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Evolutionary Trajectories in Children with Autism Spectrum Disorder

Received: 18 January 2022    Accepted: 11 February 2022    Published: 15 March 2022
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Abstract

Autism spectrum disorders are generally regarded as lifelong conditions, affecting communication, relationships, and adaptive skills. Studies on the developmental trajectories of people out of autism have found adequate adaptive social-communication skills, effective experiences of inclusion in regular education classrooms, normal intellective functioning, and an absence of typical autism symptomatology. It therefore seems plausible to start reading the ‘after autism’ psychopathological conditions in a continuum that features several possible clinical and non-clinical phenotypes. The present retrospective research aimed to examine the different developmental trajectories of 17 children with an original diagnosis of autism, evaluated in a follow-up approximately 5 years after the end of the therapy. The stability of the optimal outcomes is evidenced by the absence of clinical diagnostic criteria for autism spectrum disorder. However, some difficulties persisted in adaptive functioning, especially in the social domain, consistent with the dysfunctional core that characterized the clinical features of autism in childhood. Furthermore, many of the participants showed residual relational atypia, such as alterations in pragmatic communication, or a psycho-affective disorder, or specific developmental disorders. The presence of some residual atypia provides important food for thought, not only in orienting any therapy with which continue to support older children, but also for a greater understanding of the pathological core towards which has evolved the original diagnosis of autism.

Published in American Journal of Pediatrics (Volume 8, Issue 1)
DOI 10.11648/j.ajp.20220801.17
Page(s) 30-35
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Autism Spectrum Disorders, Developmental Trajectories, Follow up, Adaptive Functioning, Atypia

References
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[9] Tyson, K., Kelley, E., Fein, D., Orinstein, A., Troyb, E., Barton, M., & Helt, M. (2014). Language and verbal memory in individuals with a history of autism spectrum disorders who have achieved optimal outcomes. Journal of autism and developmental disorders, 44 (3), 648-663.
[10] Irvine, C. A., Eigsti, I. M., & Fein, D. A. (2016). Uh, um, and autism: filler disfluencies as pragmatic markers in adolescents with optimal outcomes from autism spectrum disorder. Journal of autism and developmental disorders, 46 (3), 1061-1070.
[11] Dell’Osso, L., & Lorenzi, P. (2018). L'ombra dell'autismo. Declinazioni cliniche e psicopatologiche dello spettro autistico sottosoglia. [The shadow of autism. Clinical declinations and psychopathology of the subthreshold autistic spectrum disorder]. Ed. Franco Angeli: Rome.
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[14] Fenton, G., D’Ardia, C., Valente, D., Del Vecchio, I., Fabrizi, A., & Bernabei, P. (2003). Vineland adaptive behavior profiles in children with autism and moderate to severe developmental delay. Autism, 7 (3), 269-287.
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Cite This Article
  • APA Style

    Magda Di Renzo, Federico Bianchi Di Castelbianco, Elena Vanadia, Massimiliano Petrillo, Monica Rea. (2022). Evolutionary Trajectories in Children with Autism Spectrum Disorder. American Journal of Pediatrics, 8(1), 30-35. https://doi.org/10.11648/j.ajp.20220801.17

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    ACS Style

    Magda Di Renzo; Federico Bianchi Di Castelbianco; Elena Vanadia; Massimiliano Petrillo; Monica Rea. Evolutionary Trajectories in Children with Autism Spectrum Disorder. Am. J. Pediatr. 2022, 8(1), 30-35. doi: 10.11648/j.ajp.20220801.17

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    AMA Style

    Magda Di Renzo, Federico Bianchi Di Castelbianco, Elena Vanadia, Massimiliano Petrillo, Monica Rea. Evolutionary Trajectories in Children with Autism Spectrum Disorder. Am J Pediatr. 2022;8(1):30-35. doi: 10.11648/j.ajp.20220801.17

