Journal of Autism and Developmental Disorders

, Volume 22, Issue 3, pp 395–411

A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan

  • Ryuji Kobayashi
  • Toyohisa Murata
  • Kazuhiko Yoshinaga
Article

Abstract

A follow-up survey was conducted on 201 young adults with autism who were 18 or older (mean age, 21.5). All had participated previously in intensive therapeutic camping or had therapeutic involvement at medical consultation agencies to evaluate their outcome. Their social outcome was better than that previously reported in Japan. Although 31.5% had shown marked deterioration during adolescence, 43.2% had shown marked improvement during that period. Possible factors contributing to these results are discussed.

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References

  1. American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: Author.Google Scholar
  2. Chung, S. Y., Luk, S. L., & Lee, P. W. H. (1990). A follow-up study of infantile autism in Hong Kong.Journal of Autism and Developmental Disorders, 20, 221–232.PubMedGoogle Scholar
  3. Creak, M. (1963). Childhood psychosis.British Journal of Psychiatry, 109, 84–89.PubMedGoogle Scholar
  4. DeMyer, M. K., Barton, S., DeMeyer, W. E., Norton, J. A., Allen, J., & Steele, R. (1973). Prognosis in autism: A follow-up study.Journal of Autism and Childhood Schizophrenia, 3, 199–246.PubMedGoogle Scholar
  5. Deykin, E. Y., & MacMahon, B. (1979). The incidence of seizures among children with autistic symptoms.American Journal of Psychiatry, 136, 1310–1312.PubMedGoogle Scholar
  6. Eisenberg, L. (1956). The autistic child in adolescence.American Journal of Psychiatry, 112, 607–612.PubMedGoogle Scholar
  7. Frith, U. (1989).Autism: Explaining the enigma (pp. 51–67). Oxford: Basil Blackwell.Google Scholar
  8. Gillberg, C. (1989). Autism: Specific problems of adolescence. In C. Gillberg (ed.),Diagnosis and treatment of autism (pp. 375–382). New York: Plenum Press.Google Scholar
  9. Gillberg, C., & Schaumann, H. (1981). Infantile autism and puberty.Journal of Autism and Developmental Disorders, 11, 365–371.PubMedGoogle Scholar
  10. Gillberg, C., & Steffenburg, S. (1987). Outcome 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, 273–287.PubMedGoogle Scholar
  11. Ishii, T. (1978). A long-term follow-up study of infantile autism [in Japanese].Japanese Journal of Clinical Psychiatry, 7, 907–912Google Scholar
  12. Kanner, L. (1943). Autistic disturbances of affective contact.Nervous Child, 2, 217–250.Google Scholar
  13. Kanner, L. (1971). Follow-up study of eleven autistic children: originally reported in 1943.Journal of Autism and childhood Schizophrenia, 1, 119–145.PubMedGoogle Scholar
  14. Kobayashi, R. (1985). A clinical study of the mental development and the clinical course of autistic children [in Japanese with English abstract].Psychiatria et Neurologia Japonica, 87, 546–582.PubMedGoogle Scholar
  15. Kobayashi, R. (1990).The psychosexual development of autistic children in adolescence. Paper presented at the 12th International Congress of International Association for Child and Adolescent Psychiatry and Allied Professions, Kyoto, Japan.Google Scholar
  16. Kobayashi, R., & Murata, T. (1977). A consideration on the effects of therapeutic camping for autistic children [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 18, 221–234.Google Scholar
  17. Kobayashi, R., & Murata, T. (1989). Qu'est-ce qui est important pour que des autisties deviennet à l'âge adulte indépendants ou capables de subvenir à leurs besoin? In C. Chiland & J. G. Young (Eds.),L'enfant dans sa famille—Nouvelles approaches de la santé mentale de la naissance à l'adolescence pour l'enfant et sa famille (pp. 333–346). Paris: P.U.F.Google Scholar
  18. Kobayashi, R., & Shinbo, Y. (1990). Psychoeducational approach to the mothers of autistic children in adolescence [in Japanese].Japanese Journal of Developmental Psychology and Medicine, 1, 91–97.Google Scholar
