Assessment & Research

Homogeneous Subgroups of Young Children with Autism Improve Phenotypic Characterization in the Study to Explore Early Development.

Wiggins et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Four preschool autism phenotypes give sharper treatment direction than the single ASD label.

✓ Read this if BCBAs who assess or write treatment plans for autistic preschoolers.
✗ Skip if Clinicians working only with school-age fluency or feeding cases.

01Research in Context

01

What this study did

The team looked at 707 preschoolers who already had an autism diagnosis.

They ran a latent-class analysis on each child’s full set of scores and traits.

The math sorted the kids into the cleanest, most alike subgroups it could find.

02

What they found

Four clear autism "pictures" came out of the data.

Each picture grouped children with similar language levels, social habits, and repetitive actions.

The new four-type map gives clinicians a tighter frame than the single ASD label.

03

How this fits with other research

Barbaro et al. (2017) tracked toddlers and saw 88% keep the diagnosis over time.

Their eye-gaze and vocal markers hint at which kids may later leave the spectrum, while García-Villamisar et al. (2017) show what stable subgroups look like if they stay.

Gizzonio et al. (2015) split preschoolers by gender and found no difference in growth; the latent classes cut across gender lines and give finer detail.

McConachie et al. (2005) warn that Asperger labels are shaky under age 5; using the four phenotype groups instead keeps early profiles descriptive without rushing sub-labels.

04

Why it matters

You can plug assessment numbers into the four-group model during intake.

If a child lands in the "minimal verbal" class, you know to front-load AAC and mand training.

If the child fits the "social-only gap" class, you might start with peer modeling and social narratives.

The map turns one broad diagnosis into four actionable starting points.

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Score your next preschool intake on language, social, and repetitive domains and see which of the four latent classes the child best matches, then pick teaching targets that fit that profile.

02At a glance

Intervention
not applicable
Design
other
Sample size
707
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The objective of this study was to identify homogenous classes of young children with autism spectrum disorder (ASD) to improve phenotypic characterization. Children were enrolled in the Study to Explore Early Development between 2 and 5 years of age. 707 children were classified with ASD after a comprehensive evaluation with strict diagnostic algorithms. Four classes of children with ASD were identified from latent class analysis: mild language delay with cognitive rigidity, mild language and motor delay with dysregulation, general developmental delay, and significant developmental delay with repetitive motor behaviors. We conclude that a four-class phenotypic model of children with ASD best describes our data and improves phenotypic characterization of young children with ASD. Implications for screening, diagnosis, and research are discussed.

Journal of autism and developmental disorders, 2017 · doi:10.1371/journal.pbio.1001544