Assessment & Research

Stability of Autism Spectrum Disorder in Young Children with Diverse Backgrounds.

Giserman-Kiss et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

Early autism diagnosis before three stays true a large share of the time and pairs with real cognitive gains.

✓ Read this if BCBAs doing initial evaluations or coaching families of toddlers.
✗ Skip if Clinicians who only see school-age youth.

01Research in Context

01

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.

02

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.

03

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.

04

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.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

Tell every new toddler family that starting therapy now is safe and smart.

02At a glance

Intervention
not applicable
Design
pre post no control
Sample size
60
Population
autism spectrum disorder
Finding
positive

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