Autism & Developmental

Early developmental regression in autism spectrum disorder: evidence from an international multiplex sample.

Parr et al. (2011) · Journal of autism and developmental disorders 2011
★ The Verdict

Early skill loss happens in about a large share of autism cases and does not run in families beyond the autism itself.

✓ Read this if BCBAs doing intake assessments for toddlers with new autism diagnoses.
✗ Skip if Clinicians working only with older clients who have stable skill sets.

01Research in Context

01

What this study did

The team looked at the kids with autism from the families.

Parents filled out forms about when skills were lost.

They checked if regression ran in families beyond autism itself.

02

What they found

About 1 in the kids lost skills before age three.

Siblings did not share regression more than expected.

The loss seems tied to autism, not a separate family trait.

03

How this fits with other research

Warnes et al. (2005) saw the same rate of regression and also found it did not predict later IQ.

Eisenhower et al. (2006) found kids who regressed were twice as likely to have family thyroid disease.

This looks like a clash, but the 2006 paper hunted for one illness, not overall sibling patterns.

Thurm et al. (2018) later said most studies, like this one, rely on parent memory and need better methods.

04

Why it matters

When you meet a child who lost words or play skills, know that one-quarter of kids with autism do this.

Do not assume another sibling will follow the same path.

Ask about thyroid disease in the family, then focus on the child’s current needs.

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Add one question to your intake form: "Did your child lose any words or play skills between 12-36 months?"

02At a glance

Intervention
not applicable
Design
case series
Sample size
458
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The characteristics of early developmental regression (EDR) were investigated in individuals with ASD from affected relative pairs recruited to the International Molecular Genetic Study of Autism Consortium (IMGSAC). Four hundred and fifty-eight individuals with ASD were recruited from 226 IMGSAC families. Regression before age 36 months occurred in 23.9% of individuals. The observed concordance rate for EDR within sibling pairs (18.9%) was not significantly above the rate expected under independence (13.5%, p = 0.10). The rate of regression in individuals with ASD from multiplex families was similar to that reported in singleton and epidemiological samples. Regression concordance data were not supportive of a separate familial influence on EDR, other than as a part of autism itself.

Journal of autism and developmental disorders, 2011 · doi:10.1007/s10803-010-1055-2