Autism Spectrum Disorder and Co-occurring Developmental, Psychiatric, and Medical Conditions Among Children in Multiple Populations of the United States
Top Cited Papers
- 1 May 2010
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Developmental & Behavioral Pediatrics
- Vol. 31 (4), 267-275
- https://doi.org/10.1097/dbp.0b013e3181d5d03b
Abstract
Background: Autism spectrum disorders (ASDs) often co-occur with other developmental, psychiatric, neurologic, or medical diagnoses. Objective: This study examined co-occurring non-ASD diagnoses and symptoms in a population-based cohort of 8 year olds identified with ASD. Method: Data on 2,568 children meeting surveillance case definition for ASD were collected by a multi-site surveillance program. Information was systematically abstracted and reviewed from existing health and education source records and systematically entered into a summary record in a secure database. Results: Eighty-one percent of study children were male; 63% white, 23% black, 14% Hispanic, Asian, or not stated. When age of ASD classification was available, 20% were classified before age 3 years, 36% between ages 3 and 5 years, and 44% after age 5 years. The co-occurrence of ≥1 non-ASD developmental diagnoses was 83%, ≥1 psychiatric diagnoses was 10%, ≥1 neurologic diagnoses was 16%, and at least one possibly causative genetic or neurologic diagnosis was 4%. Children with a previous ASD classification and co-occurring psychiatric or neurologic conditions were more likely to be diagnosed or classified at a later age. Each category of co-occurring non-ASD diagnosis was significantly increased in children whose records did not include an ASD diagnosis or educational classification but who met surveillance criteria for ASD. Conclusions: These data highlight the need for clinicians to keep in mind the high prevalence of associated diagnoses with an ASD diagnosis, and the possibility that in younger children other symptoms or disorders may be masking or obscuring core symptoms of ASD, which would lead to a diagnosis.Keywords
This publication has 25 references indexed in Scilit:
- Developmental regression in children with an autism spectrum disorder identified by a population-based surveillance systemAutism, 2009
- Health Care Use and Health and Functional Impact of Developmental Disabilities Among US Children, 1997-2005Archives of Pediatrics & Adolescent Medicine, 2009
- Psychiatric Disorders in Children With Autism Spectrum Disorders: Prevalence, Comorbidity, and Associated Factors in a Population-Derived SampleJournal of the American Academy of Child & Adolescent Psychiatry, 2008
- A public health collaboration for the surveillance of autism spectrum disordersPaediatric and Perinatal Epidemiology, 2007
- Parental Report of Health Conditions and Health Care Use Among Children With and Without AutismArchives of Pediatrics & Adolescent Medicine, 2006
- Public health monitoring of developmental disabilities with a focus on the autism spectrum disordersAmerican Journal of Medical Genetics, 2004
- Race Differences in the Age at Diagnosis Among Medicaid-Eligible Children With AutismJournal of the American Academy of Child & Adolescent Psychiatry, 2002
- Autism and Asperger syndrome: coexistence with other clinical disordersActa Psychiatrica Scandinavica, 2000
- The diagnosis of autism and Asperger syndrome: findings from a survey of 770 familiesDevelopmental Medicine and Child Neurology, 1999
- Confidence intervals for effect parameters common in cancer epidemiology.Environmental Health Perspectives, 1990