Quality of Life in School-Aged Youth Referred to an Autism Specialty Clinic: A Latent Profile Analysis.
Kids coming to ASD clinics cluster into five quality-of-life profiles—use these to streamline your assessment plan.
01Research in Context
What this study did
Ferguson et al. (2020) looked at quality-of-life reports for kids sent to an autism clinic. They used a stats tool called latent profile analysis to see if the kids sorted into clear groups. All youth were school age and had been referred for an ASD check-up.
What they found
The numbers fell into five quality-of-life profiles instead of one smooth line. Each group had its own mix of high or low scores on things like friends, mood, and school life. Family stress and clinical traits lined up differently across the five clusters.
How this fits with other research
Leonard et al. (2022) ran a near-copy study but added Down syndrome, Rett, and CDKL5. They also found profiles, yet only three classes showed up. The drop from five to three likely comes from mixing wider diagnoses and using a shorter QoL scale.
Bao et al. (2017) did the same kind of cluster work earlier, only with support needs instead of QoL. Their four-group map is a close cousin to the new five-group map; both tell you to plan services by profile, not by single score.
Morales-Hidalgo et al. (2018) looked at mainstream kids and saw autism traits as a smooth slope, not boxes. That sounds like a clash, but they studied general-ed students and symptom counts, not clinic kids and life quality. Different questions, different shapes.
Why it matters
You can save assessment time by matching the intake plan to the child’s QoL profile. High-risk cluster? Screen family stress first. Socially strong cluster? Focus on academic supports. The five profiles give you a fast roadmap on day one.
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02At a glance
03Original abstract
We examined whether different profiles of quality of life (QoL) existed among youth referred to an autism spectrum disorder (ASD) specialty clinic and, if present, determined if these groups were associated with different characteristics. Data were from parental report of 5-17 year-old youth (N = 476) who were scheduled to receive an evaluation at an ASD clinic. Parents completed questionnaires, including the Pediatric Quality of Life Inventory, assessing child and family functioning; providers reported diagnostic impressions. A latent profile analysis found five distinct groups: Low Risk, School Problems, Only Social Emotional Problems, and two Physical/Social Emotional Problems. The groups differed on clinical characteristics and family functioning. These findings have implications for more efficient and effective evaluations in service delivery systems serving complex patients.
Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04353-x