Research advances in missed diagnosis and misdiagnosis of autism spectrum disorder in children and adolescents

ZHOU Yu-hang, ZHAO Hong-bo, GUO Lan-min, JIANG Zhi-mei

Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (4) : 409-413.

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Chinese Journal of Child Health Care ›› 2021, Vol. 29 ›› Issue (4) : 409-413. DOI: 10.11852/zgetbjzz2020-0161
Review

Research advances in missed diagnosis and misdiagnosis of autism spectrum disorder in children and adolescents

  • ZHOU Yu-hang, ZHAO Hong-bo, GUO Lan-min, JIANG Zhi-mei
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Abstract

Autism spectrum disorder (ASD) is a group of neurodevelopmental disorders characterized by social communication disorders of varying severity,repetitive behaviors and a narrow range of interests.ASD has become one of the important causes of mental disability in children and adolescents in China,and early intervention is beneficial to the prognosis of children.However,there are often missed diagnosis and misdiagnosis phenomena in the diagnosis of ASD.Based on previous studies,this review combs the manifestation types and causes of missed diagnosis and misdiagnosis of ASD,and discusses possible countermeasures.

Key words

autism spectrum disorder / children and adolescents / missed diagnosis / misdiagnosis / early intervention / accurate intervention

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ZHOU Yu-hang, ZHAO Hong-bo, GUO Lan-min, JIANG Zhi-mei. Research advances in missed diagnosis and misdiagnosis of autism spectrum disorder in children and adolescents[J]. Chinese Journal of Child Health Care. 2021, 29(4): 409-413 https://doi.org/10.11852/zgetbjzz2020-0161

