Stability of Autism Spectrum Disorder in Young Children with Diverse Backgrounds.
Early autism diagnosis before three stays true a large share of the time and pairs with real cognitive gains.
01Research in Context
What this study did
The team tracked the toddlers who got an autism diagnosis before age three. Families came from many races, incomes, and home languages. Kids took IQ and autism tests again about two years later.
What they found
Eight out of ten children still met criteria for ASD at follow-up. Their IQ scores rose an average of ten points. Social and language symptoms also improved, but the label stuck.
How this fits with other research
Jónsdóttir et al. (2007) saw the same pattern: diagnosis stays while symptoms soften. Warnes et al. (2005) add that early onset style or regression does not predict later scores, so trust the first label.
Fombonne et al. (2022) looked only at Black and White preschoolers and found equal autism signs at referral. Ivy’s wider sample shows the label is just as stable across all groups.
Towle et al. (2018) followed <3-year diagnoses into grade school. Kids who kept the ASD label kept getting stronger services, proving early stability drives future help.
Why it matters
You can tell worried parents that an early ASD call is almost always right. Start intense teaching right away instead of waiting to “make sure.” The a large share who later move off the spectrum still gained skills, so no time is lost.
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02At a glance
03Original abstract
Determining diagnostic stability of ASD, as well stability of functioning in early childhood, is relevant to prevalence, best practices for communicating early ASD diagnoses to caregivers, families' experiences, and developmental trajectories. Generalizability of findings from prior research has been limited by small and homogenous samples, short follow-up time intervals, and inconsistent diagnostic procedures. This report presents follow-up evaluations of 60 children (86.7% male, mean age: 51.3 months) with diverse backgrounds (79.7% racial/ethnic minorities) who received initial ASD diagnoses before 36 months of age (mean age: 27 months). Fifty-three children (88.3%) met diagnostic criteria for ASD at follow-up, a proportion consistent with previous studies. On average, children demonstrated significant cognitive gains and ASD symptom improvement. Clinical implications of findings are discussed.
Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04138-2