Infant’s engagement and emotion as predictors of autism or intellectual disability in West syndrome

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• 作者：Lisa Ouss (1)
  Catherine Saint-Georges (2) (3)
  Laurence Robel (1)
  Nicolas Bodeau (2)
  Marie-Christine Laznik (4)
  Graciela C. Crespin (5)
  Mohamed Chetouani (3)
  Claude Bursztejn (6)
  Bernard Golse (1)
  Rima Nabbout (7)
  Isabelle Desguerre (7)
  David Cohen (2) (3)
  
• 关键词：Autism ; Intellectual disability ; West syndrome ; Outcome ; Risk assessment
• 刊名：European Child & Adolescent Psychiatry
• 出版年：2014
• 出版时间：March 2014
• 年：2014
• 卷：23
• 期：3
• 页码：143-149
• 全文大小：246 KB
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• 作者单位：Lisa Ouss (1)
  Catherine Saint-Georges (2) (3)
  Laurence Robel (1)
  Nicolas Bodeau (2)
  Marie-Christine Laznik (4)
  Graciela C. Crespin (5)
  Mohamed Chetouani (3)
  Claude Bursztejn (6)
  Bernard Golse (1)
  Rima Nabbout (7)
  Isabelle Desguerre (7)
  David Cohen (2) (3)
  
  1. Service de Psychiatrie de l’Enfant, AP-HP, H?pital Necker, 149 rue de Sèvres, 75015, Paris, France
  2. Département de Psychiatrie de l’Enfant et de l’Adolescent, AP-HP, H?pital Pitié-Salpêtrière, 47-3, Boulevard de l’H?pital, 75651, Paris Cedex 13, France
  3. ISIR, CNRS, UMR 7222, UMPC, 4 Place Jussieu, 75252, Paris Cedex, France
  4. Department of Child and Adolescent Psychiatry, Association Santé Mentale du 13ème, Paris, France
  5. PREAUT Association, 1, rue Saint Antoine, 75004, Paris, France
  6. Department of Child and Adolescent Psychiatry, Hopitaux Universitaires de Strasbourg, 1 place de l’H?pital, 67000, Strasbourg, France
  7. Service de Neuropédiatrie, AP-HP, H?pital Necker, 136, Rue de Vaugirard, 75015, Paris, France
  
• ISSN：1435-165X

文摘

West syndrome (WS) is a rare epileptic encephalopathy with early onset and a high risk of autistic outcome. The PréAut grid assesses this risk following WS onset by taking into account synchrony and emotion in interactions and by evaluating the baby’s active desire to engage in pleasant interactions (especially the infant’s early active behaviors that encourage being gazed at or kissed by the mother or to share joy with her). We followed a sample of 25 WS patients prospectively from disease onset and assessed whether the PréAut grid before 9?months, and the checklist for autism in toddlers (CHAT) at 18 and 24?months predicted autism or intellectual disability (ID) outcomes at 4?years. We found that the PréAut grid at 9?months (sensitivity?=?0.83; specificity?=?1) had similar prediction parameters as the CHAT at 18?months (sensitivity?=?0.90; specificity?=?0.83) and 24?months (sensitivity?=?0.92; specificity?=?1). WS patients with a positive PréAut screening at 9?months had a risk of having autism or ID at 4?years, which is 38 times that of children with a negative PréAut grid [OR?=?38.6 (95?% CI 2.2-961); p?=?0.006]. We conclude that the PréAut grid could be a useful tool for the early detection of autism or ID risk in the context of WS. Further research is needed to assess the PréAut grid in other contexts (e.g. infants at high-risk for non-syndromic autism).