Autism & Developmental

Preschool to School in Autism: Neuropsychiatric Problems 8 Years After Diagnosis at 3 Years of Age.

Barnevik Olsson et al. (2016) · Journal of autism and developmental disorders 2016
★ The Verdict

Early autism diagnosis is stable into late elementary years, so plan for lifelong support, not quick fixes.

✓ Read this if BCBAs writing elementary IEPs or transition plans for kids diagnosed before kindergarten.
✗ Skip if Clinicians who only treat infants or adults.

01Research in Context

01

What this study did

The team tracked kids first told they had autism at age 3. Eight years later they checked who still had neuropsychiatric diagnoses.

They used medical charts and parent reports. No new treatment was tested.

02

What they found

More than nine in ten children still met criteria for at least one neuropsychiatric disorder at age 11.

Autism labels stuck, and most kids also kept extra needs like ADHD or anxiety.

03

How this fits with other research

Morrison et al. (2017) saw the same strong autism stability, but they also found big jumps in IQ. Eussen et al. (2016) show the diagnosis stays even when cognition improves.

Waizbard-Bartov et al. (2022) extends this picture: half of autistic kids move up or down in severity between ages 3 and 11. High persistence of the label can coexist with shifting day-to-day symptoms.

Marsh et al. (2017) pull the evidence together: behavioral teaching helps school skills, yet social inclusion stays hard. The new data say you should plan for long-term support across domains, not just academics.

04

Why it matters

Expect most early-diagnosed children to need ongoing services past fifth grade. Build long-term goals that cover self-care, social, and emotional skills. Re-evaluate yearly so you can adjust therapy as symptoms wax and wane.

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Add a yearly review slot to each early-ASD client’s behavior plan that checks social, attention, and anxiety goals alongside academic targets.

02At a glance

Intervention
not applicable
Design
case series
Sample size
128
Population
autism spectrum disorder, intellectual disability
Finding
not reported

03Original abstract

The study presents neuropsychiatric profiles of children aged 11 with autism spectrum disorder, assessed before 4.5 years, and after interventions. The original group comprised a community sample of 208 children with ASD. Parents of 128 participated-34 with average intellectual function, 36 with borderline intellectual function and 58 with intellectual disability. They were interviewed using the Autism-Tics, AD/HD and other Comorbidities interview. Criteria for a clinical/subclinical proxy of ASD were met by 71, 89 and 95 %, respectively. Criteria for at least one of ASD, AD/HD, Learning disorder or Developmental Coordination Disorder were met by 82, 94 and 97 %. More than 90 % of children with a preschool diagnosis of ASD have remaining neuropsychiatric problems at 11, despite early intervention.

Journal of autism and developmental disorders, 2016 · doi:10.1007/s10803-016-2819-0