Sex/Gender Differences in Screening for Autism Spectrum Disorder: Implications for Evidence-Based Assessment

被引:55
|
作者
Evans, Spencer C. [1 ]
Boan, Andrea D. [2 ]
Bradley, Catherine [2 ]
Carpenter, Laura A. [2 ]
机构
[1] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[2] Med Univ South Carolina, Dept Pediat, Charleston, SC 29425 USA
来源
JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY | 2019年 / 48卷 / 06期
基金
美国国家卫生研究院;
关键词
SOCIAL COMMUNICATION QUESTIONNAIRE; OBSERVATION-SCHEDULE ADOS; MALE BRAIN THEORY; SEX-DIFFERENCES; DIAGNOSTIC INTERVIEW; CHILDREN; GENDER; ADULTS; GIRLS; BOYS;
D O I
10.1080/15374416.2018.1437734
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Autism spectrum disorder (ASD) is diagnosed more often in boys than in girls; however, little is known about the nature of this sex/gender discrepancy or how it relates to diagnostic assessment practices. This study examined the performance of the Social Communication Questionnaire (SCQ) in screening for ASD among boys and girls. Data were drawn from the South Carolina Children's Educational Surveillance Study, a population-based study of ASD prevalence among children 8-10 years of age. Analyses were conducted using SCQ data from 3,520 children, with direct assessment data from 272 with elevated SCQ scores. A bifactor model based on the Diagnostic and Statistical Manual of Mental Disorders's (5th ed.) two ASD symptom domains fit the data well and performed slightly better for girls. In the general population sample, girls exhibited fewer social communication/interaction and restricted-repetitive behavior symptoms than boys. In the direct assessment sample, however, girls with ASD showed greater impairment in social communication/interaction than boys with ASD. Items pertaining to social communication/interaction problems at ages 4-5 were among the most diagnostically efficient overall and particularly for girls. Similarly, receiver operating characteristic analyses suggested that the SCQ performs adequately among boys and well among girls. Results support the use of the SCQ in screening for ASD but do not indicate sex/gender-specific cutoffs. Girls with ASD may exhibit pronounced intraindividual deficits in social communication/interaction compared to male peers with ASD and female peers without ASD. Although more research is needed, careful attention to social communication/interaction deficits around 4-5 years of age may be especially useful for assessing ASD in girls.
引用
收藏
页码:840 / 854
页数:15
相关论文
共 50 条
  • [21] A framework for an evidence-based gene list relevant to autism spectrum disorder
    Christian P. Schaaf
    Catalina Betancur
    Ryan K. C. Yuen
    Jeremy R. Parr
    David H. Skuse
    Louise Gallagher
    Raphael A. Bernier
    Janet A. Buchanan
    Joseph D. Buxbaum
    Chun-An Chen
    Kira A. Dies
    Mayada Elsabbagh
    Helen V. Firth
    Thomas Frazier
    Ny Hoang
    Jennifer Howe
    Christian R. Marshall
    Jacques L. Michaud
    Olivia Rennie
    Peter Szatmari
    Wendy K. Chung
    Patrick F. Bolton
    Edwin H. Cook
    Stephen W. Scherer
    Jacob A. S. Vorstman
    Nature Reviews Genetics, 2020, 21 : 367 - 376
  • [22] Evidence-Based Social Communication Interventions for Children with Autism Spectrum Disorder
    Laci Watkins
    Michelle Kuhn
    Katherine Ledbetter-Cho
    Cindy Gevarter
    Mark O’Reilly
    The Indian Journal of Pediatrics, 2017, 84 : 68 - 75
  • [23] A framework for an evidence-based gene list relevant to autism spectrum disorder
    Schaaf, Christian P.
    Betancur, Catalina
    Yuen, Ryan K. C.
    Parr, Jeremy R.
    Skuse, David H.
    Gallagher, Louise
    Bernier, Raphael A.
    Buchanan, Janet A.
    Buxbaum, Joseph D.
    Chen, Chun-An
    Dies, Kira A.
    Elsabbagh, Mayada
    Firth, Helen V.
    Frazier, Thomas
    Hoang, Ny
    Howe, Jennifer
    Marshall, Christian R.
    Michaud, Jacques L.
    Rennie, Olivia
    Szatmari, Peter
    Chung, Wendy K.
    Bolton, Patrick F.
    Cook, Edwin H.
    Scherer, Stephen W.
    Vorstman, Jacob A. S.
    NATURE REVIEWS GENETICS, 2020, 21 (06) : 367 - 376
  • [25] Autism Spectrum Disorder: Public Policy Propositions for Evidence-Based Practices
    Nunes, Debora R. P.
    Schmidt, Carlo
    Nunes Sobrinho, Francisco de Paula
    EDUCATION POLICY ANALYSIS ARCHIVES, 2021, 29
  • [26] EXERCISE IDENTIFIED AS AN EVIDENCE-BASED PRACTICE FOR STUDENTS WITH AUTISM SPECTRUM DISORDER
    Bittner, Melissa
    McNamara, Scott
    Goudy, Leah
    Adams, David
    Dillon, Suzanna Rocco
    PALAESTRA, 2018, 32 (01) : 15 - 20
  • [27] Evidence-Based Social Communication Interventions for Children with Autism Spectrum Disorder
    Watkins, Laci
    Kuhn, Michelle
    Ledbetter-Cho, Katherine
    Gevarter, Cindy
    O'Reilly, Mark
    INDIAN JOURNAL OF PEDIATRICS, 2017, 84 (01): : 68 - 75
  • [28] Evidence-Based Strategies to Reduce Anxiety in Students With Autism Spectrum Disorder
    Barna, Jennifer
    Arter, Patricia
    Arban, Kathleen
    INTERVENTION IN SCHOOL AND CLINIC, 2024, 59 (04) : 236 - 242
  • [29] Evaluating Exercise as Evidence-Based Practice for Individuals with Autism Spectrum Disorder
    Dillon, Suzanna R.
    Adams, David
    Goudy, Leah
    Bittner, Melissa
    McNamara, Scott
    FRONTIERS IN PUBLIC HEALTH, 2017, 4