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Evaluation of early childhood social-communication difficulties in children born preterm using the quantitative checklist for autism in toddlers
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Wong, H. S, Huertas -Ceballos, A., Cowan, F. M., Modi, N., Brocklehurst, Peter, Abbott, J., Costeloe, Kate, Draper, E. S., Majeed, Azeem, Kemp, J., Ashby, Deborah, Young, Annie M. and Petrou, Stavros (2014) Evaluation of early childhood social-communication difficulties in children born preterm using the quantitative checklist for autism in toddlers. The Journal of Pediatrics, 164 (1). pp. 26-33. doi:10.1016/j.jpeds.2013.07.013 ISSN 0022-3476.
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Official URL: http://dx.doi.org/10.1016/j.jpeds.2013.07.013
Abstract
OBJECTIVES:
To characterize early childhood social-communication skills and autistic traits in children born very preterm using the Quantitative Checklist for Autism in Toddlers (Q-CHAT) and explore neonatal and sociodemographic factors associated with Q-CHAT scores.
STUDY DESIGN:
Parents of children born before 30 weeks gestation and enrolled in a study evaluating routinely collected neurodevelopmental data between the post-menstrual ages of 20 and 28 months were invited to complete the Q-CHAT questionnaire. Children with severe neurosensory disabilities and cerebral palsy were excluded. Participants received neurodevelopmental assessments using the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-III). Q-CHAT scores of this preterm cohort were compared with published general population scores. The association between Bayley-III cognitive and language scores and neonatal and sociodemographic factors with Q-CHAT scores were examined.
RESULTS:
Q-CHAT questionnaires were completed from 141 participants. At a mean post-menstrual age of 24 months, the Q-CHAT scores of the preterm cohort (mean 33.7, SD 8.3) were significantly higher than published general population scores (mean 26.7; SD 7.8), indicating greater social-communication difficulty and autistic behavior. Preterm children received higher scores, particularly in the categories of restricted, repetitive, stereotyped behavior, communication, and sensory abnormalities. Lower Bayley-III language scores and non-white ethnicity were associated with higher Q-CHAT scores.
CONCLUSIONS:
Preterm children display greater social-communication difficulty and autistic behavior than the general population in early childhood as assessed by the Q-CHAT. The implications for longer-term outcome will be important to assess.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Autism spectrum disorders in children -- Evaluation, Autism in children -- Evaluation, Developmentally disabled children -- Psychological testing, Developmental disabilities | ||||||||
| Journal or Publication Title: | The Journal of Pediatrics | ||||||||
| Publisher: | Mosby, Inc. | ||||||||
| ISSN: | 0022-3476 | ||||||||
| Official Date: | January 2014 | ||||||||
| Dates: |
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| Volume: | 164 | ||||||||
| Number: | 1 | ||||||||
| Page Range: | pp. 26-33 | ||||||||
| DOI: | 10.1016/j.jpeds.2013.07.013 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| RIOXX Funder/Project Grant: |
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