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Self-reported sex differences in high-functioning adults with autism: a meta-analysis.

R L Moseley1, R Hitchiner1, J A Kirkby1

  • 1Department of Psychology, Bournemouth University, Fern Barrow, Poole, Dorset, BH12 5BB UK.

Molecular Autism
|May 26, 2018
PubMed
Summary

Autistic adults show sex differences in symptoms, with males reporting more social and interest-based symptoms, while autistic women report more sensorimotor symptoms. These findings highlight the importance of considering sex differences in autism spectrum condition diagnosis.

Keywords:
GenderRAADS-RSelf-reportSex

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Area of Science:

  • Neuroscience
  • Psychology
  • Genetics

Background:

  • Sex differences in autism spectrum condition (ASC) symptomatology contribute to underdiagnosis in females.
  • While childhood sex differences are increasingly studied, adult differences remain less understood.

Purpose of the Study:

  • To investigate sex differences in adult autism symptomatology using the Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R).
  • To analyze RAADS-R data through meta-analysis and ANOVA to identify main effects of sex and diagnosis, and their interactions.

Main Methods:

  • Meta-analysis of RAADS-R data from multiple experimental groups.
  • Analysis of variance (ANOVA) to examine effects of sex, diagnosis, and their interaction on symptomatology.

Main Results:

  • Autistic adults reported higher symptom prevalence in social relatedness and circumscribed interests compared to non-autistic adults.
  • Males generally reported more prevalent symptoms in circumscribed interests than females.
  • Language difficulties showed attenuated sex differences in autistic individuals.
  • Sensorimotor symptoms were more prevalent in autistic women than autistic men, unlike in the typically developing population.

Conclusions:

  • Childhood sex differences in autism may not persist into adulthood, potentially due to diagnostic biases favoring male-like presentations in women.
  • Sensorimotor symptomatology in autistic women warrants further investigation for diagnostic utility.
  • Understanding adult sex differences in ASC is crucial for improving diagnostic accuracy and support.