Follow-up of children diagnosed with pervasive developmental disorders: stability and change during the preschool

Sigrídur Lóa Jónsdóttir1, Evald Saemundsen, Gudlaug Asmundsdóttir

  • 1Division of Autism and Communication Disorders, State Diagnostic and Counseling Center, Digranesvegur 5, 200, Kópavogur, Iceland. sigridurloa@greining.is

Insights

Children with pervasive developmental disorders (PDDs) showed stable IQ/DQ but reduced autistic symptoms over time. The Childhood Autism (CA) group had more severe symptoms and lower adaptive scores compared to other PDDs.

Area of Science:

  • Developmental Psychology
  • Child Psychiatry
  • Clinical Psychology

Background:

  • Pervasive Developmental Disorders (PDDs) encompass a range of neurodevelopmental conditions affecting social interaction and communication.
  • Early intervention and assessment are crucial for understanding developmental trajectories in children with PDDs.
  • Previous follow-up studies on children with autism have reported varying outcomes, necessitating further investigation into specific subgroups.

Purpose of the Study:

  • To assess changes in cognitive and behavioral measures over time in preschool-aged children with PDDs.
  • To compare developmental trajectories between children with Childhood Autism (CA) and those with Other PDDs.
  • To evaluate the effectiveness of eclectic services on children with PDDs.

Main Methods:

  • Longitudinal assessment of 41 preschool children diagnosed with PDDs.
  • Two assessment points during the preschool years.
  • Comparison of Intelligence Quotient/Developmental Quotient (IQ/DQ) and Childhood Autism Rating Scale (CARS) scores over time and between diagnostic subgroups (CA vs. Other PDDs).

Main Results:

  • The overall group demonstrated stable mean IQ/DQ (P = 0.209) but a significant decrease in CARS scores (P = 0.001), indicating a reduction in autistic symptoms.
  • At the second assessment, the CA group exhibited more severe autistic symptoms (P = 0.01) and lower adaptive behavior scores (P = 0.014) compared to the Other PDDs group.
  • A trend towards lower IQ/DQs was observed in the CA group at time 2 (P = 0.06).

Conclusions:

  • Children with PDDs receiving eclectic services showed improvement in autistic symptoms during the preschool years.
  • The Childhood Autism subgroup presented with more significant impairments in symptoms and adaptive functioning compared to other PDDs.
  • Findings suggest that children in this cohort may have better outcomes than previously reported in follow-up studies of children with autism.

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