Abstract
Although gender disparity in ASD has been long documented, research addressing gender related to core ASD symptomatology (e.g., domains, severity, breadth, etc.) is scant. The present research examined gender differences in ASD symptomatology in three populations: infants and toddlers at risk for developmental disability, children and adolescents, and adults with intellectual disability (ID). No significant gender differences in ASD symptoms were found in the infant/toddler or child/adolescent populations. In the adult population, in participants with ID alone, females had higher endorsements of social (i.e., participation in social games, sports, and activities; interest in other’s side of the conversation; and imitation) and communication (i.e., interest in other’s side of the conversation and reading body language) impairments compared to males. This study has considerable implications in both the clinical and research realms as for diagnostic and assessment validity and prioritized treatment needs for females with ASD, as well as stimulating a future research agenda (i.e., considerations such as cognitive ability, comorbidity, course and age, qualitative symptom differences, social/environmental gender biases) in this area.
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Abbreviations
- ANCOVA:
-
Analysis of Covariance
- ANOVA:
-
Analysis of Variance
- ADI-R:
-
Autism Diagnostic Interview – Revised
- ADOS-G:
-
Autism Diagnostic Observation Schedule – Generic
- AQ:
-
Autism Quotient
- ASD-DA:
-
Autism Spectrum Disorders – Diagnostic – Adult Version
- ASD-DC:
-
Autism Spectrum Disorders – Diagnostic – Child Version
- ASD:
-
Autism Spectrum Disorders
- BISCUIT:
-
Baby and Infant Screen for Children with aUtism Traits
- BDI-2:
-
Battelle Developmental Inventory-Second Edition
- CBCL:
-
Child Behavior Checklist
- CARS:
-
Childhood Autism Rating Scale
- CDD:
-
Childhood Disintegrative Disorder
- DQ:
-
Developmental Quotient on the BDI-2
- DSM-IV TR:
-
Diagnostic and Statistical Manual of Mental Disorders 4th Edition, Text Revision
- DASH-II:
-
Diagnostic Assessment for the Severely Handicapped-II
- ITSEA:
-
Infant-Toddler Social and Emotional Assessment
- ID:
-
Intellectual Disability
- IQ:
-
Intelligence Quotient
- ICD-10:
-
International Classification of Diseases Tenth Edition
- MESSIER:
-
Matson Evaluation of Social Skills for Individuals with sEvere Retardation
- M-CHAT:
-
Modified CHecklist for Autism in Toddlers
- MANOVA:
-
Multivariate Analysis of Variance
- PDDNOS:
-
Pervasive Developmental Disorder Not Otherwise Specified
- Q-CHAT:
-
Quantitative CHecklist for Autism in Toddlers
- VABS:
-
Vineland Adaptive Behavior Scales
References
Achenbach, T. M., Rescorla, L. A., & Maruish, M. E. (2004). The achenbach system of empirically based assessment (ASEBA) for ages 1.5 to 18 Years the use of psychological testing for treatment planning and outcomes assessment: Volume 2: Instruments for children and adolescents (3rd ed., pp. 179–213). Mahwah: Lawrence Erlbaum Associates Publishers.
Allison, C., Baron-Cohen, S., Wheelwright, S., Charman, T., Richler, J., Pasco, G., et al. (2008). The Q-CHAT (quantitative checklist for autism in toddlers): A normally distributed quantitative measure of autistic traits at 18–24-months of age: Preliminary report. Journal of Autism and Developmental Disorders, 38(8), 1414–1425.
American Psychiatric Association [APA]. (2000). Diagnostic and statistical manual of mental disorders—text revision (4th ed.). Washington: APA.
Auyeung, B., Baron-Cohen, S., Wheelwright, S., & Allison, C. (2008). The autism spectrum quotient: Children’s version (AQ-child). Journal of Autism and Developmental Disorders, 38(7), 1230–1240.
Banach, R., Thompson, A., Goldberg, J., Tuff, L., Zwaigenbaum, L., & Mahoney, W. (2009). Brief report: Relationship between non-verbal IQ and gender in autism. Journal Of Autism and Developmental Disorders, 39(1), 188–193.
Baron-Cohen, S., Hoekstra, R. A., Knickmeyer, R., & Wheelwright, S. (2006). The autism-spectrum quotient (AQ)-adolescent version. Journal of Autism and Developmental Disorders, 36(3), 343–350.
