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Journal of Autism and Developmental Disorders

, Volume 44, Issue 9, pp 2117–2126 | Cite as

Examining the Clinical Correlates of Autism Spectrum Disorder in Youth by Ascertainment Source

  • Gagan JoshiEmail author
  • Stephen V. Faraone
  • Janet Wozniak
  • Carter Petty
  • Ronna Fried
  • Maribel Galdo
  • Stephannie L. Furtak
  • Katie McDermott
  • Cecily Epstien
  • Rosemary Walker
  • Ashley Caron
  • Leah Feinberg
  • Joseph Biederman
Original Paper

Abstract

To examine whether presentation of autism spectrum disorder (ASD) and associated patterns of psychiatric comorbidity and dysfunction vary by referral source. ASD youth referred to a specialized ambulatory program for ASD (N = 143) were compared to ASD youth referred to a general child psychiatry clinic (N = 217). More ASD clinic youth met criteria for a more robust form of ASD (autistic disorder); more youth referred to the psychiatry clinic met criteria for broader spectrum ASD (pervasive developmental disorder not otherwise specified). General psychiatry clinic youth with ASD suffered from a greater burden of psychopathologies and higher levels of dysfunction. The presentation of ASD in psychiatrically referred youth differs between general and ASD-specialized clinics, though both referral populations have high levels of comorbidity and dysfunction.

Keywords

Autism spectrum disorder Psychiatric comorbidity Youth 

Notes

Acknowledgments

This work has been funded in part by the Alan and Lorraine Bressler Clinical and Research Program for Autism Spectrum Disorder, the Dupont Warren Fellowship Award, the Norma Fine Pediatric Psychopharmacology Fellowship Fund, and the Pediatric Psychopharmacology Council Fund.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Gagan Joshi
    • 1
    • 2
    Email author
  • Stephen V. Faraone
    • 3
  • Janet Wozniak
    • 1
    • 2
  • Carter Petty
    • 1
    • 4
  • Ronna Fried
    • 1
    • 2
  • Maribel Galdo
    • 1
  • Stephannie L. Furtak
    • 1
  • Katie McDermott
    • 1
  • Cecily Epstien
    • 1
  • Rosemary Walker
    • 1
  • Ashley Caron
    • 1
  • Leah Feinberg
    • 1
  • Joseph Biederman
    • 1
    • 2
  1. 1.Clinical and Research Program in Pediatric PsychopharmacologyMassachusetts General HospitalBostonUSA
  2. 2.Department of PsychiatryHarvard Medical SchoolBostonUSA
  3. 3.Departments of Psychiatry and of Neuroscience and PhysiologySUNY Upstate Medical UniversitySyracuseUSA
  4. 4.Boston Children’s HospitalBostonUSA

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