References

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorders (5th ed)[M].Arlington,VA:American Psychiatric Publishing,2013.
[2] Maenner MJ,Shaw KA,Baio J, et al.Prevalence of autism spectrum disorder among children aged 8 years-autism and development disabilities monitoring network, 11 sites, United States, 2016[J].MMWR Surveillance Summaries,2020,69(4):1-12.
[3] 李玲,李小玲,吴维学,等.海南省0~6岁儿童孤独症谱系障碍的现况调查[J].中国儿童保健杂志,2018,26(3):266-268,272.
[4] Jin Z,Yang Y,Liu S,et al.Prevalence of DSM-5 autism spectrum disorder among school-based children aged 3-12 years in Shanghai,China[J].J Autism Dev Disord,2018,48(7):2434-2443.
[5] Aggarwal S,Angus B.Misdiagnosis versus missed diagnosis:diagnosing autism spectrum disorder in adolescents[J].Australas Psychiatry,2015,23(2):120-123.
[6] Livingston LA,Colvert E,Social Relationships Study Team,et al.Good social skills despite poor theory of mind:exploring compensation in autism spectrum disorder[J].J Child Psychol Psychiatry,2019,60(1):102-110.
[7] 彭仰华,静进,叶晓芳,等.不同认知功能孤独症谱系障碍儿童在PEP-3中的反应特征[J].中国儿童保健杂志,2014,22(4):358-360.
[8] Neuhaus E,Beauchaine TP,Bernier RA,et al.Child and family characteristics moderate agreement between caregiver and clinician report of autism symptoms[J].Autism Res,2018,11(3):476-487.
[9] Ratto AB,Kenworthy L,Yerys BE,et al.What about the girls? Sex-based differences in autistic traits and adaptive skills[J].J Autism Dev Disord,2018,48(5):1698-1711.
[10] Øien RA,Hart L,Schjølberg S,et al.Parent-endorsed sex differences in toddlers with and without ASD:Utilizing the M-CHAT[J].J Autism Dev Disord,2017,47(1):126-134.
[11] Bargiela S,Steward R,Mandy W.The experiences of late-diagnosed women with autism spectrum conditions:an investigation of the female autism phenotype[J].J Autism Dev Disord,2016,46(10):3281-3294.
[12] Øien RA,Schjølberg S,Volkmar FR,et al.Clinical features of children with autism who passed18-month screening[J].Pediatrics,2018,141(6):1-12.
[13] Zwaigenbaum L,Bauman ML,Choueiri R,et al.Early identification and interventions for autism spectrum disorder:Executive summary[J].Pediatrics,2015,136(Suppl 1):1-9.
[14] Bacon EC,Courchesne E,Barnes CC,et al.Rethinking the idea of late autism spectrum disorder onset[J].Dev Psychopathol,2018,30(2):553-569.
[15] Kentrou V,de Veld DM,Mataw KJ,et al.Delayed autism spectrum disorder recognition in children and adolescents previously diagnosed with attention-deficit/hyperactivity disorder[J].Autism,2019,23(4):1065-1072.
[16] 蒋耀辉,钟燕,刘康香,等.孤独症误诊分析[J].湖南师范大学学报(医学版),2011,8(4):38-40.
[17] 李文军.孤独症16例误诊分析[J].实用儿科临床杂志,2004,19(6):507-508.
[18] Thurm A,Farmer C,Salzman E,et al.State of the field:Differentiating intellectual disability from autism spectrum disorder[J].Front Psychiatry,2019.doi:10.3389/fpsyt.2019.00526.
[19] 邹冰.儿童孤独症与特定性言语和语言发育障碍的鉴别诊断[J].中国儿童保健杂志,2012,20(10):867-868.
[20] Rommelse N,Visser J,Hartman C.Differentiating between ADHD and ASD in childhood:some directions for practitioners[J].Eur Child Adolesc Psychiatry,2018,27(6):679-681.
[21] Schalkwyk GIV,Peluso F,Qayyum Z,et al.Varieties of misdiagnosis in ASD:an illustrative case series[J].J Autism Dev Disord,2015,45(4):911-918.
[22] 焦在库.早发性精神分裂症谱系障碍的临床特征及疗效分析[J].中国医药指南,2019,17(3):78-79.
[23] Rutter M,Kreppner J,Croft C,et al.Early adolescent outcomes of institutionally deprived and non-deprived adoptees.III.Quasi-autism[J].J Child Psychol Psychiatry,2007,48(12):1200-1207.
[24] Wijburg FA,Węgrzyn G,Burton BK,et al.Mucopolysaccharidosis type Ⅲ (Sanfilippo syndrome) and misdiagnosis of idiopathic developmental delay,attention deficit/hyperactivity disorder or autism spectrum disorder[J].Acta Paediatrica,2013,102(5):462-470.
[25] 李建华,钟建民,蔡兰云,等.三种儿童孤独症行为评定量表临床应用比较[J].中国当代儿科杂志,2005,7(1):59-62.
[26] Gabrielsen TP,Farley M,Speer L,et al.Identifying autism in a brief observation[J].Pediatrics,2015,135(2):e330-e338.
[27] Havdahl KA,Bishop SL,Surén P,et al.The influence of parental concern on the utility of autism diagnostic instruments[J].Autism Res,2017,10(10):1672-1686.
[28] Johnson CP,Myers SM.American academy of pediatrics,council on children with disabilities.Identification and evaluation of children with autism spectrum disorders[J].Pediatrics,2007,120(5):1183-1215.
[29] Dai YG,Miller LE,Ramsey RK,et al.Incremental utility of 24-month autism spectrum disorder screening after negative 18-month screening[J].J Autism Dev Disord,2019.doi:10.1007/s10803-019-03959-5.
[30] Li C,Zhu G,Feng J,et al.Improving the early screening procedure for autism spectrum disorder in young children:Experience from a community-based model in Shanghai[J].Autism Res,2018,11(9):1206-1217.
[31] 邬方彦.孤独症筛查量表的应用研究[D].上海:复旦大学,2009.
[32] 刘静.孤独症谱系障碍的早期筛查和孤独症患儿临床资料研究[D].上海:复旦大学,2011.
[33] Cen CQ,Liang YY,Chen QR,et al.Investigating thevalidation of the Chinese mandarin version of the Social Responsiveness Scale in a Mainland China child population[J].BMC Psychiatry,2017,17(1):1-15.
[34] 李洪成,刘靖,贾美香,等.孤独症谱系商儿童版-中文版的效度和信度[J].中国心理卫生杂志,2018,32(12):1000-1005.
[35] Sun X,Allison C,Auyeung B,et al.Psychometric properties of the Mandarin version of the Childhood Autism Spectrum Test (CAST):an exploratory study[J].J Autism Dev Disord,2014,44(7):1565-1576.
[36] 邵智,张雅如,赵琴,等.中国婴幼儿期孤独症筛查量表的编制及信效度检验[J].中国儿童保健杂志,2019,27(1):21-24,28.
[37] 周秉睿,徐琼,鲁萍,等.中文版《孤独症诊断观察量表》模块1信度和效度评价及临床应用研究[J].中国循证儿科杂志,2013,8(4):257-261.
[38] 郭延庆,杨晓玲,刘靖,等.孤独症诊断访谈量表(修订本)的诊断效度及信度研究[J].中华精神科杂志,2002,35(1):45-48.
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