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Parental Concerns About their Child's Development During the First Year of Life and a Subsequent Autism Spectrum

Orly Kerub1,2, Einav Alhozyel3, Rewa Blaaum3

  • 1Southern District Health Office, Ministry of Health, Beer-Sheva, Israel.

Journal of Autism and Developmental Disorders
|June 18, 2025
PubMed

Insights

Parental concerns during a child's first year are linked to autism spectrum disorder (ASD). Monitoring these concerns can aid in early ASD screening and identification.

Area of Science:

  • Developmental Pediatrics
  • Autism Spectrum Disorder Research
  • Child Psychology

Background:

  • Developmental surveillance relies on identifying parental concerns about a child's development.
  • Early detection of developmental delays is crucial for timely intervention.

Purpose of the Study:

  • To investigate the association between parental concerns in the first year of life and a subsequent diagnosis of autism spectrum disorder (ASD).
  • To determine if parental concerns are an independent risk factor for ASD.

Main Methods:

  • A prospective study comparing 280 children diagnosed with ASD and 560 controls.
  • Data on parental concerns and developmental milestones were collected from medical records at 2, 4, 6, 9, and 12 months.
  • Statistical analyses included logistic regression to assess associations and risk factors.

Main Results:

  • 19.5% of parents of children later diagnosed with ASD expressed concerns, versus 2.8% in the control group (p < 0.001).
  • Parental concerns correlated with missed language, motor, and social developmental milestones.
  • Parental concerns independently predicted ASD risk (aOR = 7.76).

Conclusions:

  • Parental concerns during infancy are a significant indicator associated with later ASD diagnosis.
  • Regular monitoring of parent-reported developmental concerns is valuable for early ASD screening programs.
  • Integrating parental feedback into surveillance enhances the early identification of neurodevelopmental conditions.

Keywords:
Autism spectrum disorderChild developmentDevelopmental milestonesParental concerns

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