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Autism after Adolescence: Population-based 13- to 22-year Follow-up Study of 120 Individuals with Autism Diagnosed in Childhood

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An Erratum to this article was published on 17 March 2006

Abstract

Background: Prospective population-based follow-up study of 120 individuals with autism followed from childhood to adulthood. Methods: Individuals with autism, diagnosed in childhood, were followed prospectively for a period of 13–22 years and re-evaluated at ages 17–40 years. The instruments used at follow-up were the DISCO, WAIS-R, WISC-III, Vineland Adaptive Behavior Scales, psychiatric-medical examination and GAF-scale. A set of criteria was used for the classification of outcomes, taking into consideration employment, higher education/vocational training, independent living and peer relations. Results: Six of the 120 (5%) had died at the time of follow-up, and six declined participation. Overall outcome was poor in 78% of cases. Only four individuals were independent albeit leading fairly isolated lives. Childhood IQ-level was positively correlated with better adult outcome, as was the existence of some communicative phrase speech at age six years. Conclusions: Children with autism as diagnosed in the 1960s, 1970s, and 1980s may have an even worse psychosocial outcome than previously believed.

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References

  • InstitutionalAuthorNameAmerican Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, 3rd ed. Revised (DSM-III-R) American Psychiatric Association Washington, DC

    Google Scholar 

  • InstitutionalAuthorNameAmerican Psychiatric Association (1980) Diagnostic and statistical manual of mental disorders, 3rd ed. Revised (DSM-III) American Psychiatric Association Washington, DC

    Google Scholar 

  • InstitutionalAuthorNameAmerican Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th ed. (DSM-IV) American Psychiatric Association Washington, DC

    Google Scholar 

  • J. Beadle-Brown G. Murphy L. Wing J. Gould A. Shah N. Holmes (2002) ArticleTitleChanges in social impairment for people with intellectual disabilities: A follow-up of the Camberwell cohort Journal of Autism and Developmental Disorders 32 195–206

    Google Scholar 

  • C. Gillberg (1984) ArticleTitleInfantile autism and other childhood psychoses in a Swedish urban region. Epidemiological aspects Journal of Child Psychology and Psychiatry 25 35–43

    Google Scholar 

  • C. Gillberg (1990) ArticleTitleOutcome in autism and autistic-like conditions Journal of the American Academy of Child and Adolescent Psychiatry 30 375–382

    Google Scholar 

  • C. Gillberg I. C. Gillberg (1989) ArticleTitleAsperger syndrome – some epidemiological considerations: A research note Journal of Child Psychology and Psychiatry 30 631–638

    Google Scholar 

  • C. Gillberg S. Steffenburg (1987) ArticleTitleOutcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty Journal of Autism and Developmental Disorders 17 273–288

    Google Scholar 

  • C. Gillberg S. Steffenburg H. Schaumann (1991) ArticleTitleIs autism more common now than ten years ago? British Journal of Psychiatry 158 403–409

    Google Scholar 

  • C. Gillberg L. Wing (1999) ArticleTitleAutism: Not an extremely rare disorder Acta Psychiatrica Scandinavica 6 399–406

    Google Scholar 

  • P. Howlin (1998) ArticleTitlePractitioner review: Psychological and educational treatments for autism Journal of Child Psychology and Psychiatry 39 307–322

    Google Scholar 

  • P. Howlin L. Mawhood M. Rutter (2000) ArticleTitleAutism and developmental receptive language disorder – a follow-up comparison in early adult life. II: Social, behavioural, and psychiatric outcomes Journal of Child Psychology and Psychiatry 41 561–578

    Google Scholar 

  • T. Isager S. E. Mouridsen B. Rich (1999) ArticleTitleMortality and causes of death in pervasive developmental disorders Autism 3 7–16

    Google Scholar 

  • L. Kanner (1971) ArticleTitleFollow-up study of eleven children originally reported in 1943 Journal of Autism and Childhood Schizophrenia 1 119–145

    Google Scholar 

  • R Kobayashi T. Murata (1998) ArticleTitleSetback phenomenon in autism and long-term prognosis Acta Psychiatrica Scandinavica 4 296–303

    Google Scholar 

  • D. A. Krug J. Arick P. Almond (1980) ArticleTitleBehaviour checklist for identifying severely handicapped individuals with high levels of autistic behaviours Journal of Child Psychology and Psychiatry 21 221–229

    Google Scholar 

  • F. W. Larsen S. E. Mouridsen (1997) ArticleTitleThe outcome in children with childhood autism and Asperger syndrome originally diagnosed as psychotic. A 30-year follow-up study of subjects hospitalized as children European Child and Adolescent Psychiatry 6 181–190

    Google Scholar 

  • A. LeCouteur M. Rutter C. Lord P. Rios S. Robertson M. Holdgrafer et al. (1989) ArticleTitleAutism Diagnostic Interview: A standardized investigator-based instrument Journal of Autism and Developmental Disorders 19 363–387

    Google Scholar 

  • V. Lotter (1974) ArticleTitleFactors related to outcome in autistic children Journal of Autism and Child Schizophrenia 4 263–277

    Google Scholar 

  • V. Lotter (1978) Follow-up studies M. Rutter E. Schopler (Eds) Autism. A reappraisal of concepts and treatment Plenum Press New York 475–495

