The onset of autism: patterns of symptom emergence in the first years of life
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Previous conceptualizations of autism have suggested that symptoms are evident either early in the first year of life or later in the second year, after a loss of previously acquired skills. New research suggests, however, that these two patterns do not capture all the different ways autism can emerge. For example, some children show a developmental plateau marked by failure to progress, while other children display mixed features, with both early delays and later losses evident. This article reviews the literature on autism onset, discusses problems with the traditional ways in which onset has been conceptualized, and provides recommendations for future research. We suggest that onset is better thought of as a dimensional process rather than dichotomous categories.
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Neurobiological evidence suggests that individuals with both ASD and language impairment show similar patterns of structural brain abnormalities in core language areas as those with SLI without ASD, whereas individuals with ASD without language impairment do not show this pattern.
“Neurobiological evidence suggests that individuals with both ASD and language impairment show similar patterns of structural brain abnormalities in the core language areas of the brain (for example, Wernicke’s and Broca’s areas) as those individuals with SLI without ASD, whereas individuals with ASD without language impairment do not show this pattern [56].”
From DSM-5 and autism spectrum disorders (ASDs): an opportunity for identifying ASD subtypes (2013) · cites this paper as [56]
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Experimental — accuracy not yet measuredPrevious longitudinal studies of high-risk infant siblings have suggested that ASD onset may be more complex and less homogeneous than previously understood, both with respect to timing and the consolidation of symptoms into a clear diagnostic profile.
“Previous longitudinal studies of high-risk infant siblings [23, 34, 52] have suggested that ASD onset may be more complex and less homogeneous than previously understood [1, 33, 35], both with respect to timing and the consolidation of symptoms into a clear diagnostic profile [51].”
From Behavioral, cognitive, and adaptive development in infants with autism spectrum disorder in the first 2 years of life (2015) · cites this paper as [33]
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- Authors
- Ozonoff, S., Heung, K., Byrd, R., Hansen, R., & Hertz‐Picciotto, I.
- Affiliations
- University of California, Davis (US)
- Corresponding author
- Ozonoff, Sally
- Venue
- Autism Research
- Publisher
- Wiley
- Published
- 2008-12
- Volume
- 1
- Issue
- 6
- Pages
- 320-328
- ISSN
- 1939-3792 (ISSN-L)
- 1939-3806
- PMC
- PMC2857525
- OpenAlex
- W1969908029
- Cited by
- 293
- References
- 67
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 13 · 2023: 32 · 2022: 29 · 2021: 33 · 2020: 20 · 2019: 25 · 2018: 22 · 2017: 21 · 2016: 15 · 2015: 15 · 2014: 8 · 2013: 13 · 2012: 14
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH068398)
- National Institute of Environmental Health Sciences (R01ES015359)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Keywords
- early childhood development, regression analysis, first year of life
- MeSH terms
- Autistic Disorder, Humans, Infant, Severity of Illness Index, Age of Onset, Early Diagnosis
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