ASD in Females: Are We Overstating the Gender Difference in Diagnosis?

@article{Kreiser2014ASDIF,
  title={ASD in Females: Are We Overstating the Gender Difference in Diagnosis?},
  author={Nicole L Kreiser and Susan W. White},
  journal={Clinical Child and Family Psychology Review},
  year={2014},
  volume={17},
  pages={67-84}
}
Autism spectrum disorder (ASD) is predominantly diagnosed in males. In explaining the differential rate of occurrence in males and females, biogenetic models have been proposed and studied, often to the exclusion of potential social or cultural factors that may influence different rates of diagnosis across the genders. In this theoretical paper, we consider sociocultural influences that may contribute to the differential expression of ASD in females and partially explain potential… 
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DOES GENDER INFLUENCE THE EVALUATION AND DIAGNOSIS OF AUTISM SPECTRUM DISORDER IN CHILDREN? Word count: 14,852
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Factors that might differentially impact whether girls or boys meet diagnostic criteria for autism spectrum disorder are examined and no significant gender differences between girls and boys with ASD are found.
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References

SHOWING 1-10 OF 126 REFERENCES
Sex Differences in the Timing of Identification Among Children and Adults with Autism Spectrum Disorders
TLDR
Differences by sex in the timing of identification of individuals with autism spectrum disorders (ASD) are examined in the Netherlands from 2,275 males and females with autistic disorder, Asperger’s syndrome and PDD-NOS.
Autism spectrum disorders: sex differences in autistic behaviour domains and coexisting psychopathology
TLDR
Examination of possible differences between high‐functioning males and females with autism spectrum disorder regarding the core symptoms of autism and coexisting psychopathology found significantly more symptoms in females than males, particularly social problems.
Sex Differences in Autism Spectrum Disorder: Evidence from a Large Sample of Children and Adolescents
Sex differences have been found amongst toddlers and young children with autism spectrum disorder (ASD). We investigated the presence and stability of these ASD sex differences throughout childhood
A Behavioral Comparison of Male and Female Adults with High Functioning Autism Spectrum Conditions
TLDR
The absence of typical sex differences in empathizing-systemizing profiles within the autism spectrum confirms a prediction from the extreme male brain theory and discusses the importance of the superficially better socio-communication ability in adult females with ASC in terms of why females withASC may more often go under-recognized, and receive their diagnosis later, than males.
How different are girls and boys above and below the diagnostic threshold for autism spectrum disorders?
Sex differences in cognitive domains and their clinical correlates in higher-functioning autism spectrum disorders
TLDR
The results indicated clinically meaningful cognitive sex differences in ASD, particularly an association between EF and stereotypic behaviours and interests, which might be more pronounced in males with ASD.
Social and demographic factors that influence the diagnosis of autistic spectrum disorders
TLDR
Evidence is provided that social as well as biological factors can influence whether children are brought to the clinic and Maternal depression before and around the time of their children’s autistic difficulties was associated with lack of diagnosis.
Social Worries and Difficulties: Autism and/or Social Anxiety Disorder?
In this chapter, we explore the phenotypic overlap between social anxiety disorder (SAD) and autism spectrum disorder (ASD), mechanisms through which social anxiety might arise in a person with ASD,
...
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