Time Trends in Diagnostics and Clinical Features of Young Children Referred on Suspicion of Autism: A Population-Based Clinical Cohort Study, 2000-2010.

J Autism Dev Disord

Department of Child- and Adolescent Psychiatry, Research Unit, Aarhus University Hospital, Psychiatry, Palle Juul-Jensens Boulevard 175, Entrance K, 8200, Aarhus N, Denmark.

Published: February 2021

AI Article Synopsis

  • * Notably, there was a rise in referrals for children with language abilities and a decrease in overall Autism Diagnostic Observation Schedule scores, indicating a shift in the type of cases being assessed.
  • * The findings suggest that more children with milder autism symptoms were diagnosed, and restricted/repetitive behaviors played a crucial role in differentiating between those with ASD and those without it.

Article Abstract

The present study aimed to explore clinical trends in the period 2000-2010, along with discriminating clinical factors for autism spectrum disorder (ASD), in young children suspected of ASD. The following trends were observed: (1) a rise in referrals including an increase in referrals among language-abled children, (2) an increase in children assigned an ASD diagnosis after assessment, and (3) a decrease in Autism Diagnostic Observation Schedule total score. The distribution of ASD subtypes and IQ level did not change. Results suggest that a higher proportion of children with less severe autism symptoms were referred and diagnosed. Further, restricted and repetitive behaviors seemed to be a key discriminating factor when distinguishing between ASD and no-ASD children with a discordant symptom profile.

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http://dx.doi.org/10.1007/s10803-020-04555-8DOI Listing

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