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Communicative and social-adaptive profile in children with autism spectrum disorder: a new approach based on the DSM-5 criteria

D. Garrido, M. García-Fernández, R. García-Retamero, G. Carballo [REV NEUROL 2017;65:49-56] PMID: 28675255 DOI: https://doi.org/10.33588/rn.6502.2017019

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Volumen 65 | Number 02 | Nº of views of the article 12.810 | Nº of PDF downloads 1.782 | Article publication date 16/07/2017

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ABSTRACT

INTRODUCTION Following the adoption of the new international diagnosis classification from the Diagnostic and Statistical Manual (DSM-5), autism spectrum disorder (ASD) has been established as a dimensional category that includes other disorders that were previously considered as separate entities. Previous research has shown that some people with this disorder exhibit different communicative and linguistic profiles. Therefore, contradictory results could be found among people who receive the same diagnosis.

AIM To distinguish structural language aspects (expression and comprehension), interactive aspects (pragmatics), and social adaptation between children with an ASD-level 1 of support and children with typical development.

SUBJECTS AND METHODS Seventeen children with Asperger syndrome (according to the DSM-IV-TR), and 20 children with typical development between 7 and 12 years old. We have equated diagnosis of Asperger syndrome with ASD-level 1 of support. We have evaluated intelligence quotient, communication, and social adaptation with direct and indirect standardized parental scales.

RESULTS We have found significant differences in comprehension (p = 0.025), interaction (p = 0.001), and social adaptation (p = 0.001) between the two groups.

CONCLUSIONS Subjects with ASD-level 1 of support demonstrate an average intelligence quotient, and good expressive structure (syntax and semantic level), which may be different from other children who receive the same diagnosis, due to the wide heterogeneity of the disorder. Nevertheless, our subjects have problems related to comprehension of grammar structure, pragmatics, and social adaptation. These difficulties could be related to emotional and social problems. KeywordsAutism spectrum disorder Directed and parental assessment Interaction Pragmatics Social adjustment Structural language CategoriesNeuropediatría Técnicas exploratorias

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Original

Communicative and social-adaptive profile in children with autism spectrum disorder: a new approach based on the DSM-5 criteria