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Detection and Diagnosis of ASD in Females

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Abstract

Autism in females is often unrecognized and undiagnosed. This article describes the presentation of autistic traits of females and how they differ from those of males with autism. Screening tools for assessing autism in children, adolescents, and adults are identified and described. The process of clinical assessment of females for possible autism are described, including the disclosure of potential diagnoses to the patient.

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References

  • American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

  • Austin, R. & Pisano, G. (2017) Neurodiversity as a Competitive Advantage. Harvard Business Review. May–June Issue.

  • Baio, J., Wiggins, L, Christensen, D., Maenner, M., Daniels, J., Warren, Z., Karzius-Spencer, M., Zahorodny, W, Rosenberg, C., White, T., Durkin, M., Imm, P., Nikolaou, L., Yeargin-Allsopp, M., Lee, L., Harrington, R., Lopez, M., Fitzgerald, R., Hewitt, A., Pettygrove, S., Constantino, J., Vehorn, A., Shenouda, J., Hall-Lande, J., Braun, K., & Dowling, N. (2018). Morbidity and Mortality Weekly Report 67(6) 1

  • Baker, A.R. (2002). Invisible at The End Of the Spectrum: Shadows, Residues, “BAP” and The Female Aspergers Experience, https://www.avaruthbaker.com/uploads/5/0/0/9/5009416/invisible_at_the_end_of_the_spectrum.pdf

  • Bargiela, S., Steward, R, & Mandy, W. (2016). The Experiences of Late-diagnosed Women with Autism Spectrum Conditions: An Investigation of the Female Autism Phenotype. Journal of Autism and Developmental Disorders, 46, 3281-3924. https://doi.org/10.1007/s10803-016-2872-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Baron-Cohen, S., Wheelwright, S., Robinson, J., &Woodbury-Smith, M. (2005). The Adult Asperger Assessment (AAA): A Diagnostic Method. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-005-0026-5

    Article  Google Scholar 

  • Ballan, M. & Freyer, M. (2017). Autism Spectrum Disorder, Adolescence, and Sexuality Education: Suggested Interventions for Mental Health Professionals. Sex Disabilities, 35, 261-273

    Article  Google Scholar 

  • Bauman, M. L. (2010). Medical Comorbidities in Autism: Challenges to Diagnosis and Treatment. Neurotherapeutics, 7, 320–327.

    Article  Google Scholar 

  • Brown, C., Attwood, T., Garnett, M. & Stokes, M. (2020, under review). Am I Autistic? Utility of the GQ-ASC as an Autism Assessment in Adult Women. Autism in Adulthood.

  • Cassidy, S., Bradley, L, Shaw, R & Baron-Cohen, S. (2018). Risk Markers for Suicidality in Autistic Adults. Molecular Autism, 9:42. https://doi.org/10.1186/s13229-018-0226-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Centers for Disease Control and Prevention (updated 2019). What is Autism Spectrum Disorder? https://www.cdc.gov/ncbddd/autism/facts.html

  • Conner, C., Cramer, R., & McGonigle, J. (2019). Examining the Diagnostic Validity of Autism Measures Among Adults in an Outpatient Clinic Sample. Autism in Adulthood, 1, 1-18.

    Article  Google Scholar 

  • Dean, M., Harwood, R. & Kasari, C. (2017) The Art of Camouflage: Gender Differences in the Social Behaviors of Girls and Boys with Autism Spectrum disorder. Autism, 21(6), 678-689.

    Article  Google Scholar 

  • Eckerd, M. (2019). Disclosure of ASD Diagnosis to Children and Adolescents. Journal of Health Service Psychology, 45, 17–22.

    Google Scholar 

  • Eckerd, M. (2018). Identifying Autism Spectrum Disorder (Level 1) in Adults. Journal of Health Service Psychology, 44, 93–100.

    Google Scholar 

  • Gaus, V. (2007). Cognitive Behavioral Therapy for Adult Asperger Syndrome. Guilford Press, New York, NY.

    Google Scholar 

  • Gerdts, J. & Bernier, R. (2011). The Broader Autism Phenotype and Its Implications on the Etiology and Treatment of Autism Spectrum Disorders. Autism Research and Treatment, 2011. https://doi.org/10.1155/2011/545901

    Article  Google Scholar 

  • Geurts, B., Kissine, M. & van Tiel, B. (2019). Pragmatic reasoning in autism. In Kinga Morsanyi & Ruth M.J. Byrne (Eds.), Thinking, Reasoning, and Decision Making in Autism (Chapter 6). Routledge, Psychology Press. https://doi.org/10.4324/9781351060912-6

    Chapter  Google Scholar 

  • Halladay, A., Bishop, S., Constantino, J., Daniels, A., Koenig, K., Palmer, K., Messinger, D., Pelphrey, K., Sanders, S, Singer, A., Taylor, J. & Szatmari, P. (2015). Sex and Gender Differences In Autism Spectrum Disorder: Summarizing Evidence Gaps and Identifying Emerging Areas of Priority. Molecular Autism, 6:36. https://doi.org/10.1186/s13229-015-0019-y

    Article  PubMed  PubMed Central  Google Scholar 

  • Harmsen, I. (2019). Empathy in Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 49, 3939-3955.

