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      Young Adult Outcome of Autism Spectrum Disorders

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      Journal of Autism and Developmental Disorders
      Springer Science and Business Media LLC

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          Abstract

          To learn about the lives of young adults with ASD, families with children born 1974-1984, diagnosed as preschoolers and followed into adolescence were contacted by mail. Of 76 eligible, 48 (63%) participated in a telephone interview. Global outcome scores were assigned based on work, friendships and independence. At mean age 24, half had good to fair outcome and 46% poor. Co-morbid conditions, obesity and medication use were common. Families noted unmet needs particularly in social areas. Multilinear regression indicated a combination of IQ and CARS score at age 11 predicted outcome. Earlier studies reported more adults with ASD who had poor to very poor outcomes, however current young people had more opportunities, and thus better results were expected.

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          Most cited references15

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          Follow-up study of eleven autistic children originally reported in 1943

          Leo Kanner (1971)
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            Outcome and prognostic factors in infantile autism and similar conditions: a population-based study of 46 cases followed through puberty.

            This follow-up study reports data from a population-based series of children in the Göteborg region of Sweden diagnosed in childhood as suffering from infantile autism and other childhood psychoses and followed through to the ages of 16-23 years. The results of the study are in good accord with the only previous population-based study of the same kind. IQ at diagnosis and communicative speech development before 6 years were the most important prognostic factors, but other trends were seen that also compare favorably with previous studies. Some previously unreported trends also emerged.
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              A follow-up study of high-functioning autistic children.

              It is well known that IQ is an important prognostic variable in the outcome of autistic children. There are, however, very few data available on the outcome of nonretarded autistic children as adults. We identified 16 such probands from records and followed them up between 11 and 27 years since discharge from a center specializing in the assessment of autistic children. There were 12 males and 4 females, average age was 26, and mean IQ was 92 (range 68-110). Although the majority were functioning poorly in terms of occupational-social outcome and psychiatric symptoms, a surprising number (4) had a very good outcome and might be considered recovered. The severity of early autistic behavior was a poor predictor of outcome, but neuropsychologic measures of nonverbal problem solving were highly correlated with outcomes. The results of the study indicate that a small percentage of nonretarded autistic children can be expected to recover to a substantial degree.
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                Author and article information

                Journal
                Journal of Autism and Developmental Disorders
                J Autism Dev Disord
                Springer Science and Business Media LLC
                0162-3257
                1573-3432
                April 2008
                September 1 2007
                April 2008
                : 38
                : 4
                : 739-747
                Article
                10.1007/s10803-007-0441-x
                17764027
                87496d3d-ddfa-4eaf-a57a-9ed3f644b546
                © 2008

                http://www.springer.com/tdm

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