Baron-Cohen, S., Wheelwright, S., Skinner, R., Martin, J., & Clubley, E. (2001). The autism-spectrum quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians. Journal of Autism and Developmental Disorders, 31(1), 5–17.
Bhasin, T. K., & Schendel, D. E. (2007). Sociodemographic risk factors for autism in a US metropolitan area. Journal of Autism and Developmental Disorders, 37(4), 667–677.
Carter, A. S., Black, D. O., Tewani, S., Connolly, C. E., Kadlec, M. B., & Tager-Flusberg, H. (2007). Sex differences in toddlers with autism spectrum disorders. Journal of Autism and Developmental Disorders, 37(1), 86–97.
Constantino, J. N., & Todd, R. D. (2003). Autistic traits in the general population: A twin study. Archives of General Psychiatry, 60(5), 524–530.
Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191.
Fombonne, E. (2003). Epidemiological surveys of autism and other pervasive developmental disorders: An update. Journal of Autism and Developmental Disorders, 33(4), 365–382.
Fombonne, E. (2005). The changing epidemiology of autism. Journal of Applied Research in Intellectual Disabilities, 18(4), 281–294.
Fombonne, E. (2007). Epidemiological surveys of pervasive developmental disorders. In F. R. Volkmar (Ed.), Autism and pervasive developmental disorders (2nd ed., pp. 33–68). New York: Cambridge University Press.
Fombonne, E., Heavey, L., Smeeth, L., Rodrigues, L., Cook, C., Smith, P., et al. (2004). Validation of the diagnosis of autism in general practitioner records. BMC Public Health, 4(5)
Gillberg, C. (2007). The autism spectrum. In J. W. Jacobson, J. A. Mulick, & J. Rojahn (Eds.), Handbook of intellectual and developmental disabilities (pp. 41–59). New York: Springer Publishing Co.
Goin-Kochel, R. P., Mackintosh, V. H., & Myers, B. J. (2006). How many doctors does it take to make an autism spectrum diagnosis? Autism, 10(5), 439–451.
Hodapp, R. M., & Dykens, E. M. (2005). Problems of girls and young women with mental retardation (intellectual disabilities). In D. J. Bell, S. L. Foster, & E. J. Mash (Eds.), Handbook of behavioral and emotional problems in girls (pp. 239–262). New York: Kluwer Academic/Plenum Publishers.
Holtmann, M., Bölte, S., & Poustka, F. (2007). Autism spectrum disorders: Sex differences in autistic behaviour domains and coexisting psychopathology. Developmental Medicine & Child Neurology, 49(5), 361–366.
Hus, V., Pickles, A., Cook, E. H., Risi, S., & Lord, C. (2007). Using the autism diagnostic interview-revised to increase phenotypic homogeneity in genetic studies of autism. Biological Psychiatry, 61(4), 438–448.
Kanner, L. (1971). Follow-up study of 11 autistic children originally reported in 1943. Journal of Autism & Childhood Schizophrenia, 1(2), 119–145.
Knickmeyer, R. C., Wheelwright, S., & Baron-Cohen, S. B. (2008). Sex-typical play: Masculinization/defeminization in girls with an autism spectrum condition. Journal of Autism And Developmental Disorders, 38(6), 1028–1035.
Koenig, K., & Tsatsanis, K. D. (2005). Pervasive developmental disorders in girls. In D. J. Bell, S. L. Foster, & E. J. Mash (Eds.), Handbook of behavioral and emotional problems in girls (pp. 211–237). New York: Kluwer Academic/Plenum Publishers.
Kopp, S., & Gillberg, C. (1992). Girls with social deficits and learning problems: Autism, atypical Asperger syndrome of a variant of these conditions. European Child & Adolescent Psychiatry, 1(2), 89–99.
Kopp, S., & Gillberg, C. (1997). Selective mutism: A population-based study: A research note. Journal of Child Psychology and Psychiatry, 38(2), 257–262.
Loat, C. S., Haworth, C. M. A., Plomin, R., & Craig, I. W. (2008). A model incorporating potential skewed X-inactivation in MZ girls suggests that X-linked QTLs exist for several social behaviours including autism spectrum disorder. Annals of Human Genetics, 72(6), 742–751.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule–generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223.
Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview–revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.
Lord, C., & Schopler, E. (1985). Differences in sex ratios in autism as a function of measured intelligence. Journal of Autism and Developmental Disorders, 15(2), 185–193.
Lord, C., Schopler, E., & Revicki, D. (1982). Sex differences in autism. Journal of Autism and Developmental Disorders, 12(4), 317–330.
