Autism & Developmental

Characteristics, Early Development and Outcome of Parent-Reported Regression in Autism Spectrum Disorder.

Boterberg et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Toddlers with ASD who talk late are the same ones most likely to lose words later and show heavy repetitive behaviors.

✓ Read this if BCBAs doing early-intake assessments for autism under age three.
✗ Skip if Clinicians who only work with verbal school-age children.

01Research in Context

01

What this study did

Boterberg et al. (2019) asked parents to look back and describe how their autistic children first developed.

They compared kids who later lost skills with kids who never lost skills.

The team wanted to see if early communication differed between the two groups.

02

What they found

Children who later regressed had weaker early communication to begin with.

After the regression, these same children showed more repetitive and restricted behaviors.

Parents noticed the skill loss even though the kids had already been slower talkers.

03

How this fits with other research

Prigge et al. (2013) pooled 85 studies and found about one in three autistic children regress, most often around 18 months. Sofie’s work sits inside that big picture and adds the warning sign of poor early communication.

Manelis et al. (2020) saw that regressed toddlers actually walked and ran sooner than other autistic peers. That sounds opposite to Sofie’s finding of slower talking, but the two studies looked at different skills—motor versus language—so both can be true.

Heslop et al. (2007) followed preschoolers for four years and found regressed kids gained language more slowly. Sofie’s data now show the gap starts even earlier, extending that timeline backward.

04

Why it matters

If a toddler with ASD is barely babbling or pointing, keep an extra close watch. The same child is more likely to lose words later and to develop intense repetitive behaviors. Start early communication goals now and teach parents to record new words each week so any loss is caught fast.

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Add a simple parent word log to your intake packet and review it every two weeks to spot any drop in vocabulary.

02At a glance

Intervention
not applicable
Design
case series
Sample size
100
Population
autism spectrum disorder
Finding
not reported

03Original abstract

This study explored regression patterns in 100 children with ASD (3-11 years) using several approaches to enhance the validity of retrospective parent report. Both early development and outcome were examined in regression groups defined by 36 months age cut-off and two underlying empirical patterns based on type and onset age. Results over regression groups were generally consistent. During early development, children with regression showed a similar amount of social atypicalities and stereotyped behaviour as compared to children without regression. However, parents indicated less communication skills which could be a valuable predictor of regression. Development after regression was characterised by early language delay and more restricted and repetitive behaviour. The findings provide insight into the diagnosis and prognosis of regression in ASD.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-019-04183-x