Sex and gender impacts on the behavioural presentation and recognition of autism.

@article{Lai2019SexAG,
  title={Sex and gender impacts on the behavioural presentation and recognition of autism.},
  author={Meng-Chuan Lai and Peter Szatmari},
  journal={Current Opinion in Psychiatry},
  year={2019}
}
  • M. LaiP. Szatmari
  • Published 5 December 2019
  • Psychology, Biology
  • Current Opinion in Psychiatry
PURPOSE OF REVIEW With increasing awareness of potential differences of autism presentation in nonmale versus male individuals, this review summarizes the rapidly evolving literature on sex and gender impacts on autism across nosology, behavioural presentation, developmental change and contextual recognition biases. RECENT FINDINGS Most studies have not differentiated sex versus gender impacts. Regarding behavioural presentation, measurement invariance across sex/gender was found in several… 

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References

SHOWING 1-10 OF 94 REFERENCES

Gender and Age Differences in the Core Triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-analysis

There is an underrepresentation of females with ASD an average to high intelligence, and more research is needed into the female phenotype of ASD with development of appropriate instruments to detect and ascertain them.

Sex Differences in an Autism Spectrum Disorder Diagnosis: Are Restricted Repetitive Behaviors and Interests the Key?

Behavioral and neurophysiological RRBI findings are argued to argue that female presentations are qualitatively and quantitatively unique and should be taken into consideration for diagnostic measures.

Sex/Gender Differences and Autism: Setting the Scene for Future Research

Gender Differences and Similarities: Autism Symptomatology and Developmental Functioning in Young Children

Females with ASD had greater motor deficits and less communication impairment compared to their male counterparts as measured by the Battelle Developmental Inventory, 2nd Edition (BDI-2).

Gender comparisons in children with ASD entering early intervention.

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

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

It is proposed that ASD may be underidentified in affected females without co-occurring intellectual impairment, owing to a pattern of subtle yet potentially meaningful gender differences in symptom manifestation and gender inequities in research on the ASD phenotype that potentially contributes to biases in assessment tools and diagnostic practices.

Exploring sex differences in autistic traits: A factor analytic study of adults with autism

This study showed that the Autism Spectrum Quotient Short Form detects autistic traits equivalently in males and females and is not biased towards the male autism phenotype.

Sex/Gender Differences in Screening for Autism Spectrum Disorder: Implications for Evidence-Based Assessment

Results support the use of the SCQ in screening for ASD but do not indicate sex/gender-specific cutoffs and suggest careful attention to social communication/interaction deficits around 4–5 years of age may be especially useful for assessing ASD in girls.

The role of gender in the perception of autism symptom severity and future behavioral development

It is suggested that there are no gender differences in perceived symptom severity and associated degree of concern for 5-year-old boys and girls but that there is a gender difference in perceived future atypicality at 15 years old, with boys being rated as more likely to be perceived asAtypical by their peers at that age than girls.
...