Development of a brief parent-report screen for common gastrointestinal disorders in autism spectrum disorder
Open accessAbstract
Gastrointestinal dysfunction in children with autism spectrum disorder (ASD) is common and associated with problem behaviors. This study describes the development of a brief, parent-report screen that relies minimally upon the child's ability to report or localize pain for identifying children with ASD at risk for one of three common gastrointestinal disorders (functional constipation, functional diarrhea, and gastroesophageal reflux disease). In a clinical sample of children with ASD, this 17-item screen identified children having one or more of these disorders with a sensitivity of 84%, specificity of 43%, and a positive predictive value of 67%. If found to be valid in an independent sample of children with ASD, the screen will be useful in both clinical practice and research.
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The 17-question screen relies on caretaker observation and was administered prospectively to caretakers and then to pediatric gastroenterologists who had evaluated the patients.
“This 17-question screen, which relies on caretaker observation, was administered prospectively to caretakers and then to pediatric gastroenterologists who had evaluated the patients.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [18]
A concise version of this screening tool was created and validated.
“Recently, a concise version of this screening tool was created and validated.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [18]
The screen detected new diagnoses of GI problems in over 20% of the patients.
“Importantly, the screen detected new diagnoses of GI problems in over 20% of the patients 18.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [18]
Using this screen, GI problems were effectively diagnosed with a sensitivity of 86%, a specificity of 43% and a positive predictive value of 67%.
“Using this screen, GI problems were effectively diagnosed with a sensitivity of 86%, a specificity of 43% and a positive predictive value of 67%.”
From Gastrointestinal Issues and Autism Spectrum Disorder (2020) · cites this paper as [18]
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- Authors
- Margolis, K. G., Buie, T. M., Turner, J. B., Silberman, A. E., Feldman, J. F., Murray, K. F., McSwiggan-Hardin, M., Levy, J., Bauman, M. L., Veenstra-VanderWeele, J., Whitaker, A. H., & Winter, H. S.
- Affiliations
- Morgan Stanley Children's Hospital (US)
- Massachusetts General Hospital (US)
- NewYork–Presbyterian Hospital (US)
- Boston University (US)
- Corresponding author
- Margolis, Kara G.
- ORCID
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2018-10-22
- Volume
- 49
- Issue
- 1
- Pages
- 349-362
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- PMC
- PMC6857533
- OpenAlex
- W2895935606
- Cited by
- 52
- References
- 33
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 5 · 2023: 9 · 2022: 7 · 2021: 5 · 2020: 10 · 2019: 7
- FWCI
- 3.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K08 DK093786-01A1)
- National Institute of Health (4RO1NS015547)
- Department of Defense (PR160365)
- Phyllis and Ivan Seidenberg Family Fund for Children’s Digestive Health
- Autism Speaks and cooperative agreement (UA3 MC11054)
- Autism Speaks (UA3 MC11054)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, gastrointestinal dysfunction, parent-report screening, functional constipation, functional diarrhea, gastroesophageal reflux disease, screening tool development, sensitivity and specificity, children
- MeSH terms
- Autism Spectrum Disorder, Child, Female, Gastrointestinal Diseases, Health Surveys, Humans, Male, Parents
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