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Autism Spectrum Disorder in Primary Care.
Andrea Westby1, Mikaela Coburn-Pierce2
1University of Minnesota Medical School, Minneapolis.
Autism spectrum disorder (ASD) affects many children and adults, presenting diverse needs. Early screening and tailored interventions, like the SPACE framework, improve health outcomes and quality of life for autistic individuals.
Area of Science:
- Neurodevelopmental conditions
- Neurologic diversity and its impact on health outcomes
Background:
- Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition affecting 1 in 31 US children and 1 in 45 US adults.
- Diagnostic criteria include deficits in social communication and restricted, repetitive behaviors, causing functional impairment.
- Autistic individuals face significantly lower life expectancy and higher rates of chronic health conditions.
Purpose of the Study:
- To provide an overview of autism spectrum disorder (ASD).
- To highlight diagnostic criteria and recommended screening practices.
- To discuss health disparities and treatment approaches for autistic individuals.
Main Methods:
- Review of diagnostic criteria from the DSM-5-TR.
- Summary of American Academy of Pediatrics screening recommendations.
- Overview of common comorbidities and treatment strategies.
Main Results:
- ASD diagnosis requires specific social-communication deficits and restricted/repetitive behaviors.
- Pediatric screening is recommended at 18 and 24 months; adult screening is not standard.
- Autistic individuals experience reduced life expectancy and increased chronic health issues.
- Pharmacologic and behavioral interventions, including the SPACE framework, can manage symptoms and improve care.
Conclusions:
- Early diagnosis and comprehensive assessment are crucial for autistic individuals.
- Addressing comorbidities and implementing patient-centered care frameworks like SPACE can improve health outcomes.
- Further research into health disparities and effective interventions for ASD is warranted.