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  • @article{10.11648/j.ajp.20220801.17,
      author = {Magda Di Renzo and Federico Bianchi Di Castelbianco and Elena Vanadia and Massimiliano Petrillo and Monica Rea},
      title = {Evolutionary Trajectories in Children with Autism Spectrum Disorder},
      journal = {American Journal of Pediatrics},
      volume = {8},
      number = {1},
      pages = {30-35},
      doi = {10.11648/j.ajp.20220801.17},
      url = {https://doi.org/10.11648/j.ajp.20220801.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20220801.17},
      abstract = {Autism spectrum disorders are generally regarded as lifelong conditions, affecting communication, relationships, and adaptive skills. Studies on the developmental trajectories of people out of autism have found adequate adaptive social-communication skills, effective experiences of inclusion in regular education classrooms, normal intellective functioning, and an absence of typical autism symptomatology. It therefore seems plausible to start reading the ‘after autism’ psychopathological conditions in a continuum that features several possible clinical and non-clinical phenotypes. The present retrospective research aimed to examine the different developmental trajectories of 17 children with an original diagnosis of autism, evaluated in a follow-up approximately 5 years after the end of the therapy. The stability of the optimal outcomes is evidenced by the absence of clinical diagnostic criteria for autism spectrum disorder. However, some difficulties persisted in adaptive functioning, especially in the social domain, consistent with the dysfunctional core that characterized the clinical features of autism in childhood. Furthermore, many of the participants showed residual relational atypia, such as alterations in pragmatic communication, or a psycho-affective disorder, or specific developmental disorders. The presence of some residual atypia provides important food for thought, not only in orienting any therapy with which continue to support older children, but also for a greater understanding of the pathological core towards which has evolved the original diagnosis of autism.},
     year = {2022}
    }
    

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    T1  - Evolutionary Trajectories in Children with Autism Spectrum Disorder
    AU  - Magda Di Renzo
    AU  - Federico Bianchi Di Castelbianco
    AU  - Elena Vanadia
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    AU  - Monica Rea
    Y1  - 2022/03/15
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    DO  - 10.11648/j.ajp.20220801.17
    T2  - American Journal of Pediatrics
    JF  - American Journal of Pediatrics
    JO  - American Journal of Pediatrics
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    UR  - https://doi.org/10.11648/j.ajp.20220801.17
    AB  - Autism spectrum disorders are generally regarded as lifelong conditions, affecting communication, relationships, and adaptive skills. Studies on the developmental trajectories of people out of autism have found adequate adaptive social-communication skills, effective experiences of inclusion in regular education classrooms, normal intellective functioning, and an absence of typical autism symptomatology. It therefore seems plausible to start reading the ‘after autism’ psychopathological conditions in a continuum that features several possible clinical and non-clinical phenotypes. The present retrospective research aimed to examine the different developmental trajectories of 17 children with an original diagnosis of autism, evaluated in a follow-up approximately 5 years after the end of the therapy. The stability of the optimal outcomes is evidenced by the absence of clinical diagnostic criteria for autism spectrum disorder. However, some difficulties persisted in adaptive functioning, especially in the social domain, consistent with the dysfunctional core that characterized the clinical features of autism in childhood. Furthermore, many of the participants showed residual relational atypia, such as alterations in pragmatic communication, or a psycho-affective disorder, or specific developmental disorders. The presence of some residual atypia provides important food for thought, not only in orienting any therapy with which continue to support older children, but also for a greater understanding of the pathological core towards which has evolved the original diagnosis of autism.
    VL  - 8
    IS  - 1
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Author Information
  • Clinical Department, Institute of Ortofonologia (IdO), Rome, Italy

  • Clinical Department, Institute of Ortofonologia (IdO), Rome, Italy

  • Clinical Department, Institute of Ortofonologia (IdO), Rome, Italy

  • Clinical Department, Institute of Ortofonologia (IdO), Rome, Italy

  • Clinical Department, Institute of Ortofonologia (IdO), Rome, Italy

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