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J Autism Dev Disord. 2016 Jun;46(6):2160-2173. doi: 10.1007/s10803-016-2745-1.

Early Characteristics of Children with ASD Who Demonstrate Optimal Progress Between Age Two and Four.

Author information

1
Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT, 06269, USA. emily.moulton@uconn.edu.
2
Department of Psychology, University of Connecticut, 406 Babbidge Road, Unit 1020, Storrs, CT, 06269, USA.
3
A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA.
4
Department of Community Health and Prevention, School of Public Health, Drexel University, Philadelphia, PA, USA.
5
Department of Psychology, Georgia State University, Atlanta, GA, USA.

Abstract

Although for many children, Autism Spectrum Disorder (ASD) is a lifelong disability, a subset of children with ASD lose their diagnosis and show typical cognitive and adaptive abilities. The ages at which this transition can occur is not known, but it sometimes occurs quite early. Participants in the current study were 207 children with an ASD at age two who were reevaluated at age four. Eighty-three percent retained an ASD diagnosis at reevaluation and 9 % showed "optimal progress": clear ASD at age two but not at age four, and average cognition, language, communication and social skills at age four. Early child-level factors predicted optimal progress: diagnosis of PDD-NOS, fewer repetitive behaviors, less severe symptomatology and stronger adaptive skills.

KEYWORDS:

ASD; Loss of diagnosis; Optimal outcome

PMID:
26895327
PMCID:
PMC4860351
DOI:
10.1007/s10803-016-2745-1
[Indexed for MEDLINE]
Free PMC Article

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