ArticleThe Malaysian journal of medical sciences : MJMS2020
First Parental Concerns and Age at Diagnosis of Autism Spectrum Disorder: A Retrospective Review from Malaysia.
Article in The Malaysian journal of medical sciences : MJMS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Delayed Diagnosis of Autism Spectrum Disorder in Adolescent Boys.Advances in experimental medicine and biology · 2026Pooled it
- Parent concerns prior to an assessment of autism spectrum disorder: A systematic review.Autism : the international journal of research and practice · 2025Pooled it
- Exploring factors associated with autism spectrum disorder diagnosis among children in primary care clinics in Kelantan, Malaysia.BMC primary care · 2026Article
- Maternal emotional distress, caregiving burden, and service access among mothers of children with autism spectrum disorder: a qualitative study.Frontiers in psychiatry · 2026Article
- Autism spectrum disorder: Comorbidity and demographics in a clinical sample.International journal of developmental disabilities · 2024Article
- Article
- Developmental and family environment predictors of diagnostic decision-making in children with autism spectrum disorder and comorbid disorders.Health psychology report · 2022Article
- Autism Spectrum Disorder Diagnoses: A Comparison of Countries with Different Income Levels.Clinical epidemiology · 2022Review
- Central Auditory and Vestibular Dysfunction Are Key Features of Autism Spectrum Disorder.Frontiers in integrative neuroscience · 2021Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAutism spectrum disorder (ASD) is a neurodevelopmental disorder. This is the first study to examine first parental concerns in ASD in Malaysia. We examined: i) age and type of first parental concerns (AOC); ii) association between AOC and severity; iii) time lag between AOC and diagnosis; and iv) factors associated with diagnostic delay.
methodsMedical records of 366 patients (aged 1-18 years) with ASD, at the Developmental Paediatrics Clinic of University of Malaya Medical Centre (UMMC), Kuala Lumpur, were reviewed for this 16-month retrospective cohort study. A validated coding system was used for initial parent concerns. Severity was classified via the Diagnostic and Statistical Manual of Mental Disorders-5th edition (DSM-5) criteria. Time lag between AOC and age at diagnosis (AOD) was calculated. Potential predictors of delayed diagnosis were extracted.
resultsThree-quarters (75.1%) of parents had concerns by 36 months. Speech/language/communication concerns were most frequent (60.1%). Number of first concerns was significantly correlated with severity (social communication/interaction, SCI [
conclusionFirst parental concerns and AOD were comparable to studies across countries. Speech/communication delays may represent universal first parental recognition of ASD.
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