The prevalence of Autism and other Autism Spectrum Disorders (ASDs) has increased dramatically in recent years. The criterion for a clinical diagnosis of Autism, however, is independent from the special education eligibility requirements for Autism services. While the DSM-IV-TR provides a nationally-accepted definition for Autism and ASD, under…

This article criticizes the term "comorbidity" used to describe the overlap of developmental syndromes or disorders. Data from 179 school-age children are evaluated for criteria of seven disorders. Since fully 50 percent of the sample met the criteria for at least two diagnoses, the premise that these disorders are discrete categories on…

This population study of eight California birth cohorts (1987-1994) examined the degree to which improvements in detection and changes in diagnosis contribute to the observed increase in autism prevalence from 5.8 to 14.9 per 10,000. A decreasing prevalence of mental retardation without autism suggests that improvements in detection and changes in…

The cytogenetic survey of 67 individuals previously identified as having mental retardation and autistic behaviors revealed only 1.5 percent with the fragile X chromosome. The finding suggests that most persons with fragile X syndrome do not have autistic behaviors severe enough to be identified as a secondary psychiatric diagnosis. (Author/DB)

In a population of 425 individuals with Down's syndrome, 5 persons (1.2%) were identified as having Tourette's disorder. The lack of interrelationship between Down's syndrome and Tourette's disorder argues against an atypical Tourette's disorder. Diagnoses of tardive Tourette's disorder were based on absence of family history of Tourette's, late…

Preschool children (n=27) were followed for 2 to 12 years after stuttering onset. Findings indicated a marked deceleration in the mean frequency of stuttering-like disfluencies. Most of the reduction took place early, especially near the end of the first year postonset. Chronic and recovering stutterers could be distinguished by 20 months…

The study of 297 institutionalized adults with mental retardation found no symptom of Rett syndrome occurred more frequently in males than in females and no single cluster of symptoms appeared to differentiate males from females. Only females were found to meet the necessary criteria for diagnosis of Rett syndrome. (Author/DB)

Comparison of data on all children referred for suspected autism spectrum disorder (ASD) in the Australian Capital Territory in 1997 and 1989 found a 200% increase in ASD diagnoses in 1997 despite a population decrease; a wider age range in 1997; a 26% increase in milder cases; and a decrease in the ratio of boys to girls. (Contains references.)…

Interviews with parents of 87 preschool children within a year of a stuttering diagnosis found that onset tended to occur earlier than was previously thought and was sudden and/or severe in many cases; about twice as many boys as girls stuttered; and there was a positive relationship between severe stuttering and sudden onset. (DB)

Institutionalized patients with Down syndrome (N=307) were monitored for 5 to 10 years to determine prevalence of Alzheimer-type dementia. Prevalence increased from 11% between ages 40 and 49 to 77% between 60 and 69. All patients 70 and over had dementia. Mean age of onset of dementia was 56 years. Neuropathological findings were consistent with…

Clinical and neurophysiological findings for 28 patients (mean age 15 years) with mental retardation, autism, and epilepsy were described, including classification of seizure type and epileptic syndrome, etiology, severity of autism and epilepsy, electroencephalography findings, and neuroimaging findings. No particular epileptic syndrome…

This study found that the incidence of Gardnerella vaginalis infection was not more common in 191 female children who had other evidence of sexual contact than in 144 female children evaluated for possible sexual abuse but with no evidence of sexual contact found or in 31 female children with no suspected sexual contact. (Author/DB)

Subjects who self-reported episodes of abusing a child were compared to those without a history of child battery. It was concluded that self-identified child abusers have increased lifetime rates of antisocial personality disorder, alcoholism, and depression. (DB)

The use of standardized psychoeducational diagnostic instruments to identify learning disabilities was evaluated with 19 students (ages 7 to 13) with sensorineural hearing impairments. Students with hearing impairment were found to demonstrate learning disabilities with a frequency similar to that found in students with normal hearing, suggesting…

Three case reports of people with severe or profound mental retardation and Tourette disorder are presented. Issues related to the diagnosis of Tourette disorder in this population are discussed. (Author)