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Universitätsbibliothek Heidelberg
Verfasst von:Fountain, Christine
 Winter, Alix S
 Bearman, Peter S
Titel:Six developmental trajectories characterize children with autism
Verlagsort:United States
Verlag:American Academy of Pediatrics
Jahr:2012
Umfang:9 S.
Fussnoten:ObjectType-Article-1 ; ObjectType-Feature-2 ; SourceType-Scholarly Journals-1 ; content type line 23
Inhalt:The goal of this study was to describe the typical longitudinal developmental trajectories of social and communication functioning in children with autism and to determine the correlates of these trajectories. Children with autism who were born in California from 1992 through 2001 and enrolled with the California Department of Developmental Services were identified. Subjects with <4 evaluations present in the database were excluded, resulting in a sample of 6975 children aged 2 to 14 years. Score sequences were constructed based on 9 evaluative items for social, communication, and repetitive behavior functioning. Typical trajectories were identified by using group-based latent trajectory modeling, and multinomial logistic regression models were used to determine the odds of classification within each trajectory varied by individual and family-level factors. Six typical patterns of social, communication, and repetitive behavior functioning were identified. These trajectories displayed significant heterogeneity in developmental pathways, and children whose symptoms were least severe at first diagnosis tended to improve more rapidly than those severely affected. One group of ∼10% of children experienced rapid gains, moving from severely affected to high functioning. Socioeconomic factors were correlated with trajectory outcomes; children with non-Hispanic, white, well-educated mothers were more likely to be high functioning, and minority children with less-educated mothers or intellectual disabilities were very unlikely to experience rapid gains. Children with autism have heterogeneous developmental pathways. One group of children evidenced remarkable developmental change over time. Understanding what drives these outcomes is thus critical.
ISSN:0031-4005
Titel Quelle:Pediatrics (Evanston)
Jahr Quelle:2012
Band/Heft Quelle:129, 5, S. e1112-e1120
DOI:doi:10.1542/peds.2011-1601
URL:http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F22473372
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fsearch.proquest.com%2Fdocview%2F1011459955
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fsearch.proquest.com%2Fdocview%2F1011173828
 http://www.ub.uni-heidelberg.de/cgi-bin/edok?dok=https%3A%2F%2Ffanyv88.com%3A443%2Fhttps%2Fpubmed.ncbi.nlm.nih.gov%2FPMC3340586
 DOI: https://doi.org/10.1542/peds.2011-1601
Sprache:English
RVK-Notation:E121920
Sach-SW:Adolescent
 Autism
 California
 Care and treatment
 Child
 Child development
 Child Development Disorders, Pervasive - classification
 Child Development Disorders, Pervasive - diagnosis
 Child Development Disorders, Pervasive - epidemiology
 Child Development Disorders, Pervasive - psychology
 Child, Preschool
 Children
 Communication
 Correlation analysis
 Developmental Disabilities - classification
 Developmental Disabilities - diagnosis
 Developmental Disabilities - epidemiology
 Developmental Disabilities - psychology
 Diagnosis
 European Continental Ancestry Group - psychology
 European Continental Ancestry Group - statistics & numerical data
 Female
 Health aspects
 Hispanic Americans - psychology
 Hispanic Americans - statistics & numerical data
 Humans
 Intelligence
 Longitudinal method
 Longitudinal Studies
 Male
 Models, Statistical
 Pediatrics
 Social Behavior
 Socioeconomic Factors
 Statistics as Topic
 Stereotyped Behavior
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