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CE: From the CDC: Understanding Autism Spectrum Disorder
Deborah Christensen1, Jennifer Zubler
1Deborah Christensen is an epidemiologist at the Centers for Disease Control and Prevention, Atlanta. Jennifer Zubler is a pediatric consultant at Eagle Global Scientific, San Antonio, TX. Contact author: Deborah Christensen, dchristensen@cdc.gov. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Insights
Autism spectrum disorder (ASD) is a neurodevelopmental condition affecting social communication and behavior. Recognized today as a spectrum, it varies widely in severity and intellectual ability, with significant long-term impacts.
Area of Science:
- Neurodevelopmental disorders
- Pediatric neurology
- Developmental psychology
Background:
- Autism spectrum disorder (ASD) is characterized by social communication impairments and restricted, repetitive behaviors.
- Historically viewed as a distinct set of behaviors often with intellectual impairment, ASD is now understood as a spectrum.
- It is a neurodevelopmental disorder with potential prenatal or early postnatal origins, impacting child development and carrying chronic, long-term consequences.
Purpose of the Study:
- To provide a comprehensive overview of autism spectrum disorder.
- To discuss current understanding of ASD, including risk factors, epidemiology, and diagnosis.
- To outline evaluation, treatment, and outcome considerations for ASD.
Main Methods:
- Literature review and synthesis of current research on ASD.
- Discussion of epidemiological data and identified risk factors.
- Overview of diagnostic criteria and assessment tools for ASD.
Main Results:
- ASD is a spectrum disorder with significant variability in presentation and intellectual ability.
- The majority of individuals with ASD have average or above-average intellectual capacity.
- Understanding of ASD has evolved from a narrow definition to a spectrum concept.
Conclusions:
- ASD is a complex neurodevelopmental condition requiring a spectrum-based approach.
- Early identification, diagnosis, and intervention are crucial for managing ASD.
- Ongoing research continues to refine our understanding of ASD risk factors, treatments, and long-term outcomes.
Abstract:
Autism spectrum disorder (ASD) is a condition characterized by impaired social communication as well as restricted and repetitive behaviors. It is considered a neurodevelopmental disorder because it is associated with neurologic changes that may begin in prenatal or early postnatal life, alters the typical pattern of child development, and produces chronic signs and symptoms that usually manifest in early childhood and have potential long-term consequences. In past decades, autism was conceptualized as a strictly defined set of behaviors, usually accompanied by intellectual impairment. Today, it is recognized as a spectrum, ranging from mild to severe, in which behaviors vary substantially and the majority of children who fall on the spectrum have average to above average intellectual ability. Here, the authors discuss the risk factors for ASD, its epidemiology, common concurrent conditions, evaluation, diagnosis, treatments, and outcomes.
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