Evidence map›Paper›PMID 24799263›Full record

ArticleJournal of developmental and behavioral pediatrics : JDBP2014

Intervention for optimal outcome in children and adolescents with a history of autism.

Alyssa J Orinstein, Molly Helt, Eva Troyb, Katherine E Tyson, Marianne L Barton, Inge-Marie Eigsti, Letitia Naigles, Deborah A Fein

Abstract read
In one paragraph

Article in Journal of developmental and behavioral pediatrics : JDBP, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 4 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 4 syntheses or guidelines pooled it, 195 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Progress and opportunity in developmental neurobiology and youth mental health.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  11. Article
  12. The Influence of Policy on Early Diagnosis and Other Autism Services: A Narrative Review.Review journal of autism and developmental disorders · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Neurodiversity: A Behavior Analyst's Perspective.Perspectives on behavior science · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Alyssa J OrinsteinDepartment of Psychology, University of Connecticut, Storrs, CT.
Molly Helt
Eva Troyb
Katherine E Tyson
Marianne L Barton
Inge-Marie Eigsti
Letitia Naigles
Deborah A Fein
University of Connecticut · US

Funding

Language Functioning Optimal Outcome Children--AutismR01MH076189 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI FEIN, DEBORAH A. · 2006 to 2009
$2.0M
NIMH NIH HHS R01 MH076189NIMH NIH HHS R01MH076189
6 · The paper itself

Abstract

objectiveAutism spectrum disorders (ASDs) were once considered lifelong disorders, but recent findings indicate that some children with ASDs no longer meet diagnostic criteria for any ASD and reach normal cognitive function. These children are considered to have achieved "optimal outcomes" (OO). The present study aimed to retrospectively examine group differences in the intervention history of children and adolescents with OO and those with high-functioning autism (HFA).

methodThe current study examined intervention histories in 25 individuals with OO and 34 individuals with HFA (current age, 8-21 years), who did not differ on age, sex, nonverbal intelligence, or family income. Intervention history was collected through detailed parent questionnaires.

resultsChildren in the OO group had earlier parental concern, received earlier referrals to specialists, and had earlier and more intensive intervention than those in the HFA group. Substantially more children with OO than HFA received applied behavior analysis (ABA) therapy, although for children who received ABA, the intensity did not differ between the groups. Children in the HFA group were more likely to have received medication, especially antipsychotics and antidepressants. There were no group differences in the percent of children receiving special diets or supplements.

conclusionThese data suggest that OO individuals generally receive earlier, more intense interventions, and more ABA, whereas HFA individuals receive more pharmacologic treatments. Although the use of retrospective data is a clear limitation to the current study, the substantial differences in the reported provision of early intervention, and ABA in particular, is highly suggestive and should be replicated in prospective studies.

Indexed as

Outcome Assessment, Health CareAdolescentAdultBehavior TherapyChildChild Development Disorders, PervasiveEarly Intervention, EducationalHumansMaleRetrospective StudiesYoung Adult

Identifiers

PMID24799263
PMCPMC4487510
OpenAlexW2083955165

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.