    Article  Google Scholar 

  • Jamison, R., Bishop, S., Huerta, M. & Hallady, A. (2017) The Clinician Perspective on Sex Differences in Autism Spectrum Disorders. Autism, 21(6), 772-784

    Article  Google Scholar 

  • Kirby, A., Bakian, A, Zhang, Y., Bilder, DA., Keeshin, BR., Coon, H. (2019). A 20-year Study of Suicide Death in a Statewide Autism Population. Autism Research, 12 (4), 658-666.

    Article  Google Scholar 

  • Lee, M., Krishnamurthy, J., Susi, A., Sullivan, C., Gorman, G., Hisle-Gorman, E., Erdie-Lalena, C. & Nylund, C. (2018). Association of Autism Spectrum Disorders and Inflammatory Bowel Disease. Journal of Autism and Developmental Disorders, 48,1523-1529.

    Article  Google Scholar 

  • Lai, M. & Baron-Cohen, S. (2015). Identifying the Lost Generation of Adults with Autism Spectrum Conditions. The Lancet Psychiatry, 2,1013-1027.

    Article  Google Scholar 

  • Leekam, S., Nieto, C., Libby, S., Wing, L. & Gould, J. (2007). Describing the Sensory Abnormalities of Children and Adults with Autism. Journal of Autism Developmental Disorders, 37, 894-910.

    Article  Google Scholar 

  • Loomes, R., Hull, L. & Mandy, W. (2017). What is the Male-to-Female Ratio in Autism Spectrum Disorder? A systematic Review and Meta-Analysis. Journal of American Academy of Child and Adolescent Psychiatry, 56(6), 466-474. https://doi.org/10.1016/j.jaac.2017.03.013

    Article  Google Scholar 

  • Mandy, W., & Lai, M. C. (2017) Towards Sex- And Gender-Informed Autism Research. Autism, 21(6), 643-645. https://doi.org/10.1177/1362361317706904

    Article  PubMed  Google Scholar 

  • Milner, V., McIntosh, H., Colvert, E., & Happe, F. (2019). A Qualitative Exploration of the Female Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 49, 2389-2402.

    Article  Google Scholar 

  • Milton, D. (2012). On the Ontological Status of Autism: The “Double Empathy Problem”. Disability and Society, 27(6), 883-887.

    Article  Google Scholar 

  • Ormond, S., Brownlow, C., Garnett, M.S., Rynkiewicz, A. & Attwood, T. (2018). Profiling Autism Symptomatology: An Exploration of the Q-ASC Parental Report Scale in Capturing Sex Differences in Autism. Journal of Autism and Development Disorders, 48, 389-403 https://doi.org/10.1007/s10803-017-3324-9

    Article  Google Scholar 

  • Pesce, N. L. (2019, April 2). Most college grads with autism can't find jobs. This group is fixing that. MarketWatch. https://www.marketwatch.com/story/most-college-grads-with-autism-cant-find-jobs-this-group-is-fixing-that-2017-04-10-5881421

  • Ritvo, R., Ritvo, E., Guthrie, D., Ritvo, M., Hufnagel, D., McMahon, W,. Tonge, B., Mataix-Cols, D., Jassi, A., Attwood, T. & Eloff, J. (2011). The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): A Scale to Assist the Diagnosis of Autism Spectrum Disorder in Adults: An International Validation Study. Journal of Autism Developmental Disorders, 41(8), 1076-1089.

    Article  Google Scholar 

  • Werling, D. & Geshwin, D. (2013) Sex Differences in Autism Spectrum Disorders. Current Opinion In Neurology, 26(2),146-153.

    Article  CAS  Google Scholar 

  • 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, 11-29.

    Article  CAS  Google Scholar 

  • Woodbury-Smith, M., Robinson, J., Wheelwright, S. & Baron-Cohen, S. (2005). Screening Adults for Asperger Syndrome Using the AQ: A Preliminary Study of its Diagnostic Validity in Clinical Practice. Journal of Autism and Developmental Disorders, 35 (3), 331-335.

    Article  CAS  Google Scholar 

  • World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organization Geneva

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Correspondence to Marcia Eckerd.

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Eckerd, M. Detection and Diagnosis of ASD in Females. J Health Serv Psychol 46, 37–47 (2020). https://doi.org/10.1007/s42843-020-00006-1

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