Skip to main content
Log in

Brief Report: Characteristics of preschool children with ASD vary by ascertainment

  • Brief Report
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Prospective studies of infant siblings of children diagnosed with autism spectrum disorder (ASD) provide a unique opportunity to characterize ASD as it unfolds. A critical question that remains unanswered is whether and how these children with ASD resemble other children identified from the community, including those with no family history. The purpose of this study was to compare clinical characteristics of children with ASD identified by each method (n = 86 per group), drawn from two Canadian longitudinal research cohorts. Children ascertained from a prospective cohort were less severely affected and included a larger proportion of girls, compared to the clinically referred sample. These results may have important implications for conclusions drawn from studies of high-risk and clinically referred cohorts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  • 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 disorder. Journal of Autism and Developmental Disorders, 43(5), 1151–1156. doi:10.1007/s10803-012-1656-z.

    Article  PubMed  Google Scholar 

  • Carter, A. S., Volkmar, F. R., Sparrow, S. S., Wang, J. J., Lord, C., Dawson, G., et al. (1998). The vineland adaptive behavior scales: Supplementary norms for individuals with autism. Journal of Autism and Developmental Disorders, 28(4), 287–302.

    Article  PubMed  Google Scholar 

  • Daniels, A. M., & Mandell, D. S. (2013). Explaining differences in age at autism spectrum disorder diagnosis: A critical review. Autism, 18(5), 583–597.

    Article  PubMed  PubMed Central  Google Scholar 

  • Estes, A., Zwaigenbaum, L., Gu, H., St John, T., Paterson, S., Elison, J.T., et al (2015). Behavioral, cognitive, and adaptive development in infants with autism spectrum disorder in the first 2 years of life. Journal of Neurodevelopmental Disorders, 7(1), 24. doi:10.1186/s11689-015-9117-6.

    Article  PubMed  PubMed Central  Google Scholar 

  • 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 Health Journal, 3, 107–116.

    Article  PubMed  Google Scholar 

  • Gotham, K., Pickles, A., & Lord, C. (2009). Standardizing ADOS scores for a measure of severity in autism spectrum disorders. Journal of Autism and Developmental Disorder, 39(5), 693–705.

    Article  Google Scholar 

  • Gotham, K., Risi, S., Pickles, A., & Lord, C. (2007). The autism diagnostic observational schedule: Revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disability, 37(4), 613–627.

    Article  Google Scholar 

  • Jones, E.J., Gliga, T., Bedford, R., Charman, T., & Johnson, M.H. (2014). Developmental pathways to autism: A review of prospective studies of infants at risk. Neuroscience and Biobehavioral Reviews 39, 1–33.

    Article  Google Scholar 

  • Jones, M. B., Szatmari, P., & Piven, J. (1996). Non-familiality of the sex ratio in autism. American Journal of Medical Genetics, 67, 499–500.

    Article  PubMed  Google Scholar 

  • Kim, S. H., & Lord, C. (2010). Restricted and repetitive behaviors in toddlers and preschoolers with autism spectrum disorders based on the Autism Diagnostic Observation Schedule (ADOS). Autism Research, 3(4), 162–173. doi:10.1002/aur.142.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kim, S. H., & Lord, C. (2012). New Autism Diagnostic Interview-Revised algorithms for toddlers and young preschoolers from 12 to 47 months of age. Journal of Autism and Developmental Disorders, 42, 82–93.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H. Jr., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., & Le Couteur, A. J. (1994). Autism diagnostic interview—revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685.

    Article  PubMed  Google Scholar 

  • Oerlemans, A. M., Burmanje, M. J., Franke, B., Buitelaar, J. K., Hartman, C. A., Rommelse, N. N., et al. (2015). Identifying unique versus shared pre- and perinatal risk factors for ASD and ADHD using a simplex-multiplex stratification. Journal of Abnormal Child Psychology, 44(5), 923–935.

    Article  PubMed Central  Google Scholar 

  • Oerlemans, A. M., Hartman, C. A., Franke, B., Buitelaar, J. K., & Rommelse, N. N. (2016). Does the cognitive architecture of simplex and multiplex ASD families differ? Journal of Autism and Developmental Disorders, 46(2), 489–501.

    Article  PubMed  Google Scholar 

  • Russel, G., Steer, C., & Golding, J. (2011). Social and demographic factors that influence the diagnosis of autism spectrum disorders. Social Psychology and Psychiatric Epidemiology, 45(12), 1283–1293.

    Article  Google Scholar 

  • Rutter, M., Bailey, A., Lord, C., et al. (2003). Social Communication Questionnaire. Los Angeles: Western Psychological Services.

    Google Scholar 

  • Salomone, E., Charman, T., McConachie, H., Warreyn, P. (2016). Child’s verbal ability and gender are associated with age at diagnosis in a sample of young children with ASD in Europe. Child: Care, Health and Development, 42(1), 141–145. doi:10.1111/cch.12261.

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

    Google Scholar 

  • Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior Scales: Second Edition (Vineland II). Survey Interview Form/Caregiver Rating Form: Pearson Assessments.

    Google Scholar 

  • Szatmari, P., Georgiades, S., Duku, E., Bennett, T. A., Bryson, S., Fombonne, E., et al. (2015). Developmental trajectories of symptom severity and adaptive functioning in an inception cohort of preschool children with autism spectrum disorders. JAMA Psychiatry, 72(3), 276–283.

    Article  PubMed  Google Scholar 

  • Volkmar, F. R., Carter, A., Sparrow, S. S., & Cicchetti, D. V. (1993). Quantifying social development in autism. Journal of the American Academy of Child and Adolescent Psychiatry, 32(3), 627–632.

    Article  PubMed  Google Scholar 

  • Zwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., Carver, L., et al. (2009). Clinical assessment and management of toddlers with suspected autism spectrum disorder: Insights from studies of high-risk infants. Pediatrics, 123(5), 1383–1391.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23, 143–152.

    Article  PubMed  Google Scholar 

  • Zwaigenbaum, L., Bryson, S.E., Brian, J., Smith, I.M., Roberts, W., Szatmari, P., et al. (2015). Stability of diagnostic assessment for autism spectrum disorder between 18 and 36 months in a high-risk cohort. Autism Research, 9, 790–800. doi:10.1002/aur.1585.

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank the research assistants at each site for their help with data collection and the parents and children who participated in our study. The study was funded by Canadian Institutes of Health Research (CIHR) and NeuroDevNet.

Author Contributions

LRS made substantial contributions to conception and design of the paper, analyzed the data, and prepared the first draft of the paper, and approved the final draft. LZ, PS, SB, SG, JB, IMS, TV, NG, CR, ME contributed to the conception of the project, provided a critical review of the manuscript, and approved the final draft.

Funding

This study was funded by the Canadian Institutes of Health Research (CIHR) and NeuroDevNet.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lori-Ann R. Sacrey.

Ethics declarations

Conflict of interest

All of the authors declare that they have no conflicts of interest.

Ethical approval

All of the procedures involving our human participants were performed in accordance with the ethical standards of the institutional boards at each institution and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants (parents) prior to study onset.

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Supplementary material 1 (DOCX 134 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sacrey, LA.R., Zwaigenbaum, L., Szatmari, P. et al. Brief Report: Characteristics of preschool children with ASD vary by ascertainment. J Autism Dev Disord 47, 1542–1550 (2017). https://doi.org/10.1007/s10803-017-3062-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-017-3062-z

Keywords

Navigation