Early detection and diagnosis of autism spectrum disorders
Downloads
Published
How to Cite
Issue
Section
DOI:
https://doi.org/10.31766/revpsij.v33n3a2Keywords:
Autism spectrum disorders, Early detection, Early diagnosis, M-CHATAbstract
This study presents the design and results of an autism spectrum disorder early detection programme devised by the childhood/adolescent mental health unit of Reina Sofía Hospital in Cordoba in collaboration with the primary paediatric service of the city of Cordoba health district. The programme aims at decreasing the time that elapses between identifying the first symptoms and the establishment of an ASD diagnosis, as well as reducing the average age of diagnosis, in order to initiate a treatment programme as early as possible. The M-CHAT questionnaire (Modified Checklist for Autism in Toddlers) was applied to all the cases showing the first signs of ASD. Positive cases were assessed directly by the childhood/adolescent mental health unit in a preferential way and following an assessment protocol especially designed for the purpose. The conclusion of the study is that the MCHAT is a good assessment tool to apply at the first level of early screening of detecting ASD and constitutes the gateway to the mental health assessment process. Its widespread adoption, with an excellent cost/benefit ratio, would have a significant impact on the quality of life of people with autism that would in turn mean a general improvement for their families.
Downloads
References
2. OMS. The ICD-10 Classification of Mental and Behavioural Disorders: clinical descriptions and diagnostic guidelines. Ginebra, 1992.
3. Wing L. The continuum of autistic characteristics. En Schopler, E. Y Mesibov, GB, ed. Autism in adolescent and adults. New York: Plenum; 1987.
4. Posada M, Posada-De la Paz M, Ferrari-Arroyo MJ, Touriño E, Boadaet L. Investigación epidemiológica en autismo: una visión integradora. Rev Neurol 2005; 40 (1): 191-198.
5. Trillingsgaard A, Sorensen EU, Nmec G, Jorgensen M. GAT distinguishes autism spectrum disorders from other developmental disorders before the age of four years? Eur Child Adolesc Psychiatry 2005; 14 (2): 65-72.
6. Díez-Cuervo A, Muñoz-Yunta JA, Fuentes-Biggi J, Canal-Bedia JR, Idiazábal-Aletxa M.A, Ferrari-Arroyo MJ, et al. Guía de buena práctica para el diagnóstico de los trastornos del espectro autista. Rev Neurol 2005; 41 (5): 299-310.
7. Alessandri M, Thorp D, Mundy P, Tuchman RF. ¿Podemos curar el autismo? Del desenlace clínico a la intervención. Rev Neurol 2005; 40 (1): 131-136.
8. Martos J, Ayuda R. Desarrollo temprano: algunos datos procedentes del autismo y los trastornos del lenguaje. Rev Neurol 2004; 38 (1): 39-46.
9. Hernández JM, Artigas-Pallarés J, Martos-Pérez J, Palacios-Antón S, Fuentes Biggi J, Belinchón-Carmona M, et al. Guía de buena práctica para la detección temprana de los trastornos del espectro autista (I). Rev Neurol 2005; 41 (4): 237-245.
10. Ministry of Health and Education. New Zealand Autism Spectrum Disorder Guideline. 2008.
11. Filipek PA, Accardo P, Baranek GT et al. The screening and diagnosis of autistic spectrum disorders. J Autism Dev Disord 1999; 29: 439-484.
12. National Autism Plan for Children (NAPC). Plan for the identification, assesment, diagnosis and access to early interventions for pre-school and primary school aged children with autism spectrum disorders (ASD). The National Autistic Society. London. 2003.
13. Chawarska K, Volkmar FR. Chapter 8: Autism in Infancy and Early Childhood. In: Volkmar FR, Paul R, Klin A et al., eds. Handbook of autism and pervasive developmental disorders 3ª Edición. Vol. 1: Diagnosis, development, neurology and behavior.2005; New Jersey: Willey.
14. Rutter M. Treatment of autistic child. J Child Psychol Psychiatry 1985; 26 (2): 193-214.
15. Cabanyes-Truffino J, García-Villamisar D. Identificación y diagnóstico precoz de los trastornos del espectro autista. Rev Neurol 2004; 39: 81-90.
16. Lorenzo S. Modelo Europeo de Excelencia. Rev Calid Asist 2000; 15: 129-184.
17. Consejería de Salud de la Junta de Andalucía. Guía de diseño y mejora continua de los procesos asistenciales, Sevilla, 2001.
18. Pérez García JJ. Gestión clínica: conceptos y metodología de implantación. Rev Calid Asist 2002; 17 (5): 305-311.
19. Robins DL, Fein D, Barton ML, Green JA. The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Dis 2001; 31 (2): 131-144.
20. Lord C, Rutter M, Dilavore PC, Risi S. Escala de Observación para el Diagnóstico del Autismo. Madrid: TEA, 2009.
21. Newborg J, Stock JR, Wnek L, Guidubaldi J, Svinicki J. Inventario de Desarrollo de Batelle. Madrid: TEA, 1996.
22. Sánchez Vázquez, V, (Dir). Protocolos y programas en salud mental infantil y juvenil. Córdoba, Fundación Castilla del Pino, 2004.
23. Baron-Cohen S, Allen J, Gilberg C. Can Autism be detected al 18 months? The needle, the haystack, and the CHAT. Br J Psychiatry 1992; 161: 839-43.
24. SIGN. Assessment, diagnosis and clinical interventions for children and young people with autism spectrum disorders. A national clinical guideline. 2007.
25. American Academy of Pediatrics (Committee on Children with Disabilities). The paediatrician´s role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics 2001; 107: 1221-1226.
© 2021 AEPNyA Todos los derechos reservados
