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Exploring Social Subtypes in Autism Spectrum Disorder: A Preliminary Study.
Mirko Uljarević1,2, Jennifer M Phillips1, Rachel K Schuck1
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California, USA.
This study identified five distinct subgroups within autism spectrum disorder (ASD) based on social functioning profiles, revealing varied strengths and weaknesses beyond just symptom severity. These findings support personalized interventions for individuals with ASD.
Area of Science:
- Neurodevelopmental Disorders
- Child Psychology
- Social Neuroscience
Background:
- Social functioning impairments are a core diagnostic feature of autism spectrum disorder (ASD).
- Individuals with ASD exhibit significant heterogeneity in social presentation, severity, and developmental trajectories.
- Existing measures may not fully capture the nuanced profiles of social abilities in ASD.
Purpose of the Study:
- To explore homogeneous subgroups within ASD based on social functioning profiles using the Stanford Social Dimensions Scale (SSDS).
- To investigate whether identified subgroups differ in cognitive abilities and symptom severity.
- To inform the development of personalized interventions for ASD.
Main Methods:
- Latent Profile Analysis (LPA) was employed on SSDS subscale scores from parents of 164 individuals with ASD.
- Participants also completed the Social Responsiveness Scale (SRS-2) and Child Behavior Checklist (CBCL).
- Intellectual functioning (FSIQ) was assessed to explore group differences.
Main Results:
- Five distinct social functioning profiles were identified among individuals with ASD.
- These profiles represented unique patterns of strengths and weaknesses, not merely a severity gradient.
- Subgroups differed significantly in cognitive abilities and ASD/internalizing symptom severity.
Conclusions:
- The findings support the existence of distinct subgroups within ASD characterized by specific social functioning profiles.
- These subgroups are differentiated by cognitive and clinical characteristics, suggesting a need for tailored interventions.
- Further research is warranted to validate these subgroups and their implications for personalized ASD care.
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