  19. Lord, C., Schopler, E., & Revick, D. (1982). Sex differences in autism.Journal of Autism and Developmental Disorders, 12, 317–330.PubMedGoogle Scholar
  20. Lotter, V. (1974a). Social adjustment and placement of autistic children in Middlesex: A follow-up study.Journal of Autism and Childhood schizophrenia, 4, 11–32.PubMedGoogle Scholar
  21. Lotter, V. (1974b). Factors related to outcome in autistic children.Journal of Autism and Childhood Schizophrenia, 4, 263–277.PubMedGoogle Scholar
  22. Maccoby, E. E., & Jacklin, C. N. (1980). Psychological sex differences. In M. Rutter (ed.),Scientific foundation of developmental psychiatry (pp. 92–100). London: Heinman.Google Scholar
  23. Mittler, P., Gilles, S., & Jukes, E. (1966). Prognosis in psychotic children: Report of a follow-up study.Journal of Mental Deficiency Research, 10, 73–83.PubMedGoogle Scholar
  24. Murata, T., Sarada, Y., Inoue, T., Toya, H., Tanaka, H., Fujiwara, M., Okuma, H., & Nawa, A. (1975). A group therapy for autistic children organized by volunteer activities [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 16, 152–163.Google Scholar
  25. Ornitz, E. M. (1991). Developmental aspects of neurophysiology. In M. Lewis (Ed.),Child and adolescent psychiatry: A comprehensive textbook (pp. 38–51). Baltimore, MD: Williams & Wilkins.Google Scholar
  26. Pelling, H. (1989). Psychotherapeutical help in adolescence. In C. Gillberg (Ed.),Diagnosis and treatment of autism (pp. 413–418). New York: Plenum Press.Google Scholar
  27. Rutter, M., Greenfeld, D., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis; II. Social and behavioral outcome.British Journal of Psychiatry, 113, 1183–1199.PubMedGoogle Scholar
  28. Rutter, M., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis: I. Description of sample.British Journal of Psychiatry, 113, 1169–1182.PubMedGoogle Scholar
  29. Shirataki, S., Hanada, M., Kuromaru, S., Sugiura, Y., Uchida, S., Shimada, S., Masuda, I., Goto, T., & Yamada, T. (1984). Long-term follow-up study of 13 autistic children.Folia Psychiatrica et Neurologica, 38, 25–32.Google Scholar
  30. Soong, W. (1986).A follow-up study of autistic adolescents and adults in Taiwan: Speech, social and overall outcomes. Paper presented at the 6th annual meeting of Canadian Academy of Child Psychiatry, Whistler, B. C., Canada.Google Scholar
  31. Sumi, T. (1952). A case of Kanner's “early infantile autism’ [in Japanese].Psychiatrica et Neurological Japonica, 54, 566.Google Scholar
  32. Tamai, S. (1979).A follow-up study of infantile autism. Yokosuka: Educational Foundation for Physically and Mentally Handicapped Children.Google Scholar
  33. Tsai, L., Stewart, M. A., & August, G. (1981). Implication of sex differences in the familiar transmission of infantile autism.Journal of Autism and Developmental Disorders, 11, 165–173.PubMedGoogle Scholar
  34. Wakabayashi, S. (1980). Prognosis of infantile autism [in Japanese].Clinical Psychiatry, 22, 244–260.Google Scholar
  35. Wakabayashi, S., & Mizuno, M. (1975). A study on prognosis in autistic children [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 16, 177–196.Google Scholar
  36. Wakabayashi, S., & Sugiyama, T. (1986). Autism in adults [in Japanese].Japanese Journal of Psychiatric Treatment, 1, 195–204.Google Scholar
  37. Wing, L. (1981). Sex ratio in early childhood autism and related conditions.Psychiatry Research, 5, 129–137.PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Ryuji Kobayashi
    • 1
  • Toyohisa Murata
    • 2
  • Kazuhiko Yoshinaga
    • 3
  1. 1.Faculty of EducationOita UniversityOitaJapan
  2. 2.Department of PsychiatryFukuoka University School of MedicineJapan
  3. 3.Research Laboratory for Social MedicineFukuoka University School of MedicineJapan

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