Changes in Social Impairment for People with Intellectual Disabilities: A Follow-up of the Camberwell Cohort

  • Julie Beadle-Brown
  • Glynis Murphy
  • Lorna Wing
  • Judy Gould
  • Amitta Shah
  • Nan Holmes


The skills and social impairments of a total population of children with severe intellectual disabilities and/or autism from Camberwell, South London (Wing and Gould, 1978 and 1979), were assessed using the Handicaps, Behaviours and Skills schedule, and they were reassessed when they were adolescents and young adults (Shah, 1986). Changes in social impairment over time are presented here. As Shah (1986) had found with a smaller sample, social impairment remained relatively stable over time: on a simple “socially impaired” versus “sociable” dichotomous grouping, 93% did not change social group. Within the socially impaired group, there was a significant increase in impairment over time (i.e., people who were passive at Time 1, were aloof at Time 2). Implications of these results and predictions for a further follow-up study are discussed.

Autism intellectual disabilities changes in skills social impairment longitudinal 


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  1. Bayley, N. (1969). Bayley Scales of Infant Development. New York: Psychological Corporation.Google Scholar
  2. Beadle-Brown, J., Murphy, H., Wing, L., Gould, J., Shah, A., & Holmes, N. (2000). Changes in skills for people with intellectual disabilities: A follow-up of the Camberwell Cohort. Journal of Intellectual Disabilities Research, 44, 12–24.Google Scholar
  3. 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.Google Scholar
  4. Gould, J. (1976). Language development and non-verbal skills in severely mental retarded children: An epidemiological study. Journal of Mental Deficiency Resources, 2, 129–146.Google Scholar
  5. Graham, D., & Rutter, M. (1968). The reliability and validity of the psychiatric assessment of the child: II. Interview with the parents. British Journal of Psychiatry, 114, 581–592.Google Scholar
  6. Howlin, P., & Rutter, M. (1987). The treatment of autistic children, Chichester: John Wiley.Google Scholar
  7. Jacobsen, J. W., & Ackerman, L. J. (1990). Differences in adaptive functioning among people with autism or mental retardation. Journal of Autism and Developmental Disorders, 20, 205–219.Google Scholar
  8. Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2, 217–250.Google Scholar
  9. Leiter, R. G. (1980). Leiter International Performance Scale: Instruction annual. Woodale, IL: Stoelting Co.Google Scholar
  10. Lotter, V. (1978). Follow-up studies. In M. Rutter & E. Schopler (Eds.). Autism, A reappraisal of concepts and treatments. New York: Plenum Press.Google Scholar
  11. Lovaas, O. I. (1987). Behavioural treatment and normal ducational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55, 3–9.Google Scholar
  12. Loveland, K. A., & Kelly, M. L. (1988). Development of adaptive behaviour in adolescents and young adults with Autism and Down syndrome. American Journal on Mental Retardation, 93, 84–92.Google Scholar
  13. McCarthy, J., & Kirk, S. A. (1961). The Illinois Test of Psycholinguistic Abilities: Experimental edition. Urbana, IL: University of Illinois Press.Google Scholar
  14. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who receive early intensive behavioural treatment. American Journal on Mental Retardation, 97, 359–372.Google Scholar
  15. Reynell, J. K. (1977). Reynell Language Development Scales (manual revised version, 1987). England: Nfer-Nelson.Google Scholar
  16. Rogers, S. (1996). Brief report: Early intervention in autism. Journal of Autism and Developmental Disorders, 26, 243–246.Google Scholar
  17. Rutter, M. (1970). Autistic children: Infancy to adulthood. Seminars in Psychiatry, 2, 435–450.Google Scholar
  18. Rutter, M., Greenfeld, D., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis: 2. Social and behavioural outcome. British Journal of Psychiatry, 113, 1183–1199.Google Scholar
  19. Rutter, M., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis: 1. Description of sample. British Journal of Psychiatry, 113, 1169–1182.Google Scholar
  20. Rutter, M., & Lord, C. (1994). Autism and pervasive developmental disorders. In M. Rutter, E. Taylor, & L. Hersov. Child and adolescent psychiatry: Modern approaches (third edition), (pp. 569–593). Oxford: Blackwell Scientific Publication.Google Scholar
  21. Schatz, J., & Hamden-Allen, G. (1995). Effects of age and IQ on adaptive behaviour domains for children with autism. Journal of Autism and Developmental Disorders, 25, 51–60.Google Scholar
  22. Schopler, E., Short, A., & Mesibov, G. (1989). Relation of behavioural treatment to “normal functioning”: Comment on Lovaas. Journal of Consulting and Clinical Psychology, 57, 162–164.Google Scholar
  23. Shah, A. (1986). Impairment of social interaction in autism and mental retardation: A 12 year follow-up study. In J. M. Berg (Ed.). Science and service in mental retardation (pp. 132–141). London: Methuen.Google Scholar
  24. Stutsman, R. (1931). Merrill-Palmer Scale of Mental Tests, New York: Harcourt, Brace & World.Google Scholar
  25. Wechsler, D. (1949). Wechsler Intelligence Scale for Children, New York: Psychological Corporation.Google Scholar
  26. Wing, L. (1971). Severely retarded children in a London area: Prevalence and provision of services. Psychological Medicine, 1, 405–415.Google Scholar
  27. Wing, L. (1988). The continuum of autistic characteristics. In E. Schopler & G. B. Mesibov (Eds.) Diagnosis and assessment in autism (pp. 91–110). New York: Plenum Press.Google Scholar
  28. Wing, L., Bramley, C., Hailey, A., & Wing, J. K. (1968). Camberwell Cumulative Psychiatric Case Register Part 1: Aims and methods. Social Psychiatry, 3, 116–123.Google Scholar
  29. Wing, L., & Gould, J. (1978). Systematic recording of behaviours and skills of retarded and psychotic children. Journal of Autism and Childhood Schizophrenia, 8, 79–97.Google Scholar
  30. Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Childhood Schizophrenia, 9, 11–29.Google Scholar
  31. Wing, L., Gould, J., Yeates, S. R., & Brierley, L. M. (1977). Symbolic play in severely mentally retarded and autistic children. Journal of Clinical Psychology and Psychiatry, 18, 167–178.Google Scholar
  32. Wing. J. K., & Hailey, A. M. (Eds.) (1972). Evaluating a community psychiatric service. London: Oxford University Press.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Julie Beadle-Brown
    • 1
  • Glynis Murphy
    • 1
  • Lorna Wing
    • 2
  • Judy Gould
    • 2
  • Amitta Shah
    • 3
  • Nan Holmes
    • 4
  1. 1.Tizard CentreUniversity of Kent at CanterburyCanterbury, KentU.K
  2. 2.National Autistic SocietyBromley, KentU.K
  3. 3.Leading Edge PsychologyPurleyU.K
  4. 4.Clinical Psychology DepartmentKingston & District NHS TrustSurreyU.K

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