CDRI as an Instrument to Evaluate Infants With Developmental Problems Associated With Autism

Abstract

This exploratory study investigates the contributions the Clinical Risk Indicators in Child Development (CDRI) may bring for the evaluation of infants who might be considered in autistic development. To do so, results of the evaluation -using CDRI and the Modified Checklist for Autism (M-CHAT) -of 43 babies who were 18 months old were compared. The present study showed that autism is amongst the risks the CDRI detects. The statistical analysis highlights that the axis Subject Assumption (SA) may not differentiate infants who present developmental problems associated with autism from typically developing ones. The Alternate Presence/Absence (PA) axis seems to be the one that most distinguishes these groups of infants. The clinical vignette demonstrates that CDRI can be used as a guide that helps to understand the family dynamics and can guide the interventions made in public health services. Keywords IRDI en la Evaluación de Bebés con Problemas de Desarrollo Asociados al AutismoResumen: Esta investigacion es un estudio exploratorio con objeto de investigar contribuciones que el protocolo Indicadores Clínicos de Riesgo para el Desarrollo Infantil (IRDI) puede traer para evaluación de bebés que estén desarrollándose en un camino autístico. Para tanto, fueron comparados resultados del IRDI y del Modified Checklist for Autism in Toddlers (M-CHAT) en 43 bebés de 18 meses de vida. El estudio demostró que los riesgos detectados por el IRDI también incluyen está el autismo. El análisis estadístico indica la posibilidad de que el eje Suposición de Sujeto (SS) no diferencie bebés con problemas de desarrollo asociados al autismo de aquellos con desarrollo típico. El eje Alternancia Presencia/Ausencia (PA) parece ser el que más distingue los dos grupos de bebés. La viñeta clínica demuestra que el IRDI puede ser utilizado como un operador de lectura que auxilia la comprensión de dinámicas familiares con potencial para orientar intervenciones en el contexto de la salud pública.Palabras clave: desarrollo infantil, autismo, psicoanálisis, salud pública

Case–contrast study about parent–infant interaction in a Brazilian sample of siblings of children with autism spectrum disorders

“…When two or more items are absent, it may indicate the occurrence of psychic risk with a predictive value for mental problems or for child developmental problems at 3 years of age (Kupfer et al., ). Increased suffering results assessed with the IRDI were significantly associated with the presence of early signs of autism assessed with the Modified‐Checklist for Autism in Toddlers (Campana, Lerner, & David, ); the instrument has shown good sensitivity levels for autism in a study with children assessed by CARS (Machado, Lerner, Novaes, Palladino, & Cunha, ). Recent research has shown an association between children presenting early signs of psychological distress in the 0 to 18 months age range identified by the IRDI protocol and a lower quality of life from the psychosocial perspective at 6 years old (Paolo et al., ).…”

Diagnóstico de autismo no século XXI: evolução dos domínios nas categorizações nosológicas

“…Seguindo uma proposta diferente dos outros protocolos, o Irdi identifica risco psíquico no desenvolvimento, dentre eles o autismo. Campana, Lerner & David (2015), após avaliarem 43 bebês de 18 meses, comparando M-CHAT e Irdi, identificaram que o protocolo Irdi também sinaliza risco para o autismo. O Irdi tem sido muito utilizado em pesquisas, tendo sido incluído na Caderneta de Saúde da Criança (Kupfer & Bernardino, 2018).…”