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.
Abstract:
Forty-one children with pervasive developmental disorders (PDDs) receiving eclectic services were assessed twice during their preschool years. Measures were compared over time for the whole group and for diagnostic subgroups: Childhood autism (CA group) and Other PDDs group. The mean intelligence quotient/developmental quotient (IQ/DQ) of the whole group was stable (P = 0.209) and scores on the Childhood Autism Rating Scale (CARS) decreased (P = 0.001). At time 2, the CA group was more impaired than the other PDDs group: autistic symptoms were more severe (P = 0.01), adaptive behavior scores were lower (P = 0.014), and a trend for lower IQ/DQs (P = 0.06). Children in this study seemed to fare better than reported in previous follow-up studies on children with autism.
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