Social (Pragmatic) Communication Disorder and BAP

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Couldn't post full title as too long .


Abstract

The Diagnostic and Statistical Manual of Mental Disorders' (5th ed.) Social (Pragmatic) Communication Disorder is meant to capture the social elements of communication dysfunction in children who do not meet autism spectrum disorder criteria. It is unclear whether Social (Pragmatic) Communication Disorder captures these elements without overlapping with Autism Spectrum Disorder or the Diagnostic and Statistical Manual of Mental Disorders' (5th ed.) Language Disorder. Standardized behavioral assessments administered during a family genetics study were used to evaluate the social communication impairment and the restricted interests and repetitive behaviors in persons with autism spectrum disorder, language impairment, or neither. Social communication impairment and restricted interests and repetitive behavior were significantly correlated in all family members regardless of affection status. Rates of social communication impairment and restricted interests and repetitive behavior were highest in individuals with autism spectrum disorder. One-third of family members with language impairment presented with at least mild/moderate levels of social communication impairment (36.6%) and restricted interests and repetitive behavior (43.3%). A subset of unaffected members also presented with mild/moderate levels of social communication impairment (parents = 10.1%, siblings 11.6%) and restricted interests and repetitive behavior (parents = 14.0%, siblings = 22.1%). The majority of child family members with mild/moderate levels of social communication impairment had similar restricted interest and repetitive behavior levels reflecting criteria representing the Broad Autism Phenotype. These data suggest that social pragmatic communication disorder does not capture the profiles of children who have both social communication impairment and restricted interests and repetitive behavior but are in need of clinical services.
KEYWORDS:

autism spectrum disorder and (5th ed.); broad autism phenotype; language disorder; social communication; social pragmatic communication disorder

PMID:
30931583
DOI:
10.1177/1362361318822503


https://www.ncbi.nlm.nih.gov/pubmed/309 ... t=Abstract

Firemonkey: Did you get your assessment results back yet?

No- I still have to do the ADOS on May 3rd. A major reason for that,I believe, is that evidence of very early childhood is lacking. I am the oldest child with one parent still alive who is 88. His memory of 59+ years ago is , as he has admitted, very patchy.

I looked at my ASD assessment report, firemonkey, and I saw that I did the ADOS. I think it was standard practice. I wouldn't be concerned about the fact that you have to do one.

I'm a chronic worry wort and second guesser.

I understand. I'm the same way.

My mother is 80 and I didn't even tell her about my assessment, or about my results. She wasn't involved at all. Regardless, I was identified as autistic without any of my mother's input. Please don't worry that you won't know enough about your childhood. It's common that adults don't have as much parental input as younger children do, during diagnosis.

I think when it comes to the parents of late middle aged people, like myself , their idea of what's relevant to autism is sometimes based on the much more narrow criteria for it in the psst.

My mother calls autistic people ret*d and also thinks it's the same as Down Syndrome. She really has no idea. This is why I didn't bother including her at all.

The ironic thing is that the more I watch her, the more I think she is on the spectrum herself.