Lotter, V. (1966). Epidemiology of autistic conditions in young children. Social Psychiatry and Psychiatric Epidemiology, 1(3), 124–135.
Matson, J. L. (1995). The Matson evaluation of social skills for individuals with severe retardation (MESSIER). Baton Rouge: Disability Consultants, LLC.
Matson, J. L., Boisjoli, J. A., & Dempsey, T. (2009). Factor structure of the autism spectrum disorders—diagnostic for children (ASD-DC). Journal of Developmental and Physical Disabilities, 21(3), 195–211.
Matson, J. L., Boisjoli, J. A., González, M. L., Smith, K. R., & Wilkins, J. (2007). Norms and cut off scores for the autism spectrum disorders diagnosis for adults (ASD-DA) with intellectual disability. Research in Autism Spectrum Disorders, 1(4), 330–338.
Matson, J. L., & González, M. L. (2007). Autism spectrum disorders - diagnostic - child version. Baton Rouge: Disability Consultants, LLC.
Matson, J. L., González, M. L., & Wilkins, J. (2009). Validity study of the autism spectrum disorders-diagnostic for children (ASD-DC). Research in Autism Spectrum Disorders, 3(1), 196–206.
Matson, J. L., Gonzalez, M. L., Wilkins, J., & Rivet, T. T. (2008). Reliability of the autism spectrum disorder-diagnostic for children (ASD-DC). Research in Autism Spectrum Disorders, 2(3), 533–545.
Matson, J. L., Hess, J., Mahan, S., Fodstad, J. (2011). Convergent validity of the autism spectrum disorder-diagnostic for children (ASD-DC) and autism diagnostic interview-revised (ADI-R). Research in Autism Spectrum Disorders
Matson, J. L., Mahan, S., Hess, J., Fodstad, J., Neal, D. (2011). Convergent validity of the autism spectrum disorder-diagnostic for children (ASD-DC) and childhood autism rating scales (CARS). Research in Autism Spectrum Disorders
Matson, J. L., Smiroldo, B. B., & Hastings, T. L. (1998). Validity of the autism/pervasive developmental disorder subscale of the diagnostic assessment for the severely handicapped-II. Journal of Autism and Developmental Disorders, 28(1), 77–81.
Matson, J. L., Terlonge, C., & González, M. L. (2006). Autism spectrum disorders - diagnostic - adult version. Baton Rouge: Disability Consultants, LLC.
Matson, J. L., Wilkins, J., Boisjoli, J. A., & Smith, K. R. (2008). The validity of the autism spectrum disorders-diagnosis for intellectually disabled adults (ASD-DA). Research in Developmental Disabilities, 29(6), 537–546.
Matson, J. L., Wilkins, J., & González, M. L. (2007). Reliability and factor structure of the autism spectrum disorders—diagnosis scale for intellectually disabled adults (ASD-DA). Journal of Developmental & Physical Disabilities, 19(6), 565–577.
Matson, J. L., Wilkins, J., Sevin, J. A., Knight, C., Boisjoli, J. A., & Sharp, B. (2009). Reliability and item content of the baby and infant screen for children with aUtIsm traits (BISCUIT): Parts 1–3. Research in Autism Spectrum Disorders, 3(2), 336–344.
Matson, J. L., Wilkins, J., Sharp, B., Knight, C., Sevin, J. A., & Boisjoli, J. A. (2009). Sensitivity and specificity of the baby and infant screen for children with aUtIsm traits (BISCUIT): Validity and cutoff scores for autism and PDD-NOS in toddlers. Research in Autism Spectrum Disorders, 3(4), 924–930.
McLennan, J. D., Lord, C., & Schopler, E. (1993). Sex differences in higher functioning people with autism. Journal of Autism and Developmental Disorders, 23, 217.
Newborg, J. (2005). Battelle developmental inventory (2nd ed.). Itasca: Riverside.
Nicholas, J. S., Charles, J. M., Carpenter, L. A., King, L. B., Jenner, W., & Spratt, E. G. (2008). Prevalence and characteristics of children with autism-spectrum disorders. Annals of Epidemiology, 18(2), 130–136.
Nilsson, E. W., Gillberg, C., Gillberg, I. C., & Råstam, M. (1999). Ten-year follow-up of adolescent-onset anorexia nervosa: Personality disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 38(11), 1389–1395.
