Application of early screening scale and evaluation of behavioral intervention effect in children with autism spectrum disorder
10.3969/j.issn.1006-2483.2025.04.017
- VernacularTitle:孤独症谱系障碍儿童的早期筛查量表应用与行为干预效果评估
- Author:
Bin ZHANG
1
;
Chunwei HU
1
;
Zhihua LIU
1
;
Huiting YANG
1
;
Canjun WANG
1
;
Xineng FENG
1
Author Information
1. Department of Pediatric Neurology and Rehabilitation , Baoji Maternal and Child Health Hospital , Baoji , Shaanxi 721000 , China
- Publication Type:Journal Article
- Keywords:
Child;
Autism spectrum disorder;
Screening;
Behavioral intervention
- From:
Journal of Public Health and Preventive Medicine
2025;36(4):77-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the application effect of early screening scale and behavioral intervention effect in children with autism spectrum disorder (ASD). Methods A total of 348 children with suspected ASD were selected and evaluated using the Modified Checklist for Autism in Toddlers (M-CHAT) and Autism Behavior Checklist (ABC). The evaluation results were compared with those from the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Children enrolled were given Early start Denver model (ESDM) intervention. The evaluation results of Gesell Developmental Scale and Autism Treatment Evaluation Checklist (ATEC) scores were compared before and after intervention. Results The sensitivity, specificity, accuracy and Kappa value of M-CHAT for evaluating ASD in children aged 1-3 years were 89.53%, 90.70%, 89.92% and 0.78. The corresponding values of ABC were 78.49%, 81.40%, 79.46% and 0.56. The sensitivity, specificity, accuracy and Kappa value of M-CHAT for evaluating children aged >3-6 years were 87.30%, 77.78%, 84.44% and 0.64. The corresponding values of ABC were 85.71%, 77.78%, 83.33% and 0.62. The sensitivity and accuracy of M-CHAT were higher than ABC for evaluating ASD in children aged 1-3 years (P<0.05). There were no significant differences in sensitivity, specificity and accuracy between M-CHAT and ABC for evaluating ASD in children aged 3-6 years (P>0.05). After intervention, development quotients (DQ) of personal-social aspects, adaptability, language, gross motor, and fine motor of children with ASD were higher than those before intervention (P<0.05). ATEC scores for language, behavior, sensation, and social contact of children with ASD were lower than those before intervention (P<0.05). Conclusion M-CHAT and ABC both can be used for early screening of ASD in children, especially M-CHAT. Early behavioral intervention can effectively improve the condition and developmental level of children with ASD.
