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Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder

BACKGROUND: Children with autism spectrum disorders (ASD) usually experience difficulty regarding symbolic play. However, studies on whether symbolic play test (SPT) can differentiate between ASD and other developmental disorders are inconsistent, and evaluating the application value of the SPT in t...

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Autores principales: Chang, Xuening, Sun, Lingli, Li, Ruizhen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990336/
https://www.ncbi.nlm.nih.gov/pubmed/36879230
http://dx.doi.org/10.1186/s12888-023-04647-6
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author Chang, Xuening
Sun, Lingli
Li, Ruizhen
author_facet Chang, Xuening
Sun, Lingli
Li, Ruizhen
author_sort Chang, Xuening
collection PubMed
description BACKGROUND: Children with autism spectrum disorders (ASD) usually experience difficulty regarding symbolic play. However, studies on whether symbolic play test (SPT) can differentiate between ASD and other developmental disorders are inconsistent, and evaluating the application value of the SPT in the identification of ASD without global developmental delay (GDD) and developmental language disorder (DLD) is necessary. METHODS: A total of 200 children were selected as the research participants. There were 100 cases of ASD without GDD and 100 cases of DLD. All children were tested by SPT and Children Neuropsychological and Behavioral Scale-Revision (CNBS-R2016). Binomial logistic regression was used for multivariate analysis. The receiver operating characteristic (ROC) curve was used to evaluate the value of SPT in identifying ASD without GDD and DLD. RESULTS: SPT equivalent age was lower than chronological age in the two groups, the difference between the ASD without GDD group was greater than that in the DLD group, and the proportion of SPT equivalent age retardation was higher than that in the DLD group; the differences were statistically significant. Logistic regression analysis showed that there was a difference in SPT equivalent age between DLD and ASD without GDD. When the cut-off value of the SPT was 8.5, the largest area under the ROC curve was 0.723, and the sensitivity and specificity for the diagnosis of ASD without GDD were 0.720 and 0.620 respectively. CONCLUSIONS: Symbolic play ability in ASD children is worse than that of DLD children at comparable development levels. SPT may be helpful to distinguish ASD without GDD from children with DLD.
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spelling pubmed-99903362023-03-08 Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder Chang, Xuening Sun, Lingli Li, Ruizhen BMC Psychiatry Research Article BACKGROUND: Children with autism spectrum disorders (ASD) usually experience difficulty regarding symbolic play. However, studies on whether symbolic play test (SPT) can differentiate between ASD and other developmental disorders are inconsistent, and evaluating the application value of the SPT in the identification of ASD without global developmental delay (GDD) and developmental language disorder (DLD) is necessary. METHODS: A total of 200 children were selected as the research participants. There were 100 cases of ASD without GDD and 100 cases of DLD. All children were tested by SPT and Children Neuropsychological and Behavioral Scale-Revision (CNBS-R2016). Binomial logistic regression was used for multivariate analysis. The receiver operating characteristic (ROC) curve was used to evaluate the value of SPT in identifying ASD without GDD and DLD. RESULTS: SPT equivalent age was lower than chronological age in the two groups, the difference between the ASD without GDD group was greater than that in the DLD group, and the proportion of SPT equivalent age retardation was higher than that in the DLD group; the differences were statistically significant. Logistic regression analysis showed that there was a difference in SPT equivalent age between DLD and ASD without GDD. When the cut-off value of the SPT was 8.5, the largest area under the ROC curve was 0.723, and the sensitivity and specificity for the diagnosis of ASD without GDD were 0.720 and 0.620 respectively. CONCLUSIONS: Symbolic play ability in ASD children is worse than that of DLD children at comparable development levels. SPT may be helpful to distinguish ASD without GDD from children with DLD. BioMed Central 2023-03-06 /pmc/articles/PMC9990336/ /pubmed/36879230 http://dx.doi.org/10.1186/s12888-023-04647-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Chang, Xuening
Sun, Lingli
Li, Ruizhen
Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title_full Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title_fullStr Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title_full_unstemmed Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title_short Application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
title_sort application of symbolic play test in identification of autism spectrum disorder without global developmental delay and developmental language disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9990336/
https://www.ncbi.nlm.nih.gov/pubmed/36879230
http://dx.doi.org/10.1186/s12888-023-04647-6
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