Psychology Today blogs

Neuroscience Blogs  

Has the prevalence of ASD actually increased over the past several years, or are we just better at diagnosing it?

After telling people that I am a researcher studying autism, I am often asked the above question. Unfortunately, there is no straight answer for this question. If one goes back in the literature, it is true that for decades (several studies conducted from 1966-late 1990's) the prevalence estimates were on the order of 4-5:10,000 while studies conducted over the past decade have estimated the prevalence on the order of 2-6:1,000 with one study showing as high as 12:1,000. So, why this difference? Is it a real increase in the prevalence of the disorder or something else?

My opinion, and I stress this is only an opinion is that it is likely a combination of several factors in no specific order.

1. We are certainly more aware of the specific deficits defining ASD now as compared to 10 or 20 years ago. Children who previously may have been given a general "Mental Retardation" diagnosis (on the lower end of the spectrum) or just considered socially awkward and not given a diagnosis are now recognized and being correctly diagnosed as having autism and Asperger's Syndrome.
2. The diagnostic criteria for Autism and Autism Spectrum Disorders have changed over the years with Asperger's Disorder only being included in the DSM in 1994.
3. There is now less of a stigma to being diagnosed with autism. In fact if the child has a diagnosis, they are likely to receive extra services from the state including educational services and therapy. Given this change in the stigmatization and opportunity for benefits, parents are perhaps more likely to actively request a diagnosis.
4. Children growing up now are exposed to many more environmental stimulation than children in the previous decades. The influence of the environment on neural development is clear and changes in the environment are much more likely to cause changes in prevalence than changes in genetic mutation over the course of several years.
5. ...?

So, the answer is, yes there seems to be an increase in prevalence over the past several years. But the cause of this apparent increase is still unclear. Whatever the cause, if approximately 24,000 children (just in the U.S. alone) are being diagnosed with a disorder, this is clearly a major public health concern that needs to be studied in an effort to understand the disorder, establish the necessary services for both the children and adults with ASD, and hopefully curtail the current epidemic.

 

Comments

environmental stimulation

Thanks, Lindsay. I'd love to hear your thoughts on potential environmental triggers, including the new study correlating autism rates and mercury-emitting power plants:
http://www.bizjournals.com/sanantonio/stories/2008/04/21/daily27.html


next blog entry

Dear Kaja,

Thank you for your comment. I would be happy to discuss mercury (and other "alternative") theories of autism in my next blog. Look for it next week.

Lindsay


genes?

Are there genetic theories for autism? I agree that the idea of such rapid genetic mutation is unlikely but could the environment be impacting gene combinations? I guess I have always wondered if there is a sudden increase in those who have autistic tendancies to meet, marry, and procreate. With so many dating websites and geographic shrinkage, I am beggining to think that there really might be someone for everyone. Could people who would normally be more socially isolative be more likely these days to be pushed into the mainstream and given the opportunity to pass on genes that are less socially adaptable?


genetics and autism

Hi Becky,

The new opportunities to meet people on the internet could certainly promote more people on the autism spectrum to find each other and "pass on their genes." This is an interesting observation.

Lindsay


Add comment

The content of this field is kept private and will not be shown publicly.
eight minus one equals
Solve this math question and enter the solution with digits. E.g. for "two plus four = ?" enter "6".

Blogger  

Find a Therapist
Choose the best match from
thousands of profiles.