94.8% [95% CI (91.2, 97.2)] at 24Â m. PPV was 35.6% [95% CI (24.2, 48.2)] at 14Â m and 66.7% [95% CI (49.8, 81.1)] at 24Â m. NPV was 78.5% [95% CI (72.6, 83.7)] and 79.9% [95% CI (74.7, 84.6)] respectively. ADOS-2 demonstrated a of 64.3% [95% CI (45.9, 80.2)] and 69.3% [95% CI (58.4, 79.0)] and a specificity of 71.1% [95% CI (60.3, 80.4)] and 68.7% [95% CI (62.5, 74.5)] at 14Â m and 24Â m respectively. PPV was 45% [95% CI (30.3, 60.4)] at 14Â m and 41.9% [95% CI (33.5, 50.7)] at 24Â m. NPV was 84.4% [95% CI (74.2, 91.8)] at 14Â m and 87.3% [95% CI (81.9, 91.6)] at 24Â m. Q-CHAT and ADOS-2 at 14Â m and 24Â m can aid in early differentiation between EL-siblings who need further assessment and those who do not, but neither has sufficient sensitivity and PPV for standalone CBE diagnosis prediction. |
| En ligne : |
https://doi.org/10.1007/s10803-024-06585-y |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=580 |
in Journal of Autism and Developmental Disorders > 56-2 (February 2026) . - p.633-647
[article] Investigating the Predictive Validity of the Quantitative Checklist for Autism in Toddlers and the Autism Diagnostic Observation Schedule-2 in Children at Elevated Likelihood for Autism [texte imprimé] / Sarah SCHAUBROECK, Auteur ; Ellen DEMURIE, Auteur ; Jannath BEGUM-ALI, Auteur ; Sven BÖLTE, Auteur ; Sofie BOTERBERG, Auteur ; Jan BUITELAAR, Auteur ; Tony CHARMAN, Auteur ; Terje FALCK-YTTER, Auteur ; Sabine HUNNIUS, Auteur ; Mark JOHNSON, Auteur ; Emily JONES, Auteur ; Greg PASCO, Auteur ; Carlijn VAN DEN BOOMEN, Auteur ; Petra WARREYN, Auteur ; Herbert ROEYERS, Auteur . - p.633-647. Langues : Anglais ( eng) in Journal of Autism and Developmental Disorders > 56-2 (February 2026) . - p.633-647
| Index. décimale : |
PER Périodiques |
| Résumé : |
This study examined the recurrence rate of autism in siblings at elevated likelihood (EL) and the predictive validity of the Q-CHAT and ADOS-2 at 14 and 24Â months (m) for a clinical best estimate (CBE) autism diagnosis at 3Â years. 331 EL-siblings (47.9% girls) from the prospective longitudinal EuroSibs study underwent ADOS-2 assessments and caregivers completed the Q-CHAT at 14Â m and 24Â m. At 3Â years CBE was determined using DSM-5 criteria. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were estimated. Autism recurrence rate was 25.7% [95% CI (21.1, 30.6)]. Q-CHAT sensitivity was 31.8% [95% CI (21.4, 43.6)] at 14Â m and 30.6% [95% CI (20.7, 41.7)] at 24Â m. Specificity was 81.2% [95% CI (75.4, 86.2)] at 14Â m and 94.8% [95% CI (91.2, 97.2)] at 24Â m. PPV was 35.6% [95% CI (24.2, 48.2)] at 14Â m and 66.7% [95% CI (49.8, 81.1)] at 24Â m. NPV was 78.5% [95% CI (72.6, 83.7)] and 79.9% [95% CI (74.7, 84.6)] respectively. ADOS-2 demonstrated a of 64.3% [95% CI (45.9, 80.2)] and 69.3% [95% CI (58.4, 79.0)] and a specificity of 71.1% [95% CI (60.3, 80.4)] and 68.7% [95% CI (62.5, 74.5)] at 14Â m and 24Â m respectively. PPV was 45% [95% CI (30.3, 60.4)] at 14Â m and 41.9% [95% CI (33.5, 50.7)] at 24Â m. NPV was 84.4% [95% CI (74.2, 91.8)] at 14Â m and 87.3% [95% CI (81.9, 91.6)] at 24Â m. Q-CHAT and ADOS-2 at 14Â m and 24Â m can aid in early differentiation between EL-siblings who need further assessment and those who do not, but neither has sufficient sensitivity and PPV for standalone CBE diagnosis prediction. |
| En ligne : |
https://doi.org/10.1007/s10803-024-06585-y |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=580 |
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