The course of diagnosis of autistic patients: the delay between recognition of the first symptoms by parents and correct diagnosis

Authors

OŠLEJŠKOVÁ Hana KONTROVÁ Ivana FORALOVÁ Renata DUŠEK Ladislav NÉMETHOVÁ Danka

Year of publication 2007
Type Article in Periodical
Magazine / Source Neuroendocrinology Letters
MU Faculty or unit

Faculty of Medicine

Citation
Field Neurology, neurosurgery, neurosciences
Keywords autism;first symptoms;diagnosis
Description The primary aim of the research was to find the delay between the first symptoms of an autistic disorder being recognized by parents and diagnosis in our centre. A secondary objective was to evaluate the number of contacts with professionals (physicians, teachers, and speech therapists) in which parents pointed out special manifestations seen in children and, in spite of that, the children were not referred to a specialist. A retrospective study assessed 204 children (59 girls, 145 boys) in total; 126 children (39 girls, 87 boys) with childhood autism (CHA), 57 (17 girls, 40 boys) with atypical autism (AA), and 21 (3 girls, 18 boys) with Aspergers syndrome (AS). The mean age at appearance of the first signs was 29.7 months, and the average age at diagnosis was 81.5 months. The mean delay in making a diagnosis was 51.3 months. The delay in diagnosis is shortest in patients with AA (a mean period of 4.4 months = 3 years and 8 months), longer in CHA patients (49.5 months = 4 years and 2 months), and longest in patients with AS (80.8 months = 6 years and 9 months). A statistically significant difference in the period to diagnosis was found between CHA and AS patients (p=0.023) and between AA and AS patients (p=0.019). The mean number of visits to physicians and other specialists before referring to a specialized centre for diagnosis in N=133 was 2.4. The diagnosis of autism is made late and early educational and behavioural interventions cannot be initiated.
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