Parent-reported atypical development in the first year of life and age of autism diagnosis

Hannah Waddington1, Ella Macaskill2, Andrew J O Whitehouse3,4

  • 1School of Education, Victoria University of Wellington, Wellington, New Zealand. Hannah.Waddington@vuw.ac.nz.

Insights

Parent-reported atypical child development in the first year is linked to earlier specialist consultations. Specific social and behavioral signs also correlated with an earlier autism diagnosis age.

Area of Science:

  • Developmental Psychology
  • Pediatric Medicine
  • Autism Spectrum Disorder Research

Background:

  • Early identification of developmental differences is crucial for timely intervention in children.
  • Parental concerns regarding atypical development often precede formal diagnosis.
  • Understanding the relationship between specific developmental patterns and diagnostic timelines can improve early support pathways.

Purpose of the Study:

  • To investigate the association between parent-identified atypical development in infancy and the age of autism diagnosis.
  • To examine the link between specific atypical developmental domains and the age at which parents sought specialist consultation.
  • To analyze retrospective parent reports of developmental variations within a cohort of children.

Main Methods:

  • Retrospective analysis of parent-reported developmental data from 423 children in the Australian Autism Biobank.
  • Categorization of atypical developmental domains based on parental identification.
  • Statistical examination of correlations between identified developmental atypicalities and age of diagnosis/specialist consultation.

Main Results:

  • Most parents identified at least one domain of atypical development.
  • Atypical development across most domains was associated with an earlier age of parental specialist consultation.
  • Specific social domain atypicalities (gaze abnormalities, lack of social response, no social communication) and stereotyped behavior atypicalities (hypo/hypersensitivity, preoccupation with objects) were linked to earlier diagnosis ages.

Conclusions:

  • Parental recognition of atypical development in infancy is a significant indicator for seeking early specialist advice.
  • Certain early social and behavioral indicators are strongly associated with an earlier age of autism diagnosis.
  • These findings underscore the importance of parental reporting in the early identification and diagnosis of autism spectrum disorder.

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