Usefulness of current autism diagnostic or screening assessment tools in adults with intellectual disability (ID): systematic review of literature

IF 1.1 Q4 PSYCHOLOGY, DEVELOPMENTAL Advances in Autism Pub Date : 2021-07-09 DOI:10.1108/AIA-01-2021-0008
Solomon Shatananda, Abimbola Oyedokun, Mahesh M. Odiyoor, S. Jaydeokar, Saman Shahzad
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Abstract

Purpose The purpose of the study is to identify and ascertain if there were any validated tools for diagnosing or screening autism spectrum disorder in adults with ID. The estimated prevalence of intellectual disability (ID) in the general population is about 10.37/1,000 population (Maulik et al., 2011). In total, 1 out of 4 individuals with ID suffers from an autism spectrum disorder (ASD) (Sappok et al., 2010). Early diagnosis and support for ASD is key to having a good quality of life. The diagnosis of ASD in people with an ID presents its own challenges and it is likely under-identification of ASD amongst adults with ID by about 20% to 30% (Emerson and Baines, 2010). Design/methodology/approach Studies were selected based on the following criteria: studies that reported either screening or diagnostic tools for ASD, participants had an ID i.e. a mean IQ of <70, adults i.e. participants were >18 years of age at the time of entry to the study and articles reported either sensitivity, specificity or area under the curve. Relevant studies that were published up to January 2020 were identified from EMBASE, PsychINFO, CINAHL and PubMed. In total, 75 papers were identified of which 15 papers met the criteria. Findings The screening or diagnostic tools currently in use is dependant on the degree of ID. A number of the tools had good psychometric properties and utility when used in people with specific degrees of ID or when used in combination with another screening or diagnostic tool. The authors could not identify a diagnostic tool that could be used across all levels of severity of ID unless used in combination. Hence, concluded that there is a need for a diagnostic tool with good psychometric properties for the assessment of ASD in adults with all degree of ID within a reasonable time period without the need for an additional tool to be used in conjunction. Originality/value Currently, the “gold standard” for diagnosing ASD is a lengthy and time-consuming process carried out by trained multi-disciplinary team members who assess historical, behavioural and parent/carer report to arrive at a diagnosis. There are a number of tools that have been developed to aid diagnosis. However, it is important to identify the tools that can optimise the procedures and are also time-efficient.
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当前自闭症诊断或筛查评估工具在智力残疾成年人中的有用性(ID):文献系统综述
目的本研究的目的是确定和确定是否有任何有效的工具来诊断或筛查患有自闭症的成年人的自闭症谱系障碍。据估计,普通人群中智力残疾(ID)的患病率约为10.37/ 1000 (Maulik et al., 2011)。总的来说,四分之一的ID患者患有自闭症谱系障碍(ASD) (Sappok et al., 2010)。ASD的早期诊断和支持是拥有良好生活质量的关键。对有ID的人进行ASD的诊断有其自身的挑战,在有ID的成年人中,ASD的识别可能不足20%到30% (Emerson和Baines, 2010)。设计/方法/方法根据以下标准选择研究:报告ASD筛查或诊断工具的研究,参与者在进入研究时具有ID,即平均智商为18岁,文章报告敏感性,特异性或曲线下面积。截至2020年1月发表的相关研究从EMBASE、PsychINFO、CINAHL和PubMed中确定。共有75篇论文被确定,其中15篇论文符合标准。目前使用的筛查或诊断工具取决于ID的程度。当用于具有特定ID程度的人或与其他筛选或诊断工具结合使用时,许多工具具有良好的心理测量特性和效用。作者无法确定一种诊断工具,可以用于所有严重程度的ID,除非联合使用。因此,我们得出结论,需要一种具有良好心理测量特性的诊断工具,在合理的时间内评估所有程度ID的成人ASD,而不需要额外的工具来联合使用。独创性/价值目前,诊断自闭症谱系障碍的“黄金标准”是一个漫长而耗时的过程,由训练有素的多学科团队成员进行,他们评估病史、行为和父母/照顾者的报告,以得出诊断。目前已经开发了许多辅助诊断的工具。然而,重要的是要确定能够优化程序并节省时间的工具。
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来源期刊
Advances in Autism
Advances in Autism PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
2.30
自引率
0.00%
发文量
13
期刊介绍: Advances in Autism is unique in its focus on the health and care aspects and outcomes for people with autism. The journal''s content is international in focus and peer-reviewed. It includes the following: research-based articles evidence-based clinical and support articles articles on policy and advances in services where these can be internationally applied. Key areas of research covered include: clinical developments people''s experience through qualitative research policy debates and outcomes inclusion and quality of life developmental issues population and epidemiological studies services developments evidence-based reviews of key practice issues.
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