Cluster Analysis of Clinical Features of Children Suspected to Have Neurodevelopmental Disorders.
Clustering test scores sorts kids with suspected NDDs into three clear groups that point to different starting targets.
01Research in Context
What this study did
The team looked at 194 kids who were being checked for neurodevelopmental disorders. They fed 25 test scores into a computer. The scores came from IQ tests, language tests, and behavior checklists. The computer grouped the kids into clusters based on how similar their scores were.
No labels like "autism" or "ADHD" were used. The math let the patterns speak for themselves.
What they found
Three clear profiles popped out. One group had strong language but weak social skills. Another showed low IQ across the board. The third mixed high non-verbal IQ with big attention problems.
Each cluster looked different on paper and in real life. The method worked even though every child started with the same vague referral question.
How this fits with other research
Némorin et al. (2025) did almost the same thing with the kids who already had an autism diagnosis. They also found clusters, but got four instead of three. The extra group in Harmony’s study was made of kids with mild symptoms and strong daily living skills. The difference makes sense: Harmony only studied children with ASD, while Mélina cast a wider net.
Laugeson et al. (2014) showed that IQ alone drives a lot of adaptive behavior scores. Mélina’s clusters line up with that finding. The low-IQ cluster scored worst on daily living skills, just as A et al. predicted.
Bachrach et al. (2026) used cognitive and irritability scores to guess which preschool class a child would enter. Mélina’s profiles could give placement teams even richer data, since they fold in language and attention too.
Why it matters
Instead of waiting for a firm diagnosis, you can run the same short battery of tests and see which profile fits. Then pick targets that match the child’s real pattern. A kid in the low-language cluster might start with social stories and PECS. A kid in the high-IQ, poor-attention cluster might begin with self-monitoring and token boards.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Add a short IQ, language, and behavior checklist to your intake packet. Score them, then see which of the three profiles the child matches.
02At a glance
03Original abstract
Early identification of neurodevelopmental disabilities (NDDs) is critical to a good prognosis. Several factors such as overlapping diagnoses can complicate this process and thus delay access to services. This study sought to identify meaningful clinical profiles, beyond diagnostic labels, in 194 children with NDDs referred to an assessment clinic. Cluster analyses were applied to eight selected behavioral and cognitive variables. Results suggested a cluster structure in which three homogenous groups differed significantly from one another: children who presented either (1) heterogeneous diagnoses and ambiguous profiles, (2) a clinical profile closely aligned to a classic presentation of ASD, and (3) emotional and behavioral challenges. These distinct profiles may have implications for assessment and clinical practices.
Journal of autism and developmental disorders, 2023 · doi:10.1007/s10803-022-05533-y