Abstract

This longitudinal investigation examined the development of emotional and behavioral functioning in school-age children with autism. The Child Behavior Checklist was obtained at baseline and after an average interval of 28.5 months from 13 boys with autism and 14 age- and gender-matched controls between the ages of 7 and 12 years at baseline. Children with autism demonstrated clinically significant elevations in several domains including Social, Thought, and Attention Problems. Children with autism exhibited significant improvements over time in Total, Externalizing, Social, and Oppositional Defiant Problems and Aggressive Behavior, while there were no changes over time in the controls. These findings suggest that children with autism may demonstrate improvements over time in some clinical domains such as social and behavioral functioning.

Highlights

  • Autism is a neurodevelopmental disorder characterized by the core symptoms of social/communication impairments, and repetitive behaviors [1]

  • Externalizing, Social, and Oppositional Defiant Problems and Aggressive Behavior, while there were no changes over time in the controls. These findings suggest that children with autism may demonstrate improvements over time in some clinical domains such as social and behavioral functioning

  • The diagnosis of autism was established through expert clinical evaluation and confirmed by two structured research diagnostic instruments including the Autism Diagnostic Interview-Revised (ADI-R) [18] and the Autism Diagnostic Observation Schedule (ADOS) [19]

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Summary

Introduction

Autism is a neurodevelopmental disorder characterized by the core symptoms of social/communication impairments, and repetitive behaviors [1]. Comorbid psychopathology, such as anxiety, attention- deficit/hyperactivity, and oppositional defiant disorders, is commonly present in individuals with this condition [2,3,4,5,6]. [12] , which examined behavioral problems in a sample of children and adolescents aged 3 to 18 years with autism spectrum disorders, parents reported substantial comorbidity with affective (26%), anxiety (25%), attentional (25%), conduct (16%), oppositional (15%), and somatic problems (6%) as measured by the Child Behavior Checklist (CBCL). The most frequent comorbid conditions in this sample included social anxiety, attention-deficit/hyperactivity disorder, and oppositional defiant disorder [13]

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