A descriptive hospital based study of children with autism

M Juneja1, S B Mukherjee, S Sharma

  • 1Child Development and Early Intervention Clinic, Department of Pediatrics, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi 110 002, India. drmonicajuneja@rediffmail.com

Indian Pediatrics
|June 1, 2005
PubMed

Insights

Early diagnosis of Autistic disorder is crucial, as most children referred lack accurate prior diagnosis. This study highlights significant developmental delays and social impairments in autistic children, emphasizing the need for timely intervention.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Neurodevelopmental Disorders

Background:

  • Autistic disorder is a complex neurodevelopmental condition affecting social interaction and communication.
  • Accurate and timely diagnosis is essential for effective intervention and support.
  • Referral populations often present diagnostic challenges and delays.

Purpose of the Study:

  • To investigate the clinical and neurodevelopmental profile of children with Autistic disorder.
  • To assess the accuracy of prior diagnoses in a referral population.
  • To characterize the common features and severity of Autistic disorder in young children.

Main Methods:

  • A cohort of 51 children with Autistic disorder from a referral population was studied.
  • Detailed clinical history, physical examination, and developmental assessments were performed.
  • Standard diagnostic tools and screening tests were applied based on age, with re-evaluation at 2 years.

Main Results:

  • Only 5.8% of children received an accurate diagnosis prior to referral.
  • The mean age of presentation was 3.28 years.
  • Ninety-six percent of children exhibited developmental delay; social interaction and communication impairments were more prevalent than restricted interests.

Conclusions:

  • There is a significant delay in the accurate diagnosis of Autistic disorder in the studied population.
  • Developmental delay and social-communication deficits are hallmark features in young children with Autistic disorder.
  • Early identification and intervention are critical, as confirmed by the later diagnosis in children under 2 years.

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