PTOTSLPOtherJournal of autism and developmental disorders2025

Utilising Behavioural and Sensory Profiles and Associated Perinatal Factors to Identify Meaningful Subgroups in Autism Spectrum Disorder.

Jane Shirley, James Rufus John, Alicia Montgomery and 2 others

PMID 38842670

WHAT IT FOUND

Analysis of 1168 autistic children identified four distinct subgroups based on behavioural, sensory, and perinatal profiles.

One group had the most adaptive skill concerns with natal complications, while another showed the highest sensory impairment linked to maternal health factors, suggesting different support needs.

Key findings

01The analysis identified four distinct subgroups of autistic children differentiated by their behavioural, sensory, and perinatal profiles.

02Class 2, comprising 33.19% of the sample, had the most adaptive behavioural skills concerns and significant exposure to natal and postnatal determinants.

03Class 4, comprising 8.62% of the sample, displayed the most sensory impairment and had the highest probability of exposure to perinatal determinants like maternal obesity and hypertension.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The analysis relied on parent-reported data, which is prone to recall bias. Medical and psychiatric comorbidities of the child were not included in the latent variables, despite being significant contributors to the autism phenotype. The study included both children with a confirmed diagnosis and those suspected of having ASD, which may mix distinct clinical profiles. Age at the time of behavioural and sensory scoring was not accounted for in the analysis, potentially confounding the profiles. The subgroups are statistical constructs and have not yet been validated for clinical utility or treatment response.

Declared interests

The funder named is the University of New South Wales. No other conflicts of interest are explicitly detailed in the provided text.

The easy way to misread this

Do not assume these statistical subgroups represent clinically validated diagnoses or that they dictate specific treatment outcomes. The study identifies associations between perinatal factors and profiles, but it does not prove causation or demonstrate that interventions tailored to these groups will be more effective.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →