How do researchers know that the amount of kids with autism is increasing and not just the rate of kids being diagnosed is increasing?
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Like what was seen with the ADHD boom, one day doctors just started mass diagnosing kids with ADHD, The amount of kids with ADHD stayed the same, but the diagnoses rate changed.
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Answer:
It does seem that much (although people do disagree if it is all) of the rise is indeed diagnosis. A Forbes article on this: You will probably see a lot of headlines about the 1 in 50. Some organizations might even try to use those numbers to scare people, to talk about an âepidemicâ or a âtsunami.â But if you look at the numbers and the report itself, youâll see that overall, the numbers of people born with autism arenât necessarily increasing dramatically. Itâs just that weâre getting better and better at counting them. The next step is getting better at accepting autistic people, seeing their potential, and ensuring the supports and resources they need to fulfill that potential. http://www.forbes.com/sites/emilywillingham/2013/03/20/autism-prevalence-is-now-at-1-in-50-children/ The CDC report says: These findings suggest that the increase in prevalence of ASD may have resulted from improved ascertainment of ASD by doctors and other health care professionals in recent years, especially when the symptoms are mild. Changes in the ascertainment of ASD could occur because of changes in ASD awareness among parents or health care professionals, increased access to diagnostic services, changes in how screening tests or diagnostic criteria are used, or increased special education placements in the community. The report concludes: Increases in the prevalence of parent-reported ASD continued through 2011â2012, and much of the recent increaseâespecially for children aged 6â13âwas the result of diagnoses of children with previously unrecognized ASD.
Rupert Baines at Quora Visit the source
Other answers
I wish I could give you an answer, but in the case of my son, it was not diagnosed until he was 9. Why? Because there was too much bickering between the school district, his specialist, and the insurance over who would perform the testing, who would pay, IEP stuff. It was really an exhausting experience. I think maybe the rise maybe due to more school districts knowing the signs, especially of high functioning autism spectrum, which my son is. And maybe the insurance companies being forced to pay for some treatments now, as well as testing, make it more available.
Star Gay
After reading an article (source to be added upon request) that linked Magnesium Deficiency and Autism, "ADHD", and Depression, I started to take it as a supplement to see if it would improve my cognition and boost my moods. It does work for that- my mind was de-fogged and I felt happier. I knew it could not be a placebo effect because the mental fog that sweeps over me is profound and almost always unshakable. When an episode started, I popped a pill and noticed a marked difference in about an hour. Clarity returned. I'm saying all this because I do believe that many, many people are magnesium deficient. It is no longer in our soil, and therefore no longer in our food. There are still so many refined products that people eat, products that in one way or another get the Magnesium inadvertently removed. Far harder to come by are truly whole-grain products that provided enough of this mineral. In summary, even if it were not Magnesium deficiency per se that is causing the rapid increase in cases of autism diagnoses, it really must be some environmental, perhaps nutritional factor that is causing a lot of the trouble.
Shawn Standiford
Well, the fact is that probably rates of autism arenât increasing. A number of people who would have been diagnosed as mentally retarded two generations ago are now diagnosed as autistic, and this was probably done eyes-wide-open by some doctors. Two generations ago there was no place for autistic people who were more than mildly affected and couldnât function in a regular school classroom; the only place for them was a mental institution. There were, however, schools for the mentally retarded in most states. Autistic people who were capable of any learning could usually function fairly well in schools for the mentally retarded, especially autistic people who could speak.Since most lay people had not heard of autism (Iâm speaking of roughly 1940â1960), it was pretty easy to label an autistic child as mentally retarded, and not have it questioned. If any of the people at schools who received these children recognized what was happening, they were probably happy to deal with each child on a case-by-case basis. They knew what was in store for a child labeled autistic, and if the school for the mentally retarded could serve the child, he might as well carry the label âretarded.âIn the 1960s and early 1970s, a new label emerged, which has since been abandoned, called âchildhood schizophrenia.â It was simply a way of describing a type of autism, but no one realized it then. Autistic people had mostly been observed in institutional settings, and many of the things theyâd been observed doing were the result of years of institutionalization, not autism itself. So when people saw autism âin the wild,â so to speak, they werenât quite sure what to make of it, and came up with a new diagnostic category. It was abandoned in the late 1970s, and in the 1980s and 90s, adults who had been diagnosed with âchildhood schizophreniaâ and were still classified as schizophrenic had their diagnoses revised to autism, so many new cases of autism in the 80s and 90s were adults whose diagnoses were revised, not children who were genuine new cases; however, they still contributed to the swelling of numbers.The numbers continue to grow as a result of the awareness campaigns in the 90s and 2000s, because now many, many more children by an order of magnitude are presented for diagnosis in the first place.In 1940â1960, a school district might see a single child presented for a diagnosis in five years. From 1960â1970, it might be five a year, and the child might end up autistic, or with âchildhood schizophrenia.â Now itâs more like five per school, per year, although probably one in five doesnât receive the diagnosis, and still, only about five per year per district are âlow functioning,â and are the same children who would have been presented in 1960â70.So while many, many more people are high-functioning autistics, these are people who went undiagnosedâ the weird kid in school who did OK academicallyâ sometimes did very wellâ but never had any friends, and probably got picked on a lot.The number of kids who have little language and may seem bright in some ways, but function as retarded because of their communication deficits, and engage in some stimming activities, and are just generally obviously autistic, hasnât changed much. Thereâre more of them, because the population as a whole has grown, but as a percentage of the population, they have not really increased. Their numbers may go through fluxesâ they probably rose along with the rubella epidemic in the late 1960s when there was also a rise in the number of people born deaf, and they may be rising slightly now along with CP and ADHD, which appear to be linked to prematurity. There are lots of changes in society that may account for small fluctuations. Statistically, autism is slightly associated with elderly fathers (not middle-aged fathers, but men over fifty-six who father children); so drugs like Viagra may contribute to a minor spike in autism.There are a great number of variables. But as a percentage of the population, the number of kids with autism in the severe-profound range probably has not changed significantly. Most of the growth in the population has been in children with mild-moderate autism, and adults newly diagnosed, even if they had a revision of some other diagnosis, and were already in the system.
Rebekah Maccaby
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