Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior

ABSTRACT Purpose to examine the association between the early autism spectrum disorder (ASD) signs and developmental and behavioral performance of Brazilian children aged 18 to 34 months. Methods A cross-sectional study with 221 children recruited at public healthcare and early education services....

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Main Authors: Rafaela Silva Moreira, Marina Aguiar Pires Guimarães, Lívia de Castro Magalhães, Janaina Matos Moreira, Claudia Regina Lindgren Alves
Format: Article
Language:English
Published: Sociedade Brasileira de Fonoaudiologia 2025-07-01
Series:CoDAS
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000400301&lng=en&tlng=en
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author Rafaela Silva Moreira
Marina Aguiar Pires Guimarães
Lívia de Castro Magalhães
Janaina Matos Moreira
Claudia Regina Lindgren Alves
author_facet Rafaela Silva Moreira
Marina Aguiar Pires Guimarães
Lívia de Castro Magalhães
Janaina Matos Moreira
Claudia Regina Lindgren Alves
author_sort Rafaela Silva Moreira
collection DOAJ
description ABSTRACT Purpose to examine the association between the early autism spectrum disorder (ASD) signs and developmental and behavioral performance of Brazilian children aged 18 to 34 months. Methods A cross-sectional study with 221 children recruited at public healthcare and early education services. Early symptoms of ASD were screened using the Parental Observations of Social Interaction (POSI). Children's development and behavior were examined using the Ages and Stages Questionnaires (ASQ-3) and Survey of Well-being of Young Children (SWYC-BR). The results of children at risk for ASD were compared to the no-risk ones using Chi-square and t-test. Results The overall frequency of children at risk for ASD (POSI-positive screening) was 33% and did not differ across children's age range and gender. Children at risk for ASD showed worse socio-emotional behaviors (p=0.004) and lower scores for overall development (p=0.0001), communication (p=0.0007), fine motor (p=0.04), and personal-social domains (p=0.01). Differences between groups varied according to children's age and across developmental/behavioral domains and were more evident in older children. Children aged 30 to 34 months presented significant differences in overall development (p=0.001), behavior (p=0.004), and the personal-social domains (p=0.03). Conclusions The frequency of children at risk for ASD was higher than described in the literature. Also, the development and behavior of children at risk for ASD were significantly different from their peers and compatible with the presentation of ASD in young children. Our findings reinforce the need for systematic and holistic surveillance of child development during well-being visits to improve ASD early detection.
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spelling doaj-art-a43c467f07084fbf9e6e8c9c02d0ef122025-08-20T03:33:28ZengSociedade Brasileira de FonoaudiologiaCoDAS2317-17822025-07-0137410.1590/2317-1782/e20240306enEarly symptoms of autism spectrum disorders and association with Brazilian children's development and behaviorRafaela Silva Moreirahttps://orcid.org/0000-0003-1973-834XMarina Aguiar Pires Guimarãeshttps://orcid.org/0000-0003-2096-1629Lívia de Castro Magalhãeshttps://orcid.org/0000-0003-3391-2607Janaina Matos Moreirahttps://orcid.org/0000-0001-5369-9175Claudia Regina Lindgren Alveshttps://orcid.org/0000-0002-0885-1729ABSTRACT Purpose to examine the association between the early autism spectrum disorder (ASD) signs and developmental and behavioral performance of Brazilian children aged 18 to 34 months. Methods A cross-sectional study with 221 children recruited at public healthcare and early education services. Early symptoms of ASD were screened using the Parental Observations of Social Interaction (POSI). Children's development and behavior were examined using the Ages and Stages Questionnaires (ASQ-3) and Survey of Well-being of Young Children (SWYC-BR). The results of children at risk for ASD were compared to the no-risk ones using Chi-square and t-test. Results The overall frequency of children at risk for ASD (POSI-positive screening) was 33% and did not differ across children's age range and gender. Children at risk for ASD showed worse socio-emotional behaviors (p=0.004) and lower scores for overall development (p=0.0001), communication (p=0.0007), fine motor (p=0.04), and personal-social domains (p=0.01). Differences between groups varied according to children's age and across developmental/behavioral domains and were more evident in older children. Children aged 30 to 34 months presented significant differences in overall development (p=0.001), behavior (p=0.004), and the personal-social domains (p=0.03). Conclusions The frequency of children at risk for ASD was higher than described in the literature. Also, the development and behavior of children at risk for ASD were significantly different from their peers and compatible with the presentation of ASD in young children. Our findings reinforce the need for systematic and holistic surveillance of child development during well-being visits to improve ASD early detection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000400301&lng=en&tlng=enAutism Spectrum DisorderInfantsChild DevelopmentBehaviorScreening
spellingShingle Rafaela Silva Moreira
Marina Aguiar Pires Guimarães
Lívia de Castro Magalhães
Janaina Matos Moreira
Claudia Regina Lindgren Alves
Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
CoDAS
Autism Spectrum Disorder
Infants
Child Development
Behavior
Screening
title Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
title_full Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
title_fullStr Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
title_full_unstemmed Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
title_short Early symptoms of autism spectrum disorders and association with Brazilian children's development and behavior
title_sort early symptoms of autism spectrum disorders and association with brazilian children s development and behavior
topic Autism Spectrum Disorder
Infants
Child Development
Behavior
Screening
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822025000400301&lng=en&tlng=en
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