Abstract
Autism Spectrum Disorder (ASD) is a clinical syndrome. ASD is not a distinct condition but the extreme of a continuum that goes from “normality” to “autistic conditions”. In this chapter, the huge differences in clinical expression, gender differences, as well as differences as development progresses will be discussed. To start with, we will look into the notion of developmental psychopathology in which, along with the intrinsic gender factor, the external interaction with the environment plays an important role. Then we will look closely into the different clinical expressions on the different dimensions, to subsequently look into the diagnostic difficulties that lead to late detection in women and high functioning individuals. To finally see which consequences these findings have on our diagnostic assessment, clinical management and families of those with ASD.
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References
American Psychiatric Association: Diagnostic and statistical manual III (1981) DSM III-R (1987) DSM IV (1994) and DSM 5 (2013).
Asperger, H. (1944). Die autistischen psychopathen im kindersalter. Archly für Psychiatrie und Nervenkrankheiten, 117(1), 76–136.
Baird, G., Douglas, H. R., & Murphy, M. S. (2011). Recognising and diagnosing autism in children and young people: Summary of NICE guidance. BMJ,343, 130–136.
Baron-Cohen, S. (2009, March). Autism: The empathizing-systemizing (E-S) theory. Annals of the New York Academy of Sciences, 1156(1), 68–80.
Beadle-Brown, J., Murphy, G., Wing, L., Gould, J., Shah, A., & Holmes, N. (2002, June). Changes in social impairment for people with intellectual disabilities: A follow-up of the Camberwell cohort. Journal of Autism and Developmental Disorders, 32(3), 195–206.
Begeer, S., Mandell, D., Wijnker-Holmes, B., Venderbosch, S., Rem, D., Stekelenburg, F., et al. (2013). Sex differences in the timing of identification among children and adults with autism spectrum disorders. Journal of Autism and Developmental Disorders,43(5), 1151–1156.
BMJ. (2016). 353, i3028.
Brody, L. R. (1999). Gender, emotion, and the family. Cambridge, MA: Harvard University Press.
Byers, E. S., Nichols, S., & Voyer, S. D. (2013a). Challenging stereotypes: Sexual functioning of single adults with high functioning autism spectrum disorder. Journal of Autism and Developmental Disorders,43(11), 2617–2627.
Byers, E. S., Nichols, S., Voyer, S. D., & Reilly, G. (2013b). Sexual well-being of a community sample of high-functioning adults on the autism spectrum who have been in a romantic relationship. Autism,17(4), 418–433.
Cicchetti, D. (2016). Developmental psychopathology (3rd ed., Vol. 4, 4656 pages). Hoboken: Wiley.
Dawson, G. (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder. Development and Psychopathology,20(3), 775–803.
de Vries, A. L., Noens, I. L., Cohen-Kettenis, P. T., van Berckelaer-Onnes, I. A., & Doreleijers, T. A. (2010). Autism spectrum disorders in gender dysphoric children and adolescents. Journal of Autism and Developmental Disorders,40(8), 930–936.
Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research,65(6), 591–598.
Giarelli, E., Wiggins, L. D., Rice, C. E., Levy, S. E., Kirby, R. S., Pinto-Martin, J., et al. (2010). Sex differences in the evaluation and diagnosis of autism spectrum disorders among children. Disability and Health Journal,3(2), 107–116.
Goel, N., Workman, J. L., Lee, T. T., Innala, L., & Viau, V. (2014). Sex differences in the HPA axis. Comprehensive Physiology,4(3), 1121–1155.
Green, J., Charman, T., Pickles, A., Wan, M. W., Elsabbagh, M., Slonims, V., et al. (2015). Parent-mediated intervention versus no intervention for infants at high risk of autism: A parallel, single-blind, randomised trial. Lancet Psychiatry,2(2), 133–140.
Hampson, D. R., & Blatt, G. J. (2015). Autism spectrum disorders and neuropathology of the cerebellum. Frontiers in Neuroscience,9, 420.
Holtmann, M., Bolte, S., & Poustka, F. (2007). Autism spectrum disorders: Sex differences in autistic behaviour domains and coexisting psychopathology. Developmental Medicine and Child Neurology,49(5), 361–366.
Kanne, S. M., Abbacchi, A. M., & Constantino, J. N. (2009). Multi-informant ratings of psychiatric symptom severity in children with autism spectrum disorders: The importance of environmental context? Journal of Autism and Developmental Disorders,39(6), 856–864.
Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child,2, 217–250.
