Autism Detection in Children by Combined Use of Gaze Preference and the M-CHAT-R in a Resource-Scarce Setting

被引:6
|
作者
Jensen, Kelly [1 ,2 ,13 ]
Noazin, Sassan [3 ]
Bitterfeld, Leandra [4 ,14 ]
Carcelen, Andrea [3 ]
Vargas-Cuentas, Natalia, I [5 ]
Hidalgo, Daniela [5 ,6 ]
Valenzuela, Alejandra [5 ]
Roman-Gonzalez, Avid [5 ]
Krebs, Casey [7 ]
Clement, Vincent [6 ]
Nolan, Cody [8 ]
Barrientos, Franklin [5 ]
Mendoza, Ardi Knobel [9 ]
Noriega-Donis, Paola [10 ]
Palacios, Claudia [5 ]
Ramirez, Andrea [5 ]
Vittet, Macarena [5 ]
Hafeez, Emil [3 ]
Torres-Viso, Mariana [11 ]
Velarde, Myriam [12 ]
Moulton, Lawrence H. [3 ]
Powers, Michael D. [7 ,11 ]
Gilman, Robert H. [3 ]
Zimic, Mirko [5 ]
机构
[1] Tulane Univ, Sch Med, 1430 Tulane Ave, New Orleans, LA 70112 USA
[2] Tulane Univ, Sch Publ Hlth & Trop Med, New Orleans, LA USA
[3] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA
[4] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA
[5] Univ Peruana Cayetano Heredia, Sci & Philosophy Fac, Bioinformat & Mol Biol Lab, Res & Dev Lab, Lima, Peru
[6] Univ Peruana Cayetano Heredia, Psychol Fac, Lima, Peru
[7] Yale Univ, Sch Med, Yale Child Study Ctr, New Haven, CT USA
[8] Weill Cornell Med Coll, New York, NY USA
[9] Rutgers Robert Wood Johnson Med Sch, New Brunswick, NJ USA
[10] Johns Hopkins Univ, Whiting Sch Engn, Baltimore, MD USA
[11] CCSN Ctr Children Special Needs, Glastonbury, CT USA
[12] IMLA Inst Med Lengua Aprendazaje, Lima, Peru
[13] Louisiana State Univ, Baton Rouge, LA 70803 USA
[14] USA Indian Hlth Serv, Albuquerque, NM USA
关键词
Autism spectrum disorder; Developmental disorder; Eye tracking; Gaze preference; ASD diagnosis; SOCIAL ATTENTION; SPECTRUM;
D O I
10.1007/s10803-021-04878-0
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Most children with autism spectrum disorder (ASD), in resource-limited settings (RLS), are diagnosed after the age of four. Our work confirmed and extended results of Pierce that eye tracking could discriminate between typically developing (TD) children and those with ASD. We demonstrated the initial 15 s was at least as discriminating as the entire video. We evaluated the GP-MCHAT-R, which combines the first 15 s of manually-coded gaze preference (GP) video with M-CHAT-R results on 73 TD children and 28 children with ASD, 36-99 months of age. The GP-MCHAT-R (AUC = 0.89 (95%CI: 0.82-0.95)), performed significantly better than the MCHAT-R (AUC = 0.78 (95%CI: 0.71-0.85)) and gaze preference (AUC = 0.76 (95%CI: 0.64-0.88)) alone. This tool may enable early screening for ASD in RLS.
引用
收藏
页码:994 / 1006
页数:13
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