Evidence map›Paper›PMID 42794240›Full record

ArticleChildren (Basel, Switzerland)2026

Clinical Profile of First-Time Diagnosis of Autism Spectrum Disorder in School-Aged Youth.

Kimberly Burkhart, Alyssa Palumbo, Kristen Sanford, Anna Olczyk, Nori Minich

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kimberly BurkhartUniversity Hospitals, Cleveland, OH 44106, USA.
Alyssa PalumboCollege of Medicine, The Ohio State University, Columbus, OH 43210, USA.
Kristen SanfordUniversity Hospitals, Cleveland, OH 44106, USA.
Anna OlczykUniversity Hospitals, Cleveland, OH 44106, USA.
Nori MinichSchool of Medicine, The Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0001-5448-220X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThere is limited research on clinical profiles of school-aged children receiving a first-time diagnosis of autism spectrum disorder (ASD) Level 1 and mixed findings related to sex differences in phenotype. This study aimed to describe the clinical profile of school-aged children receiving a first-time diagnosis of ASD Level 1, explore sex differences in phenotype by symptom severity and symptom domain profiles, and compare parent and teacher ratings on standardized measures of social, emotional, and behavioral functioning.

methodsA retrospective chart review of an ASD assessment clinic was completed. Eighty-one school-aged children were diagnosed with ASD Level 1. Measures of social, emotional, adaptive, and behavioral functioning were completed.

resultsFemales were significantly older at the time of diagnosis (M = 9.7 years) in comparison to males (M = 8.5 years). Additionally, over half of children diagnosed with ASD Level 1 presented with ADHD and over a third presented with an anxiety disorder. Approximately one-fourth of those diagnosed were currently taking psychotropic medication, and a substantial proportion had reported speech or language delay. Approximately half presented with food selectivity and sleep problems, with only 38% currently receiving behavioral health therapy services. Caregivers reported significantly higher internalizing symptoms and externalizing behavior on all Achenbach scales in comparison to teachers. Caregivers also reported significantly greater autism-specific social concerns. No statistically significant sex differences were found in parent or teacher ratings of domain scores. Based on caregiver reports, males demonstrated greater severity of aggressive behavior. Females displayed greater deficits in social communication and motivation based on both parent and teacher reports. Overall cognitive ability fell in the average range, while adaptive behavioral functioning was in the moderately low range.

conclusionsASD Level 1 in school-aged children presents a distinct clinical profile marked by high rates of co-occurring conditions (ADHD and anxiety), existing academic accommodations/modifications, physician referral for evaluation, and varied symptom severity by informant type, all of which may contribute to diagnostic overshadowing and delay, especially in females.

Indexed as

autism spectrum disorderfirst-time diagnosisschool-agedsex differences

Identifiers

PMID42794240
PMCPMC13605780

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