Characteristics of children with pervasive developmental disorders attending a developmental clinic in the Western Cape Province, South Africa
TLDR
The profile of children with PDD attending a tertiary hospital developmental clinic in the Western Cape revealed that a high proportion had severe language impairment, behavioural problems and complex autism.Abstract:
Background. Little has been published on autism in Africa, and it is not known whether South African children present with the same characteristics and challenges as described internationally. Objectives. To describe the demographics, history, clinical features, co-morbidity and yield of aetiological investigations in children diagnosed with a pervasive developmental disorder (PDD). Methods. This was a retrospective review of medical records of children fulfilling Diagnostic and Statistical Manual of Mental Disorders , 4th edition, text revision (DSM-IV-TR) criteria for a PDD who attended a tertiary developmental clinic at Tygerberg Hospital, Western Cape, South Africa, over a 2-year period (2008 - 2010). Results. Fifty-eight children were included. The median age at diagnosis was 42 months (range 15 - 106 months), and 45 (77.6%) were boys. Forty per cent had complex autism (dysmorphism with or without microcephaly), and 12.1% were macrocephalic. Most children (72.4%) were non-verbal (using fewer than 10 non-echoed words), and 89.0% had behavioural problems as reported by caregivers. The diagnostic yield of investigations was low. Conclusion. The profile of children with PDD attending a tertiary hospital developmental clinic in the Western Cape revealed that a high proportion had severe language impairment, behavioural problems and complex autism.read more
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References
More filters
Journal ArticleDOI
Autism as a strongly genetic disorder: evidence from a British twin study.
Anthony J. Bailey,A. Le Couteur,Irving I. Gottesman,Patrick Bolton,Emily Simonoff,E. Yuzda,Michael Rutter +6 more
TL;DR: The findings indicate that autism is under a high degree of genetic control and suggest the involvement of multiple genetic loci.
Journal ArticleDOI
Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007.
Michael D. Kogan,Stephen J. Blumberg,Laura A. Schieve,Coleen Boyle,James M. Perrin,Reem M. Ghandour,Gopal K. Singh,Bonnie Strickland,Edwin Trevathan,Peter C. van Dyck +9 more
TL;DR: The observed point-prevalence of autism spectrum disorder in the US is higher than previous US estimates, and more inclusive survey questions, increased population awareness, and improved screening and identification by providers may partly explain this finding.
Journal ArticleDOI
Intellectual disability and its relationship to autism spectrum disorders.
TL;DR: Current status and future directions for better understanding these two covarying disorders was reviewed along with a discussion of relevant strengths and weaknesses of the current body of research.
Journal ArticleDOI
Risk Factors for Autism: Perinatal Factors, Parental Psychiatric History, and Socioeconomic Status
Heidi Larsson,William W. Eaton,Kreesten Meldgaard Madsen,Mogens Vestergaard,Anne Vingaard Olesen,Esben Agerbo,Diana Schendel,Poul Thorsen,Preben Bo Mortensen +8 more
TL;DR: Results suggest that prenatal environmental factors and parental psychopathology are associated with the risk of autism, and these factors seem to act independently.