When Are We Sure? Predictors of Clinician Certainty in the Diagnosis of Autism Spectrum Disorder
العنوان: | When Are We Sure? Predictors of Clinician Certainty in the Diagnosis of Autism Spectrum Disorder |
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المؤلفون: | Zachary Warren, Clara Lajonchere, Christina G. McDonnell, Stephen M. Kanne, Catherine C. Bradley, Laura A. Carpenter |
المصدر: | Journal of Autism and Developmental Disorders. 49:1391-1401 |
بيانات النشر: | Springer Science and Business Media LLC, 2018. |
سنة النشر: | 2018 |
مصطلحات موضوعية: | Intelligence quotient, media_common.quotation_subject, 05 social sciences, Specialty, Certainty, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, Autism spectrum disorder, mental disorders, Developmental and Educational Psychology, medicine, Autism, 0501 psychology and cognitive sciences, Medical diagnosis, Differential diagnosis, Toddler, Psychology, 030217 neurology & neurosurgery, 050104 developmental & child psychology, Clinical psychology, media_common |
الوصف: | Differential diagnosis of autism spectrum disorder (ASD) is challenging, and uncertainty regarding a child's diagnosis may result in under-identification or prolonged diagnostic pathways. The current study examined diagnostic certainty, or how sure clinicians were that their diagnosis was accurate, among 478 toddler and preschool-aged children referred for possible ASD to academic medical specialty clinics. Overall, 60 percent of diagnoses were made with complete certainty. Clinicians were more certain when positively identifying ASD than ruling it out. Children presenting with a moderate (vs high or low) level of observable ASD symptoms were less likely to have a certain diagnosis. Further, clinicians rated less diagnostic certainty for older children, those with public insurance, and those with higher IQ and adaptive behavior abilities. |
تدمد: | 1573-3432 0162-3257 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::fd4ba536e17905fb97bf9374196c884e https://doi.org/10.1007/s10803-018-3831-3 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi...........fd4ba536e17905fb97bf9374196c884e |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15733432 01623257 |
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