Autism & Developmental

Regression, developmental trajectory and associated problems in disorders in the autism spectrum: the SNAP study.

Baird et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

One in three kids with classic autism lose early words, and this group needs stronger, longer support.

✓ Read this if BCBAs writing treatment plans for preschool or school-age children with any history of language loss.
✗ Skip if Clinicians who only serve infants before first words emerge.

01Research in Context

01

What this study did

Baird et al. (2008) looked at how many children with autism lose early words.

They tracked three groups: narrow autism, broader ASD, and kids without ASD.

Doctors and parents reported if each child had ever lost spoken words.

02

What they found

About 30 out of every 100 kids with narrow autism had lost words.

Only 8 out of 100 in the broader ASD group had lost words.

Kids who lost words showed more severe autism signs later.

03

How this fits with other research

Woo et al. (2007) saw 61% regression in vaccine-safety reports.

That number is double Gillian’s 30%. The gap comes from who gets reported.

Parents are more likely to file reports when they see dramatic loss.

Richler et al. (2006) also found that kids with word loss had lower verbal scores.

Amaria et al. (2012, 2018) later showed these kids stay on slower adaptive tracks for years.

04

Why it matters

When you meet a child who once had words and lost them, expect stronger autism traits.

Plan denser early intervention hours and track adaptive skills long-term.

Tell families that word loss is common in classic autism and is not caused by vaccines.

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Flag every client file that shows ‘regression’ and add extra language and adaptive goals this week.

02At a glance

Intervention
not applicable
Design
case series
Sample size
255
Population
autism spectrum disorder, developmental delay
Finding
not reported

03Original abstract

We report rates of regression and associated findings in a population derived group of 255 children aged 9-14 years, participating in a prevalence study of autism spectrum disorders (ASD); 53 with narrowly defined autism, 105 with broader ASD and 97 with non-ASD neurodevelopmental problems, drawn from those with special educational needs within a population of 56,946 children. Language regression was reported in 30% with narrowly defined autism, 8% with broader ASD and less than 3% with developmental problems without ASD. A smaller group of children were identified who underwent a less clear setback. Regression was associated with higher rates of autistic symptoms and a deviation in developmental trajectory. Regression was not associated with epilepsy or gastrointestinal problems.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-008-0571-9