Behaviors Interfering with Audiometry Associated with Eventual Diagnosis of Autism

Children referred for audiology evaluation due to speech and language delays represent a neurodevelopmentally high-risk group. The audiology evaluation is a behaviorally-challenging encounter early in the diagnostic process. We assessed interfering behaviors (IB) that complicated completion of audio...

Full description

Saved in:
Bibliographic Details
Published in:Journal of autism and developmental disorders 2021-03, Vol.51 (3), p.849-854
Main Authors: Meagher, Sean P., Carlson, Betsy L., Elrod, Marilisa G.
Format: Article
Language:English
Subjects:
Audiology
Audiometric Tests
Audiometry
Autism
Autism Spectrum Disorder - diagnosis
Autism Spectrum Disorder - psychology
Autistic children
Autistic Disorder
Behavior
Behavior Problems
Behavioral Science and Psychology
Child
Child and School Psychology
Child Behavior
Child, Preschool
Children
Clinical Diagnosis
Cohort analysis
Delayed Speech
Diagnosis
Electronic medical records
Evaluation
Female
High risk
Humans
Infant
Interference (Learning)
Intervention
Language Development Disorders
Language Impairments
Male
Medical diagnosis
Neurosciences
Pediatrics
Pervasive Developmental Disorders
Preschool Children
Psychology
Public Health
Referral and Consultation
Retrospective Studies
Risk factors
Risk groups
S.I. : Early Detection In Autism Spectrum Disorder
Speech
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Children referred for audiology evaluation due to speech and language delays represent a neurodevelopmentally high-risk group. The audiology evaluation is a behaviorally-challenging encounter early in the diagnostic process. We assessed interfering behaviors (IB) that complicated completion of audiometry as predictors of autism spectrum disorder (ASD) diagnosis. This retrospective cohort study using the Military Health System electronic medical record included 296 children aged 18 to 71 months. Children who displayed IB had increased odds of receiving an ASD diagnosis compared to those who did not (OR = 5.6, 95% CI 2.6–12.1). Interfering behaviors had a high specificity (81%) and negative predictive value (94%) for ASD. The audiology evaluation may represent an opportunity early in the diagnostic process to stratify risk for ASD.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-020-04385-8