Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study

Andrea De Giacomo,1 Francesco Craig,2 Giuseppina Palermo,3 Annamaria Coppola,1 Mariella Margari,1 Stella Campanozzi,1 Lucia Margari,1 Marco Turi3 1Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy; 2Department...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	De Giacomo A, Craig F, Palermo G, Coppola A, Margari M, Campanozzi S, Margari L, Turi M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	autistic traits ados asd neurodevelopmental disorders diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/07e5a144735044e492d47905ab198094
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:07e5a144735044e492d47905ab198094
record_format	dspace
spelling	oai:doaj.org-article:07e5a144735044e492d47905ab1980942021-12-02T15:24:23ZDifferential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study1178-2021https://doaj.org/article/07e5a144735044e492d47905ab1980942021-07-01T00:00:00Zhttps://www.dovepress.com/differential-diagnosis-in-children-with-autistic-symptoms-and-subthres-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Andrea De Giacomo,1 Francesco Craig,2 Giuseppina Palermo,3 Annamaria Coppola,1 Mariella Margari,1 Stella Campanozzi,1 Lucia Margari,1 Marco Turi3 1Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy; 2Department of Cultures, Education and Society, University of Calabria, Rende, Italy; 3Fondazione Stella Maris Mediterraneo, Potenza, ItalyCorrespondence: Francesco CraigDepartment of Cultures, Education and Society, University of Calabria, Rende, ItalyEmail francesco.craig@unical.itBackground: Children with autism spectrum disorder (ASD) share some symptoms with children with other neurodevelopmental disorders (ie, intellectual disability or communication disorders or language disorders). These similarities can make difficult to obtain an accurate diagnosis, which is essential to give targeted treatments to the patients. We aim to verify in our study if children with autistic traits who undergo to Autism Diagnostic Observation Schedule had specific clinical diagnosis.Patients and Methods: We selected 73 children tested with ADOS-G or ADOS-2, for the presence of autistic symptoms. The whole sample did not reach the cut-off of ADOS and did not receive the ASD diagnosis, according to DSM-5.Results: Results of this study showed that in order of frequency and early diagnosis, communication disorders (CD), mild intellectual disability (mID) and the attention deficit hyperactivity disorders (ADHD) represent the most common final clinical diagnosis in children with autistic traits.Conclusion: Our results showed as the CD was the common diagnosis of these children and that often associated with younger age. Moreover, analyses of ADOS domains and the difference of individual items between groups did not show the capacity to differentiate between different neurodevelopmental disorders in terms of differential diagnosis, and this confirms the need for integrating multiple sources of information during the diagnostic process.Keywords: autistic traits, ADOS, ASD, neurodevelopmental disorders, diagnosisDe Giacomo ACraig FPalermo GCoppola AMargari MCampanozzi SMargari LTuri MDove Medical Pressarticleautistic traitsadosasdneurodevelopmental disordersdiagnosisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 2163-2172 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	autistic traits ados asd neurodevelopmental disorders diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	autistic traits ados asd neurodevelopmental disorders diagnosis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 De Giacomo A Craig F Palermo G Coppola A Margari M Campanozzi S Margari L Turi M Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
description	Andrea De Giacomo,1 Francesco Craig,2 Giuseppina Palermo,3 Annamaria Coppola,1 Mariella Margari,1 Stella Campanozzi,1 Lucia Margari,1 Marco Turi3 1Child Neuropsychiatry Unit, Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy; 2Department of Cultures, Education and Society, University of Calabria, Rende, Italy; 3Fondazione Stella Maris Mediterraneo, Potenza, ItalyCorrespondence: Francesco CraigDepartment of Cultures, Education and Society, University of Calabria, Rende, ItalyEmail francesco.craig@unical.itBackground: Children with autism spectrum disorder (ASD) share some symptoms with children with other neurodevelopmental disorders (ie, intellectual disability or communication disorders or language disorders). These similarities can make difficult to obtain an accurate diagnosis, which is essential to give targeted treatments to the patients. We aim to verify in our study if children with autistic traits who undergo to Autism Diagnostic Observation Schedule had specific clinical diagnosis.Patients and Methods: We selected 73 children tested with ADOS-G or ADOS-2, for the presence of autistic symptoms. The whole sample did not reach the cut-off of ADOS and did not receive the ASD diagnosis, according to DSM-5.Results: Results of this study showed that in order of frequency and early diagnosis, communication disorders (CD), mild intellectual disability (mID) and the attention deficit hyperactivity disorders (ADHD) represent the most common final clinical diagnosis in children with autistic traits.Conclusion: Our results showed as the CD was the common diagnosis of these children and that often associated with younger age. Moreover, analyses of ADOS domains and the difference of individual items between groups did not show the capacity to differentiate between different neurodevelopmental disorders in terms of differential diagnosis, and this confirms the need for integrating multiple sources of information during the diagnostic process.Keywords: autistic traits, ADOS, ASD, neurodevelopmental disorders, diagnosis
format	article
author	De Giacomo A Craig F Palermo G Coppola A Margari M Campanozzi S Margari L Turi M
author_facet	De Giacomo A Craig F Palermo G Coppola A Margari M Campanozzi S Margari L Turi M
author_sort	De Giacomo A
title	Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
title_short	Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
title_full	Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
title_fullStr	Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
title_full_unstemmed	Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study
title_sort	differential diagnosis in children with autistic symptoms and subthreshold ados total score: an observational study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/07e5a144735044e492d47905ab198094
work_keys_str_mv	AT degiacomoa differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT craigf differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT palermog differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT coppolaa differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT margarim differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT campanozzis differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT margaril differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy AT turim differentialdiagnosisinchildrenwithautisticsymptomsandsubthresholdadostotalscoreanobservationalstudy
_version_	1718387244099698688

Differential Diagnosis in Children with Autistic Symptoms and Subthreshold ADOS Total Score: An Observational Study

Ejemplares similares