Nishiyama, T., Taniai, H., Miyachi, T., Ozaki, K., Tomita, M., & Sumi, S. (2009). Genetic correlation between autistic traits and IQ in a population-based sample of twins with autism spectrum disorders (ASDs). Journal of Human Genetics, 54(1), 56–61.
Pilowsky, T., Yirmiya, N., Shulman, C., & Dover, R. (1998). The autism diagnostic interview-revised and the childhood autism rating scale: Differences between diagnostic systems and comparison between genders. Journal of Autism and Developmental Disorders, 28(2), 143–151.
Posserud, M.-B., Lundervold, A. J., & Gillberg, C. (2006). Autistic features in a total population of 7–9-year-old children assessed by the ASSQ (Autism spectrum screening questionnaire). Journal of Child Psychology and Psychiatry, and Allied Disciplines, 47(2), 167–175.
Rivet, T. T., & Matson, J. L. (2011). Review of gender differences in core symptomatology in autism spectrum disorders. Research in Autism Spectrum Disorders
Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.
Roid, G. H. (2003). Stanford-binet intelligence scales (5th ed.). Itasca: Riverside Publishing.
Roid, G. H., & Miller, L. J. (1997). Leiter international performance scale-revised. Wood Dale: Stoelting.
Ronald, A., Happé, F., Bolton, P., Butcher, L. M., Price, T. S., Wheelwright, S., et al. (2006). Genetic heterogeneity between the three components of the autism spectrum: A twin study. Journal of the American Academy of Child & Adolescent Psychiatry, 45(6), 691–699.
Rutter, M., Caspi, A., & Moffitt, T. (2003). Using sex differences in psychopathology to study causal mechanisms: Unifying issues and research strategies. Journal of Child Psychology & Psychiatry & Allied Disciplines, 44(8), 1092.
Siklos, S., & Kerns, K. A. (2007). Assessing the diagnostic experiences of a small sample of parents of children with autism spectrum disorders. Research in Developmental Disabilities, 28(1), 9–22.
Skuse, D. H. (2007). Rethinking the nature of genetic vulnerability to autistic spectrum disorders. Trends in Genetics, 23(8), 387–395.
Sparrow, S. S., Balla, D., & Cicchetti, D. (1984). The Vineland adaptive behavior scales (survey form). Circle Pines: American Guidance Service.
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Allyn & Bacon/Pearson Education.
Tsai, L., & Beisler, J. (1983). The development of sex differences in infantile autism. British Journal of Psychiatry, 142(4), 373.
Tsai, L., Stewart, M. A., & August, G. (1981). Implication of sex differences in the familial transmission of infantile autism. Journal of Autism and Developmental Disorders, 11(2), 165–173.
Volkmar, F. R., Szatmari, P., & Sparrow, S. S. (1993). Sex differences in pervasive developmental disorders. Journal of Autism and Developmental Disorders, 23(4), 579–591.
Williams, J. G., Allison, C., Scott, F. J., Bolton, P. F., Baron-Cohen, S., Matthews, F. E., et al. (2008). The childhood autism spectrum test (CAST): Sex differences. Journal of Autism and Developmental Disorders, 38(9), 1731–1739.
Wing, L. (1981a). Asperger’s syndrome: A clinical account. Psychological Medicine, 11(1), 115–129.
Wing, L. (1981b). Sex ratios in early childhood autism and related conditions. Psychiatry Research, 5(2), 129–137.
Wing, L., & Gould, J. (1979). Severe impairments of social interaction and associated abnormalities in children: Epidemiology and classification. Journal of Autism and Developmental Disorders, 9(1), 11–29.
Wing, L., & Potter, D. (2002). The epidemiology of autistic spectrum disorders: Is prevalence rising? Mental Retardation and Developmental Disabilities Research Reviews, 8(3), 151–161.
World Health Organization [WHO]. (1992). International Classification of Diseases (10th ed.). Geneva, Switzerland: WHO.
Yeargin-Allsopp, M., Rice, C., Karapurkar, T., Doernberg, N., Boyle, C., & Murphy, C. (2003). Prevalence of autism in a US metropolitan area. JAMA: Journal of the American Medical Association, 289(1), 49–55.
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Rivet, T.T., Matson, J.L. Gender Differences in Core Symptomatology in Autism Spectrum Disorders across the Lifespan. J Dev Phys Disabil 23, 399–420 (2011). https://doi.org/10.1007/s10882-011-9235-3
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DOI: https://doi.org/10.1007/s10882-011-9235-3