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.
Abstract:
This study examined whether parent-reported atypical development in their child's first year was associated with age of diagnosis and age when parents first needed to consult a specialist about their child's development. It involved 423 children who participated in the Australian Autism Biobank. Most parents retrospectively identified ≥ 1 domain of atypical child development. Atypical development in most domains was associated with an earlier age when parents felt specialist consultation was needed. Atypical development in the "gaze abnormalities", "lack of response to social stimuli", and "no social communication" subdomains within the social domain was associated with an earlier age of diagnosis, as was atypical development in the "hypo/hypersensitivity" and "preoccupation with parts of objects" subdomains within the stereotyped/restricted behavior domain.
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