Optimal Outcome in Individuals with a History of Autism

Autor/inn/en	Fein, Deborah; Barton, Marianne; Eigsti, Inge-Marie; Kelley, Elizabeth; Naigles, Letitia; Schultz, Robert T.; Stevens, Michael; Helt, Molly; Orinstein, Alyssa; Rosenthal, Michael; Troyb, Eva; Tyson, Katherine
Titel	Optimal Outcome in Individuals with a History of Autism
Quelle	In: Journal of Child Psychology and Psychiatry, 54 (2013) 2, S.195-205 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0021-9630
DOI	10.1111/jcpp.12037
Schlagwörter	Autism; Pervasive Developmental Disorders; Clinical Diagnosis; Symptoms (Individual Disorders); Recognition (Psychology); Language Skills; Behavior Problems; Interpersonal Competence; Interpersonal Communication; Intelligence Quotient; Children; Adolescents; Young Adults; Canada; Edinburgh Handedness Inventory; Autism Diagnostic Observation Schedule; Clinical Evaluation of Language Fundamentals; Vineland Adaptive Behavior Scales + Suchen Sie Ihr Suchwort? Autismus; Psychiatrische Symptomatik; Recognition; Wiedererkennen; Language skill; Sprachkompetenz; Interpersonale Kompetenz; Interpersonale Kommunikation; Intelligenzquotient; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Young adult; Junger Erwachsener; Kanada
Abstract	Background: Although autism spectrum disorders (ASDs) are generally considered lifelong disabilities, literature suggests that a minority of individuals with an ASD will lose the diagnosis. However, the existence of this phenomenon, as well as its frequency and interpretation, is still controversial: were they misdiagnosed initially, is this a rare event, did they lose the full diagnosis, but still suffer significant social and communication impairments or did they lose all symptoms of ASD and function socially within the normal range? Methods: The present study documents a group of these optimal outcome individuals (OO group, "n" = 34) by comparing their functioning on standardized measures to age, sex, and nonverbal IQ matched individuals with high-functioning autism (HFA group, "n" = 44) or typical development (TD group, "n" = 34). For this study, "optimal outcome" requires losing all symptoms of ASD in addition to the diagnosis, and functioning within the nonautistic range of social interaction and communication. Domains explored include language, face recognition, socialization, communication, and autism symptoms. Results: Optimal outcome and TD groups' mean scores did not differ on socialization, communication, face recognition, or most language subscales, although three OO individuals showed below-average scores on face recognition. Early in their development, the OO group displayed milder symptoms than the HFA group in the social domain, but had equally severe difficulties with communication and repetitive behaviors. Conclusions: Although possible deficits in more subtle aspects of social interaction or cognition are not ruled out, the results substantiate the possibility of OO from autism spectrum disorders and demonstrate an overall level of functioning within normal limits for this group. (Contains 7 tables and 1 figure.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10