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Editorial
. 2023 Feb;64(2):332-334.
doi: 10.1111/jcpp.13658. Epub 2022 Jun 30.

Editorial Perspective: Another look at 'optimal outcome' in autism spectrum disorder

Inge-Marie Eigsti  1   2 , Deborah Fein  1   3 , Caroline Larson  1   2
Affiliations
Editorial

Editorial Perspective: Another look at 'optimal outcome' in autism spectrum disorder

Inge-Marie Eigsti et al. J Child Psychol Psychiatry. 2023 Feb.

Abstract

This paper addresses the hypothesis that autism spectrum disorder features follow multiple long-term developmental trajectories, including an absence of symptoms that were present in childhood, by the time of adolescence. In early work on this topic, this circumstance was called an 'optimal outcome'. To better reflect the reality of multiple excellent outcomes regardless of whether autism spectrum disorder features are present or absent, including autonomy, daily living skills, communication skills, and relationships and employment/activities outside the home, the terminology 'loss of autism diagnosis' (LAD) has been proposed as a substitute. The paper also contextualizes an LAD outcome within research, practice and advocacy.

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References

    1. Anderson DK, Liang JW, & Lord C (2014). Predicting young adult outcome among more and less cognitively able individuals with autism spectrum disorders. Journal of Child Psychology and Psychiatry and Allied Disciplines, 55(5), 485–494. 10.1111/jcpp.12178 - DOI - PMC - PubMed
    1. Costello EJ, & Maughan B (2015). Annual research review: Optimal outcomes of child and adolescent mental illness. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(3), 324–341. 10.1111/jcpp.12371 - DOI - PMC - PubMed
    1. Fein D, Barton M, Eigsti IM, Kelley E, Naigles L, Schultz RT, Stevens M, Helt M, Orinstein A, Rosenthal M, Troyb E, & Tyson K (2013). Optimal outcome in individuals with a history of autism. Journal of Child Psychology and Psychiatry and Allied Disciplines, 54(2), 195–205. 10.1111/jcpp.12037 - DOI - PMC - PubMed
    1. Fein D, & Kamio Y (2014). Commentary on The Reason I Jump by Naoki Higashida. Journal of Developmental & Behavioral Pediatrics, 35(8), 539–542. - PubMed
    1. Fountain C, Winter AS, & Bearman PS (2012). Six developmental trajectories characterize children with autism. Pediatrics, 129(5). 10.1542/peds.2011-1601 - DOI - PMC - PubMed

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