Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research

This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The curre...

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Bibliographic Details
Published in:Pediatrics 2015-10, Vol.136 Suppl 1 (Supplement_1), p.S41-S59
Main Authors: Zwaigenbaum, Lonnie, Bauman, Margaret L, Fein, Deborah, Pierce, Karen, Buie, Timothy, Davis, Patricia A, Newschaffer, Craig, Robins, Diana L, Wetherby, Amy, Choueiri, Roula, Kasari, Connie, Stone, Wendy L, Yirmiya, Nurit, Estes, Annette, Hansen, Robin L, McPartland, James C, Natowicz, Marvin R, Carter, Alice, Granpeesheh, Doreen, Mailloux, Zoe, Smith Roley, Susanne, Wagner, Sheldon
Format: Article
Language:English
Subjects:
Autism
Autism Spectrum Disorder - diagnosis
Biomarkers
Biomedical Research
Child, Preschool
Early Diagnosis
Humans
Infant
Mass Screening - methods
Medical diagnosis
Medical screening
Pediatrics
Supplement
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Summary:This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The current review indicates that screening in children aged 18 to 24 months can assist in early detection, consistent with current American Academy of Pediatrics' recommendations. We identify ASD-specific and broadband screening tools that have been evaluated in large community samples which show particular promise in terms of accurate classification and clinical utility. We also suggest strategies to help overcome challenges to implementing ASD screening in community practice, as well as priorities for future research.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2014-3667D