Detecting, Studying, and Treating Autism Early: The One-Year Well-Baby Check-Up Approach

Pierce, Karen; Carter, Cindy; Weinfeld, Melanie; Desmond, Jamie; Hazin, Roxana; Bjork, Robert; Gallagher, Nicole

doi:10.1016/j.jpeds.2011.02.036

Cited by 257Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesLanguage Development and Disorders

Detecting, Studying, and Treating Autism Early: The One-Year Well-Baby Check-Up Approach

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Pierce, Karen, Carter, Cindy, Weinfeld, Melanie, Desmond, Jamie, Hazin, Roxana, Bjork, Robert, Gallagher, Nicole·2011·The Journal of Pediatrics

DOI 10.1016/j.jpeds.2011.02.036PMC PMC3157595

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Abstract

Objectives To determine the feasibility of implementing a broadband screen at the 1-year check-up to detect cases of autism spectrum disorders (ASD), language delay (LD), and developmental delay (DD).Study design The Communication and Symbolic Behavior Scales Developmental Profile Infant-Toddler Checklist was distributed at every 1-year pediatric check-up; 137 pediatricians and 225 infants participated. Screens were scored immediately, and failures referred for further evaluation.Results Pediatricians screened 10 479 infants at the 1-year check-up; 184 infants who failed the screen were evaluated and tracked. To date, 32 infants received a provisional or final diagnosis of ASD, 56 of LD, nine of DD, and 36 of "other." Five infants who initially tested positive for ASD no longer met criteria at follow-up. The remainder of the sample was false positive results. Positive predictive value was estimated to be .75.Conclusions The 1-Year Well-Baby Check-Up Approach shows promise as a simple mechanism to detect cases of ASD, LD, and DD at 1 year. This procedure offers an alternative to the baby sibling design as a mechanism to study autism prospectively, the results of which will enrich our understanding of autism at an early age.

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When pediatricians and ASD specialty clinics work together, risk detection and diagnostic evaluation can occur as early as 12 to 20 months, and interventions soon thereafter.
“Studies show that when pediatricians and ASD specialty clinics work together, risk detection and diagnostic evaluation can occur as early as 12 to 20 months, and interventions soon thereafter [179, 181].”
From The ASD Living Biology: from cell proliferation to clinical phenotype (2019) · cites this paper as [179]
ASD risk can be measured as young as 12 to 24 months using parent report screening tools such as the CSBS IT-Checklist and M-CHAT at well-baby check-ups with follow-up confirmation at ASD specialty clinics.
“Studies demonstrate that ASD risk can be measured as young as 12 to 24 months using parent report screening tools such as the CSBS IT-Checklist and M-CHAT at well-baby check-ups with follow-up confirmation at ASD specialty clinics [179, 180].”
From The ASD Living Biology: from cell proliferation to clinical phenotype (2019) · cites this paper as [179]
Early signs of ASD can sometimes be detected using parent report screens as early as 12 or 18 months of age.
“Although several studies have shown that early signs of ASD can sometimes be detected using parent report screens as early as 126,7,8 or 18 months of age,9,10”
From Evaluation of the Diagnostic Stability of the Early Autism Spectrum Disorder Phenotype in the General Population Starting at 12 Months (2019) · cites this paper as [6]
Within the context of an early detection program, children can be reliably diagnosed with ASD several years earlier, as young as 14 months.
“However, we found that within the context of an early detection program,6 children can be reliably diagnosed with ASD several years earlier, as young as 14 months.”
From Evaluation of the Diagnostic Stability of the Early Autism Spectrum Disorder Phenotype in the General Population Starting at 12 Months (2019) · cites this paper as [6]

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Authors: Pierce, K., Carter, C., Weinfeld, M., Desmond, J., Hazin, R., Bjork, R., & Gallagher, N.
Affiliations: University of California San Diego (US)
Rady Children's Hospital-San Diego (US)
Corresponding author: Pierce, Karen
ORCID: Pierce, Karen
Venue: The Journal of Pediatrics
Publisher: Elsevier BV
Published: 2011-09
Volume: 159
Issue: 3
Pages: 458-465.e6
ISSN: 0022-3476 (ISSN-L)
DOI: 10.1016/j.jpeds.2011.02.036
PMC: PMC3157595
OpenAlex: W2144372804
Cited by: 256
References: 31
Citations by year: 2026: 5 · 2025: 14 · 2024: 18 · 2023: 13 · 2022: 22 · 2021: 16 · 2020: 20 · 2019: 17 · 2018: 25 · 2017: 12 · 2016: 16 · 2015: 17 · 2014: 18 · 2013: 19 · 2012: 17
FWCI: 9.41
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Pediatrics (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01mh083968-05)
National Institute on Aging (R01AG022381)
National Institute of Mental Health (R01-MH083968, U24MH081810, R01MH078165, R01MH089390, L30 MH091755, R01MH036840, R01MH081757, R01MH080134, P50MH081755, R01MH081873)
National Institute of Neurological Disorders and Stroke (U01NS061264)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD065272)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
Keywords: autism spectrum disorder, early screening, infant screening, language delay, developmental delay, positive predictive value, false positives, autism diagnosis
MeSH terms: Attitude of Health Personnel, Autistic Disorder, California, Child Development, Developmental Disabilities, Child, Preschool, False Positive Reactions, Feasibility Studies, Follow-Up Studies, Humans, Infant, Language Development Disorders, Mass Screening, Pediatrics, Predictive Value of Tests, Surveys and Questionnaires, Early Diagnosis

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Detecting, Studying, and Treating Autism Early: The One-Year Well-Baby Check-Up Approach

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