    Google Scholar 

  • I. Lovaas (1987) ArticleTitleBehavioural treatment and abnormal educational and intellectual functioning in young autistic children Journal of Consulting and Clinical Psychology 5 3–9

    Google Scholar 

  • L. Mawhood P. Howlin M. Rutter (2000) ArticleTitleAutism and developmental receptive language disorder – a comparative follow-up in early adult life. I: Cognitive and language outcomes Journal of Child Psychology and Psychiatry 41 547–559

    Google Scholar 

  • V. Nordin C. Gillberg (1998) ArticleTitleThe long-term course of autistic disorders: Update on follow-up studies Acta Psychiatrica Scandinavica 97 99–108

    Google Scholar 

  • I. Olsson C. Gillberg S. Steffenburg (1988) ArticleTitleEpilepsy in autism and autistic-like conditions: A population-based study Archives of Neurology 45 666–668

    Google Scholar 

  • J. M. Rumsey S. D. Hamburger (1988) ArticleTitleNeuropsychological findings in high-functioning men with infantile autism, residual state Journal of Clinical and Experimental Neuropsychology 10 201–221

    Google Scholar 

  • M. Rutter (1978) Diagnosis and definition M. Rutter E. Schopler (Eds) Autism. A reappraisal of concepts and treatment Plenum Press New York 1–25

    Google Scholar 

  • E. Schopler G. Mesibov (1983) Autism in adolescents and adults Plenum Press New York

    Google Scholar 

  • E. Schopler R. J. Reichler R. F. DeVellis K. Daly (1980) ArticleTitleToward objective classification of childhood autism: Childhood Autism Rating Scale (CARS) Journal of Autism and Developmental Disorders 10 91–103

    Google Scholar 

  • S. Sparrow D. Balla D. Cicchetti (1984) Vineland Adaptive Behavior Scales American Guidance Service Circle Pines, MN

    Google Scholar 

  • S. Steffenburg C. Gillberg (1986) ArticleTitleAutism and autistic-like condition in Swedish rural and urban areas: A population study British Journal of Psychiatry 149 81–87

    Google Scholar 

  • S. Steffenburg C. Gillberg U. Steffenburg (1996) ArticleTitlePsychiatric disorders in children and adolescents with mental retardation and active epilepsy Archives of Neurology 53 904–912

    Google Scholar 

  • Steffenburg, S. (1990). Neurobiological correlates of autism. M.D. Thesis, University of Göteborg

  • P. Szatmari R. Bartolucci R. Bremner S. Bond S. Rich (1989) ArticleTitleA follow-up study of high functioning autistic children Journal of the Autism and Developmental Disorders 19 213–225

    Google Scholar 

  • F. R. Volkmar D. S. Nelson (1990) ArticleTitleSeizure disorders in autism Journal of American Academy of Child and Adolescent Psychiatry 29 127–129

    Google Scholar 

  • D. Wechsler (1981) Wechsler Adult Intelligence Scale – Revised Psychological Corporation San Antonio, TX

    Google Scholar 

  • D. Wechsler (1992a) Wechsler Intelligence Scale for Children EditionNumber3 Psychological Corporation London, UK

    Google Scholar 

  • D. Wechsler (1992b) Wechsler Adult Intelligence Scale – Revised Psykologiförlaget Stockholm

    Google Scholar 

  • D. Wechsler (1999) Wechsler Intelligence Scale for Children EditionNumber3 Psykologiförlaget Stockholm

    Google Scholar 

  • L. Wing (1990) Handicap, behaviours and skills schedule MRC Social Psychiatry Unit London

    Google Scholar 

  • L. Wing S. R. Leekam S. J. Libby J. Gould M. Larcombe (2002) ArticleTitleThe Diagnostic Interview for Social and Communication disorders: Background, inter-rater reliability and clinical use Journal of Child Psychology and Psychiatry 43 307–325

    Google Scholar 

  • L. Wing A. Shah (2000) ArticleTitleCatatonia in autistic spectrum disorders British Journal of Psychiatry 176 357–362

    Google Scholar 

  • L. Wing (1996) ArticleTitleAutistic spectrum disorder British Medical Journal 312 327–328

    Google Scholar 

  • InstitutionalAuthorNameWorld Health Organisation (1993) The ICD-10 classification of mental and behavioural disorders (ICD-10). Clinical descriptions and diagnostic guidelines Author Geneva

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, Queen Silvia’s Hospital for Children and Adolescents, Göteborg, Sweden

    Eva Billstedt, Carina Gillberg & Christopher Gillberg

  2. St George’s Hospital Medical School, London, UK

    Christopher Gillberg

  3. Department of Child and Adolescent Psychiatry, University of Göteborg, kungsgatan 12, 411 19, Göteborg, Sweden

    Eva Billstedt

Authors
  1. Eva Billstedt
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  2. Carina Gillberg
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  3. Christopher Gillberg
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Corresponding author

Correspondence to Eva Billstedt.

Additional information

An erratum to this article is available at http://dx.doi.org/10.1007/s10803-006-0082-5.

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Billstedt, E., Gillberg, C. & Gillberg, C. Autism after Adolescence: Population-based 13- to 22-year Follow-up Study of 120 Individuals with Autism Diagnosed in Childhood. J Autism Dev Disord 35, 351–360 (2005). https://doi.org/10.1007/s10803-005-3302-5

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  • DOI: https://doi.org/10.1007/s10803-005-3302-5

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