Kopp, S., & Gillberg, C. (1992). Girls with social deficits and learning problems: Autism, atypical Asperger syndrome or a variant of these conditions. European Child and Adolescent Psychiatry,1(2), 89–99.
Lai, M. C., Lombardo, M. V., Pasco, G., Ruigrok, A. N., Wheelwright, S. J., Sadek, S. A., et al. (2011). A behavioral comparison of male and female adults with high functioning autism spectrum conditions. PLoS One,6(6), e20835.
Lord, C., & Jones, R. M. (2012). Annual research review: Re-thinking the classification of autism spectrum disorders. Journal of Child Psychology and Psychiatry,53(5), 490–509.
Lugnegård, T., Hallerbäck, M. U., & Gillberg, C. (2011). Psychiatric comorbidity in young adults with a clinical diagnosis of Asperger syndrome. Research in Developmental Disabilities,32(5), 1910–1917.
McLennan, J. D., Lord, C., & Schopler, E. (1993). Sex differences in higher functioning people with autism. Journal of Autism and Developmental Disorders,23(2), 217–227.
NICE Guideline on Autism in Adults. (2012). ASD in Adults. http://guidance.nice.org.uk/CG142.
Nilsson, E. W., Gillberg, C., Carina Gillberg, I., & Råstam, M. (1999). Ten-year follow-up of adolescent-onset anorexia nervosa: Personality disorders. Journal of the American Academy of Child and Adolescent Psychiatry,38(11), 1389–1395.
Ozonoff, S., Iosif, A. M., Baguio, F., Cook, I. C., Hill, M. M., Hutman, T., et al. (2010). A prospective study of the emergence of early behavioral signs of autism. Journal of the American Academy of Child and Adolescent Psychiatry,49(3), 256–266, e251–e252.
Ragunath, P. K., Chitra, R., Mohammad, S., & Abhinand, P. A. (2011). A systems biological study on the comor-bidity of autism spectrum disorders and bipolar disorder. Bioinformation,7(3), 102–106.
Rajendran, G., & Mitchell, P. (2007). Cognitive theories of autism. Developmental Review,27(2), 224–260.
Rivet, T. T., & Matson, J. L. (2011). Review of gender differences in core symptomatology in autism spectrum disorders. Research in Autism Spectrum Disorders,5(3), 957–976.
Rosenberg, R. E., Kaufmann, W. E., Law, J. K., & Law, P. A. (2011). Parent report of community psychiatric comorbid diagnoses in autism spectrum disorders. Autism Research and Treatment, 2011, 405849.
Russell, G., Steer, C., & Golding, J. (2011). Social and demographic factors that influence the diagnosis of autistic spectrum disorders. Journal of Social Psychiatry and Psychiatric Epidemiology, 46(12), 1283–1293.
Siklos, S., & Kerns, K. A. (2007). Assessing the diagnostic experiences of a small sample of parents of children with autism spectrum disorders. Research in Developmental Disabilities, 28(1), 9–22.
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Lucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity and associated factors in population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry,47(8), 921–929.
Van Steensel, J. J. A., Bögels, S. M., & Perrins, S. (2011). Anxiety disorders in children and adolescents with autistic spectrum disorders: A meta-analysis. Clinical Child and Family Psychology Review,14(3), 302–317.
van Wijngaarden-Cremers, P. J. M., van Eeten, E., Groen, W. B., van Deurzen, P. A., Oosterling, I. J., & van der Gaag, R. J. (2014). Gender and age differences in the core triad of impairments in autism spectrum disorders: A systematic review and meta-analysis. Journal of Autism and Developmental Disorders,44(3), 627–635.
van Wijngaarden-Cremers, P. J. M. (2015). Gender: Comorbidity and autism. Ph.D. thesis, Radboud University Nijmegen. repository.ubn.ru.nl/bitstream/handle/2066/142158/142158.pdf.
Wan, M. W., Green, J., Elsabbagh, M., Johnson, M., Charman, T., & Plummer, F. (2012). Parent-infant interaction in infant siblings at risk of autism. Research in Developmental Disabilities,33(3), 924–932.
Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Developmental Disorders,9(1), 11–29.
Wing, L. (1996). Autistic spectrum disorders. BMJ: British Medical Journal,312(7027), 327ΓÇô328.
Wolff, D., & Wolff, S. (1995). Loners: The life path of unusual children. London: Routledge.
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van Wijngaarden-Cremers, P. (2019). Autism in Boys and Girls, Women and Men Throughout the Lifespan. In: Barry, J.A., Kingerlee, R., Seager, M., Sullivan, L. (eds) The Palgrave Handbook of Male Psychology and Mental Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-04384-1_16
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