Evidence map›Paper›PMID 32981352›Full record

ArticleAutism : the international journal of research and practice2021

Characteristics of toddlers with early versus later diagnosis of autism spectrum disorder.

Lauren E Miller, Yael G Dai, Deborah A Fein, Diana L Robins

Abstract read
In one paragraph

Article in Autism : the international journal of research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Age of Autism Spectrum Disorder Diagnosis and Patient-Centered Medical Home Components.Journal of clinical psychology in medical settings · 2025
    Observational
  13. Review
  14. Missed Early Intervention Opportunities for Children With Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  15. Article
  16. Article
  17. Autism in Preschool-Aged Children: The Effects of COVID-19 Lockdown.Journal of autism and developmental disorders · 2024
    Article
  18. Article
  19. Article
  20. Article
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

4 authors.

Lauren E MillerDepartment of Psychological Sciences, University of Connecticut, Storrs, CT, USA.ORCID 0000-0001-5631-527X
Yael G DaiDepartment of Psychological Sciences, University of Connecticut, Storrs, CT, USA.
Deborah A FeinDepartment of Psychological Sciences, University of Connecticut, Storrs, CT, USA.
Diana L RobinsA.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA.ORCID 0000-0002-7791-7031

Funding

Early Detection of Pervasive Developmental DisordersR01HD039961 · NICHD · UNIVERSITY OF CONNECTICUT STORRS · PI ROBINS, DIANA L · 2002 to 2018
$11.5M
NICHD NIH HHS R01 HD039961
6 · The paper itself

Abstract

lay abstractThe emergence of autism symptoms in childhood is variable, with some children showing signs of autism spectrum disorder very early, and others not being identified until much later. Although most children in the United States are not diagnosed with autism spectrum disorder until preschool, at ages 3-4 years, symptoms can be reliably detected at 14 months. It is less certain how those toddlers diagnosed with autism spectrum disorder earlier versus later differ from each other clinically. This study revealed that young children diagnosed later in development, between ages 25 and 41 months, are more impaired on measures of cognitive, adaptive, and social functioning than their counterparts who are diagnosed with autism spectrum disorder earlier. All young children with autism spectrum disorder are impaired in communication to a similar degree, however. Universal autism screening at 18 months may identify toddlers with autism spectrum disorder when their symptoms are milder and more readily amenable to intervention. Repeated screening at 24 months is supported to detect those children missed by an earlier screening, who may be more severely affected. Caregivers should be encouraged to pursue diagnostic evaluation at an initial positive screening result to ensure timely diagnosis and treatment.

Indexed as

Autism Spectrum DisorderAutistic DisorderAdultChild, PreschoolCommunicationDelayed DiagnosisEarly DiagnosisHumansMass Screeningautism spectrum disorderearly diagnosisearly identificationlater diagnosissymptom onset

Identifiers

PMID32981352
PMCPMC7870497

What OpenQuestion holds

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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.