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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
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
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.
Abstract:
The clinical and neurodevelopmental profile of 51 children with Autistic disorder, from a referral population was studied. A detailed history and examination was undertaken. The development/intelligence quotient and social quotient were assessed. Standard diagnostic tests were applied in children above 2 years of age. Younger children were evaluated with a screening test and re-evaluated at 2 years. It was observed that a correct diagnosis had been made in only 5.8% of children prior to referral. The mean age of presentation was 3.28 years. Ninety-six percent of the autistic children had developmental delay. Qualitative impairment in social interaction and communication was more commonly observed than restricted interests and activities. Forty-seven (92.15%) children were severely autistic and 4 (7.84%) mildly to moderately autistic. All children less than 2 years were confirmed to have Autistic disorder later.
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Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.