Factors Associated with Age of Diagnosis in Children with Autism Spectrum Disorders: Report from a French Cohort

Autor/inn/en	Rattaz, Cécile; Loubersac, Julie; Michelon, Cécile; Geoffray, Marie-Maude; Picot, Marie-Christine; Munir, Kerim; Baghdadli, Amaria
Titel	Factors Associated with Age of Diagnosis in Children with Autism Spectrum Disorders: Report from a French Cohort
Quelle	In: Autism: The International Journal of Research and Practice, 26 (2022) 8, S.2108-2116 (9 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Baghdadli, Amaria)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613221077724
Schlagwörter	Age Differences; Socioeconomic Status; Clinical Diagnosis; Autism Spectrum Disorders; Communication Problems; Prediction; Correlation; Severity (of Disability); Symptoms (Individual Disorders); Sibling Relationship; Foreign Countries; Genetics; Etiology; Early Intervention; Children; Adolescents; Intellectual Disability; Health Services; Screening Tests; Family Characteristics; France + Suchen Sie Ihr Suchwort? Age; Difference; Age difference; Altersunterschied; Socio-economic status; Sozioökonomischer Status; Autism; Autismus; Kommunikationsbarriere; Vorhersage; Korrelation; Schweregrad; Psychiatrische Symptomatik; Sibling relations; Geschwisterbeziehung; Ausland; Humangenetik; Ätiologie; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Intellect; Disability; Disabilities; Verstand; Behinderung; Health service; Gesundheitsdienst; Gesundheitswesen; Screening-Verfahren; Frankreich
Abstract	Early diagnosis of autism spectrum disorder is challenging due to its phenotypic and etiological heterogeneity, but critical for implementation of early interventions. We examined the age of autism spectrum disorder diagnosis in a sample of 554 children and adolescents enrolled in the ELENA cohort study in France with regard to the influences of child clinical characteristics, family antecedents, and socio-economic factors. The mean age of diagnosis was 4.9 years (±2.8 years) with prediction of diagnosis before 3 years of age related to co-occurring intellectual disability, higher autism spectrum disorder symptom severity, and lower communicative abilities. Children in low socio-economic status families tended to have earlier autism spectrum disorder diagnosis compared to those in high socio-economic status families, but they also had greater severity of intellectual impairment. The age of autism spectrum disorder diagnosis was not associated with the presence of an older sibling with autism spectrum disorder. The trend for an inverse relationship between socio-economic status and age of diagnosis suggests equity in the current diagnostic services in France where health coverage is universal and free. Nonetheless, better screening of more subtle/less severe forms of autism spectrum disorder is also needed, as well as further assessment of the link between co-occurrence of autism spectrum disorder and severity of intellectual impairment in lower socio-economic status families. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01