Age‐ and sex‐related emotional and behavioral problems in children with autism spectrum disorders: Comparison with control children

Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age‐ and sex‐related differences of these problems...

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Published inPsychiatry and clinical neurosciences Vol. 68; no. 7; pp. 542 - 550
Main Authors Horiuchi, Fumie, Oka, Yasunori, Uno, Hiroyuki, Kawabe, Kentaro, Okada, Fumi, Saito, Isao, Tanigawa, Takeshi, Ueno, Shu‐ichi
Format Journal Article
LanguageEnglish
Published Australia Wiley Subscription Services, Inc 01.07.2014
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ISSN1323-1316
1440-1819
1440-1819
DOI10.1111/pcn.12164

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Abstract Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age‐ and sex‐related differences of these problems in ASD. Methods The study subjects were 173 patients with ASD (age: 4–16 years) and 173 age‐ and sex‐matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. Results The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age‐related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. Conclusion Emotional and behavioral problems are common in children with ASD and showed age‐ and sex‐related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.
AbstractList Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD. The study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. Emotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.
Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD. Methods The study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. Results The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. Conclusion Emotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention. [PUBLICATION ABSTRACT]
Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD. The study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. Emotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.
Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD.AIMChildren with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age- and sex-related differences of these problems in ASD.The study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups.METHODSThe study subjects were 173 patients with ASD (age: 4-16 years) and 173 age- and sex-matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups.The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age.RESULTSThe Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age-related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age.Emotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.CONCLUSIONEmotional and behavioral problems are common in children with ASD and showed age- and sex-related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.
Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during childhood, and affect future quality of life. The aim of this study was to clarify the age‐ and sex‐related differences of these problems in ASD. Methods The study subjects were 173 patients with ASD (age: 4–16 years) and 173 age‐ and sex‐matched community children (control group). The parent version of the Strengths and Difficulties Questionnaire was used for comparison of the emotional and behavioral problems between the two groups. Results The Strengths and Difficulties Questionnaire scores were significantly higher in children with ASD than controls at all ages. The score of total difficulties was significantly higher in girls with ASD than in boys, while the score in male controls was significantly higher than in female controls. Age‐related differences in emotional and behavioral problems were observed both in children with ASD and controls, but the characteristics were different: in children with ASD, emotional symptoms and peer problems in both sexes and conduct problems in girls increased significantly with age, while none of the problems in the controls changed with age except for a decrease in the score of hyperactivity/inattention developmentally in both sexes. Prosocial behaviors of children with ASD and controls showed small changes with age. Conclusion Emotional and behavioral problems are common in children with ASD and showed age‐ and sex‐related differences. Our study emphasizes the importance of recognizing those differences among children with ASD for early intervention.
Author Horiuchi, Fumie
Saito, Isao
Oka, Yasunori
Tanigawa, Takeshi
Ueno, Shu‐ichi
Kawabe, Kentaro
Okada, Fumi
Uno, Hiroyuki
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  surname: Okada
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  organization: Nagoya University
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  surname: Ueno
  fullname: Ueno, Shu‐ichi
  organization: Ehime University Graduate School of Medicine
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Keywords Strengths and Difficulties Questionnaire
emotional and behavioral problems
autism spectrum disorders
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Snippet Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially...
Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially during...
Aim Children with autism spectrum disorders (ASD) often present with emotional and behavioral problems, which could change the clinical course, especially...
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StartPage 542
SubjectTerms Adolescent
Age
Age Factors
Autism
autism spectrum disorders
Behavior
Child
Child Behavior Disorders - complications
Child Behavior Disorders - psychology
Child Development Disorders, Pervasive - complications
Child Development Disorders, Pervasive - psychology
Child psychology
Child, Preschool
Children & youth
emotional and behavioral problems
Emotions
Female
Humans
Male
Quality of Life
Sex Factors
Strengths and Difficulties Questionnaire
Title Age‐ and sex‐related emotional and behavioral problems in children with autism spectrum disorders: Comparison with control children
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fpcn.12164
https://www.ncbi.nlm.nih.gov/pubmed/24447342
https://www.proquest.com/docview/1542610770
https://www.proquest.com/docview/1543285702
https://www.proquest.com/docview/1547864332
Volume 68
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