Application of joint attention in early identification of infants with autism spectrum disorders

ZHU Feng-lei; CHEN Kai-yun; CHENG San-mei; XIE Yi-xiang; ZOU Xiao-bing

doi:10.11852/zgetbjzz2018-26-10-08

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (10) : 1072-1075. DOI: 10.11852/zgetbjzz2018-26-10-08

Application of joint attention in early identification of infants with autism spectrum disorders

ZHU Feng-lei, CHEN Kai-yun, CHENG San-mei, XIE Yi-xiang, ZOU Xiao-bing

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Abstract

Objective To study the behavioral characteristics of joint attention(JA) among infants with autism spectrum disorders (ASD),in order to provide references for early identification and diagnosis . Method Two professionals,according to the coding guide and based on video analysis Method,evaluated the joint attention behaviors of 61 ASD infants aged 16~30 months from April to December 2017.And the results were compared with infants with developmental delays (DD,n=32) and neuro-typical (NT,n=33) infants.Finally,the diagnosis for ASD infants was predicted according to the distinguishing behavioral indicators. Results Compared with DD and NT infants,the frequency of initiating joint attention (IJA) and the score of responding to joint attention (RJA) in ASD infants was significantly lower (all P<0.05).While the difference on all JA behaviors between DD and NT children was not significant(P＞0.05). The area under the receiver operating characteristic (ROC) curve (AUC) of detecting ASD from all infants according to all indicators of JA was 0.891 (P<0.01). Conclusions There are significant differences on JA domain between ASD infants and DD or NT infants.Behavioral characteristics of JA have great application value in the early identification of ASD.

Key words

autism spectrum disorders / joint attention / early identification / video analysis

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ZHU Feng-lei, CHEN Kai-yun, CHENG San-mei, XIE Yi-xiang, ZOU Xiao-bing. Application of joint attention in early identification of infants with autism spectrum disorders[J]. Chinese Journal of Child Health Care. 2018, 26(10): 1072-1075 https://doi.org/10.11852/zgetbjzz2018-26-10-08

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