Screening for ASD Signs in Very Low Birth Weight Preterm Infants

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Vivian Renne Gerber Lederman
Ana Lucia Goulart
Amélia Miyashiro Nunes dos Santos
José Salomão Schwartzman

Abstract

Prematurity has been associated with Autism Spectrum Disorders (ASD), and the early diagnosis is relevant for this population. This study compares the frequency of positive screening for ASD signs using M-CHAT at 18-24 months (n = 60) and ABC questionnaires at 30-36 months (n = 58) of corrected age in toddlers born prematurely with birth weight < 1500g and investigates ASD diagnosis in suspected cases. Toddlers screened positive were evaluated with a DSM-5 diagnostic protocol. 6.7% of toddlers screened positive for M-CHAT and 5.2% for ABC. ASD diagnosis was confirmed for 3.3% of children. An agreement between M-CHAT and ABC questionnaires was low (k = 0.241, p = 0.063). The frequency of suggestive signs of ASD detected by the M-CHAT and the ABC at different moments was similar, and the diagnosis rate of ASD was high. The screening at 18-24 month added to the screening at 30-36 months increased the frequency of positive screening for signs of ASD in preterm.

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Section
Psychological Assessment

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