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A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan

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Abstract

A follow-up survey was conducted on 201 young adults with autism who were 18 or older (mean age, 21.5). All had participated previously in intensive therapeutic camping or had therapeutic involvement at medical consultation agencies to evaluate their outcome. Their social outcome was better than that previously reported in Japan. Although 31.5% had shown marked deterioration during adolescence, 43.2% had shown marked improvement during that period. Possible factors contributing to these results are discussed.

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References

  • American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: Author.

    Google Scholar 

  • Chung, S. Y., Luk, S. L., & Lee, P. W. H. (1990). A follow-up study of infantile autism in Hong Kong.Journal of Autism and Developmental Disorders, 20, 221–232.

    PubMed  Google Scholar 

  • Creak, M. (1963). Childhood psychosis.British Journal of Psychiatry, 109, 84–89.

    PubMed  Google Scholar 

  • DeMyer, M. K., Barton, S., DeMeyer, W. E., Norton, J. A., Allen, J., & Steele, R. (1973). Prognosis in autism: A follow-up study.Journal of Autism and Childhood Schizophrenia, 3, 199–246.

    PubMed  Google Scholar 

  • Deykin, E. Y., & MacMahon, B. (1979). The incidence of seizures among children with autistic symptoms.American Journal of Psychiatry, 136, 1310–1312.

    PubMed  Google Scholar 

  • Eisenberg, L. (1956). The autistic child in adolescence.American Journal of Psychiatry, 112, 607–612.

    PubMed  Google Scholar 

  • Frith, U. (1989).Autism: Explaining the enigma (pp. 51–67). Oxford: Basil Blackwell.

    Google Scholar 

  • Gillberg, C. (1989). Autism: Specific problems of adolescence. In C. Gillberg (ed.),Diagnosis and treatment of autism (pp. 375–382). New York: Plenum Press.

    Google Scholar 

  • Gillberg, C., & Schaumann, H. (1981). Infantile autism and puberty.Journal of Autism and Developmental Disorders, 11, 365–371.

    PubMed  Google Scholar 

  • Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty.Journal of Autism and Developmental Disorders, 17, 273–287.

    PubMed  Google Scholar 

  • Ishii, T. (1978). A long-term follow-up study of infantile autism [in Japanese].Japanese Journal of Clinical Psychiatry, 7, 907–912

    Google Scholar 

  • Kanner, L. (1943). Autistic disturbances of affective contact.Nervous Child, 2, 217–250.

    Google Scholar 

  • Kanner, L. (1971). Follow-up study of eleven autistic children: originally reported in 1943.Journal of Autism and childhood Schizophrenia, 1, 119–145.

    PubMed  Google Scholar 

  • Kobayashi, R. (1985). A clinical study of the mental development and the clinical course of autistic children [in Japanese with English abstract].Psychiatria et Neurologia Japonica, 87, 546–582.

    PubMed  Google Scholar 

  • Kobayashi, R. (1990).The psychosexual development of autistic children in adolescence. Paper presented at the 12th International Congress of International Association for Child and Adolescent Psychiatry and Allied Professions, Kyoto, Japan.

  • Kobayashi, R., & Murata, T. (1977). A consideration on the effects of therapeutic camping for autistic children [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 18, 221–234.

    Google Scholar 

  • Kobayashi, R., & Murata, T. (1989). Qu'est-ce qui est important pour que des autisties deviennet à l'âge adulte indépendants ou capables de subvenir à leurs besoin? In C. Chiland & J. G. Young (Eds.),L'enfant dans sa famille—Nouvelles approaches de la santé mentale de la naissance à l'adolescence pour l'enfant et sa famille (pp. 333–346). Paris: P.U.F.

    Google Scholar 

  • Kobayashi, R., & Shinbo, Y. (1990). Psychoeducational approach to the mothers of autistic children in adolescence [in Japanese].Japanese Journal of Developmental Psychology and Medicine, 1, 91–97.

    Google Scholar 

  • Lord, C., Schopler, E., & Revick, D. (1982). Sex differences in autism.Journal of Autism and Developmental Disorders, 12, 317–330.

    PubMed  Google Scholar 

  • Lotter, V. (1974a). Social adjustment and placement of autistic children in Middlesex: A follow-up study.Journal of Autism and Childhood schizophrenia, 4, 11–32.

