TY - JOUR
T1 - Clinical assessment and management of toddlers with suspected autism spectrum disorder
T2 - Insights from studies of high-risk infants
AU - Zwaigenbaum, Lonnie
AU - Bryson, Susan
AU - Lord, Catherine
AU - Rogers, Sally
AU - Carter, Alice
AU - Carver, Leslie
AU - Chawarska, Kasia
AU - Constantino, John
AU - Dawson, Geraldine
AU - Dobkins, Karen
AU - Fein, Deborah
AU - Iverson, Jana
AU - Klin, Ami
AU - Landa, Rebecca
AU - Messinger, Daniel
AU - Ozonoff, Sally
AU - Sigman, Marian
AU - Stone, Wendy
AU - Tager-Flusberg, Helen
AU - Yirmiya, Nurit
PY - 2009/5
Y1 - 2009/5
N2 - With increased public awareness of the early signs and recent American Academy of Pediatrics recommendations that all 18- and 24-month-olds be screened for autism spectrum disorders, there is an increasing need for diagnostic assessment of very young children. However, unique challenges exist in applying current diagnostic guidelines for autism spectrum disorders to children under the age of 2 years. In this article, we address challenges related to early detection, diagnosis, and treatment of autism spectrum disorders in this age group. We provide a comprehensive review of findings from recent studies on the early development of children with autism spectrum disorders, summarizing current knowledge on early signs of autism spectrum disorders, the screening properties of early detection tools, and current best practice for diagnostic assessment of autism spectrum disorders before 2 years of age. We also outline principles of effective intervention for children under the age of 2 with suspected/confirmed autism spectrum disorders. It is hoped that ongoing studies will provide an even stronger foundation for evidence-based diagnostic and intervention approaches for this critically important age group.
AB - With increased public awareness of the early signs and recent American Academy of Pediatrics recommendations that all 18- and 24-month-olds be screened for autism spectrum disorders, there is an increasing need for diagnostic assessment of very young children. However, unique challenges exist in applying current diagnostic guidelines for autism spectrum disorders to children under the age of 2 years. In this article, we address challenges related to early detection, diagnosis, and treatment of autism spectrum disorders in this age group. We provide a comprehensive review of findings from recent studies on the early development of children with autism spectrum disorders, summarizing current knowledge on early signs of autism spectrum disorders, the screening properties of early detection tools, and current best practice for diagnostic assessment of autism spectrum disorders before 2 years of age. We also outline principles of effective intervention for children under the age of 2 with suspected/confirmed autism spectrum disorders. It is hoped that ongoing studies will provide an even stronger foundation for evidence-based diagnostic and intervention approaches for this critically important age group.
KW - Autism
KW - Child development
KW - Early detection
KW - Longitudinal studies
KW - Toddlers
UR - http://www.scopus.com/inward/record.url?scp=66049107663&partnerID=8YFLogxK
U2 - 10.1542/peds.2008-1606
DO - 10.1542/peds.2008-1606
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C2 - 19403506
AN - SCOPUS:66049107663
SN - 0031-4005
VL - 123
SP - 1383
EP - 1391
JO - Pediatrics
JF - Pediatrics
IS - 5
ER -