https://scholars.lib.ntu.edu.tw/handle/123456789/506640
標題: | Retention of autism spectrum disorder diagnosis: The role of co-occurring conditions in males and females | 作者: | YEN-TZU WU Maenner M.J. Wiggins L.D. Rice C.E. Bradley C.C. Lopez M.L. Kirby R.S. Lee L.-C. |
公開日期: | 2016 | 出版社: | Elsevier Ltd | 卷: | 25 | 起(迄)頁: | 76-86 | 來源出版物: | Research in Autism Spectrum Disorders | 摘要: | This study examined associations between ASD diagnosis retention and non-ASD co-occurring conditions (CoCs) by child sex. The sample included 7077 males and 1487 females who had an ASD diagnosis documented in their school or health records in a population-based ASD surveillance system for 8-year-old children. ASD diagnosis retention status was determined when an initial ASD diagnosis was not later ruled out by a community professional. We found that ASD diagnosis remains fairly stable, with only 9% of children who had an initial documented ASD diagnosis later being ruled-out. Although most of the associations between the ASD diagnosis retention status and CoCs are similar in both sexes, the co-occurrence of developmental diagnoses (e.g., intellectual disability or sensory integration disorder) was predictive of ASD diagnostic changes in males, whereas the co-occurrence of specific developmental (e.g., personal/social delay) and neurological diagnosis (e.g., epilepsy) was associated with ASD diagnostic change in females. More ASD-related evaluations and less ASD-related impairment were associated with later ASD rule outs in both sexes. Our findings highlight that CoCs can complicate the diagnostic picture and lead to an increased likelihood of ambiguity in ASD diagnosis. Using sensitive and appropriate measures in clinical practice is necessary for differential diagnosis, particularly when there are co-occurring developmental conditions. ? 2016 Elsevier Ltd. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84958248515&doi=10.1016%2fj.rasd.2016.02.001&partnerID=40&md5=72f9298e17058163b48721eec4716c3d https://scholars.lib.ntu.edu.tw/handle/123456789/506640 |
ISSN: | 1750-9467 | DOI: | 10.1016/j.rasd.2016.02.001 | SDG/關鍵字: | anxiety disorder; Article; attention deficit disorder; autism; behavior disorder; bipolar disorder; brain disease; cerebral palsy; child; depression; differential diagnosis; emotional disorder; epilepsy; female; hearing impairment; human; intellectual impairment; language disability; learning disorder; major clinical study; male; medical record review; mood disorder; oppositional defiant disorder; priority journal; school child; sex difference |
顯示於: | 物理治療學系所 |
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