    PubMed  Google Scholar 

  • Lotter, V. (1974b). Factors related to outcome in autistic children.Journal of Autism and Childhood Schizophrenia, 4, 263–277.

    PubMed  Google Scholar 

  • Maccoby, E. E., & Jacklin, C. N. (1980). Psychological sex differences. In M. Rutter (ed.),Scientific foundation of developmental psychiatry (pp. 92–100). London: Heinman.

    Google Scholar 

  • Mittler, P., Gilles, S., & Jukes, E. (1966). Prognosis in psychotic children: Report of a follow-up study.Journal of Mental Deficiency Research, 10, 73–83.

    PubMed  Google Scholar 

  • Murata, T., Sarada, Y., Inoue, T., Toya, H., Tanaka, H., Fujiwara, M., Okuma, H., & Nawa, A. (1975). A group therapy for autistic children organized by volunteer activities [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 16, 152–163.

    Google Scholar 

  • Ornitz, E. M. (1991). Developmental aspects of neurophysiology. In M. Lewis (Ed.),Child and adolescent psychiatry: A comprehensive textbook (pp. 38–51). Baltimore, MD: Williams & Wilkins.

    Google Scholar 

  • Pelling, H. (1989). Psychotherapeutical help in adolescence. In C. Gillberg (Ed.),Diagnosis and treatment of autism (pp. 413–418). New York: Plenum Press.

    Google Scholar 

  • Rutter, M., Greenfeld, D., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis; II. Social and behavioral outcome.British Journal of Psychiatry, 113, 1183–1199.

    PubMed  Google Scholar 

  • Rutter, M., & Lockyer, L. (1967). A five to fifteen year follow-up study of infantile psychosis: I. Description of sample.British Journal of Psychiatry, 113, 1169–1182.

    PubMed  Google Scholar 

  • Shirataki, S., Hanada, M., Kuromaru, S., Sugiura, Y., Uchida, S., Shimada, S., Masuda, I., Goto, T., & Yamada, T. (1984). Long-term follow-up study of 13 autistic children.Folia Psychiatrica et Neurologica, 38, 25–32.

    Google Scholar 

  • Soong, W. (1986).A follow-up study of autistic adolescents and adults in Taiwan: Speech, social and overall outcomes. Paper presented at the 6th annual meeting of Canadian Academy of Child Psychiatry, Whistler, B. C., Canada.

  • Sumi, T. (1952). A case of Kanner's “early infantile autism’ [in Japanese].Psychiatrica et Neurological Japonica, 54, 566.

    Google Scholar 

  • Tamai, S. (1979).A follow-up study of infantile autism. Yokosuka: Educational Foundation for Physically and Mentally Handicapped Children.

    Google Scholar 

  • Tsai, L., Stewart, M. A., & August, G. (1981). Implication of sex differences in the familiar transmission of infantile autism.Journal of Autism and Developmental Disorders, 11, 165–173.

    PubMed  Google Scholar 

  • Wakabayashi, S. (1980). Prognosis of infantile autism [in Japanese].Clinical Psychiatry, 22, 244–260.

    Google Scholar 

  • Wakabayashi, S., & Mizuno, M. (1975). A study on prognosis in autistic children [in Japanese with English abstract].Japanese Journal of Child Psychiatry, 16, 177–196.

    Google Scholar 

  • Wakabayashi, S., & Sugiyama, T. (1986). Autism in adults [in Japanese].Japanese Journal of Psychiatric Treatment, 1, 195–204.

    Google Scholar 

  • Wing, L. (1981). Sex ratio in early childhood autism and related conditions.Psychiatry Research, 5, 129–137.

    PubMed  Google Scholar 

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This paper was presented in the 12th Conference of the International Association of Child and Adolescent Psychiatry and Allied Professions in Kyoto, Japan, July 19, 1990. This research was supported by Grant-in-Aid for Scientific Research for Autism from the Ministry of Welfare of Fukuoka Prefecture in Japan and by Research-Aid from Western Welfare Foundation of Asahi Newspaper Industry.

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Kobayashi, R., Murata, T. & Yoshinaga, K. A follow-up study of 201 children with autism in Kyushu and Yamaguchi areas, Japan. J Autism Dev Disord 22, 395–411 (1992). https://doi.org/10.1007/BF01048242

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