4.5 Article

A Preliminary Epidemiologic Study of Social (Pragmatic) Communication Disorder Relative to Autism Spectrum Disorder and Developmental Disability Without Social Communication Deficits

Journal

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 51, Issue 8, Pages 2686-2696

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-020-04737-4

Keywords

Social communication disorder; Pragmatics; Autism spectrum disorder; Epidemiological study

Funding

  1. Centers for Disease Control and Prevention (CDC) [U10DD000180, U10DD000181, U10DD000182, U10DD000183, U10DD000184, U10DD000498]
  2. Research Career Enhancement for Established Investigators Award from the National Institutes of Deafness and Other Communicative Disorders, National Institutes of Health [K18DC017111]
  3. Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD), National Institutes of Health [T32HD007489]
  4. CDC Cooperative Agreement [U10DD001215]
  5. NICHD [U54HD090256]

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The study found that children with possible Social (Pragmatic) Communication Disorder (SCD) have elevated deficits in social communication and restricted and repetitive behavior compared to children with other developmental delay (DD), but do not reach the clinical threshold for autism spectrum disorder (ASD).
The goal of this preliminary investigation was to compare demographic and clinical characteristics in a sample of children with likely Social (Pragmatic) Communication Disorder (SCD) (N = 117) to those in children with possible (N = 118) and some (N = 126) SCD traits, other developmental delay (DD) (N = 91) and autism spectrum disorder (ASD) (N = 642). We used data from the Study to Explore Early Development (SEED), a multi-site case-control study. Items reflecting SCD DSM-5 criteria were selected from an autism diagnostic measure, with SCD categories identified by creating quartiles. Our results suggest that SCD may fall along a continuum involving elevated deficits (in comparison to DD with no SCD) in social communication and restricted and repetitive behavior that do not reach the clinical threshold for ASD.

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