Sex Differences in Autistic Youth Born Extremely Preterm.

Purpose: To evaluate sex differences in autistic traits in youth born extremely preterm (EP; 23–27 weeks) who were later diagnosed with autism spectrum disorder (ASD) at 10-years. Method: A longitudinal cohort design from the Extremely Low Gestational Age Newborn Study (ELGAN) followed N = 857 EP in...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 56; no. 2; pp. 830 - 838
Autores principales: McFayden, Tyler C., Harrop, Clare, Roell, Kyle, Joseph, Robert M., Fry, Rebecca C., O'Shea, T. Michael
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2026
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-024-06319-0
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        atl: Sex Differences in Autistic Youth Born Extremely Preterm.
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        au:
          McFayden, Tyler C.
          Harrop, Clare
          Roell, Kyle
          Joseph, Robert M.
          Fry, Rebecca C.
          O'Shea, T. Michael
        affil: https://ror.org/0130frc33 Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
      sug:
        subj:
          Autism Spectrum Disorder Diagnosis
          Sex Factors Evaluation
          Infant, Premature
          Human
          Funding Source
          Male
          Female
          Nonexperimental Studies
          Prospective Studies
          United States
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Probability
          Scales
          Checklists
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          Questionnaires
          T-Tests
          Wilcoxon Signed Rank Test
          Fisher's Exact Test
          Descriptive Statistics
          Data Analysis Software
          Communication
          Adolescence
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: To evaluate sex differences in autistic traits in youth born extremely preterm (EP; 23–27 weeks) who were later diagnosed with autism spectrum disorder (ASD) at 10-years. Method: A longitudinal cohort design from the Extremely Low Gestational Age Newborn Study (ELGAN) followed N = 857 EP infants from birth through 10-years. EP infants later diagnosed with ASD (N = 61, 20 females) participated in the study. Group differences were evaluated via inferential and Bayesian statistics (values > 1 suggest evidence for alternate hypothesis) on ASD screeners (M-CHAT at 2-years, SCQ and SRS-2 at 10-years), and gold-standard diagnostic measures (ADOS-2, ADI-R) at 10-years. Results: Males scored significantly higher than females on measures of Social Affect from the ADOS-2, t(34.27)=-2.20, BF10 = 2.33, and measures of Repetitive and Restricted Behaviors from the ADI-R, t(40.52)=-2.85, BF10 = 5.26. Bayesian estimates suggested marginal evidence for sex differences in Nonverbal Communication, t(30.66)=-1.81, BF10 = 1.25, and Verbal Communication, t(24.64)=-1.89, BF10 = 1.39, from the ADI-R, wherein males scored higher than females. No statistically significant sex differences were identified on any of the ASD screeners at 2 (M-CHAT) or 10 years (SCQ). No significant sex differences were observed on any subscales of the SRS at 10 years. Conclusions: EP autistic males present with more autistic traits than EP autistic females on gold-standard diagnostic measures of autism at 10-years of age, despite not presenting with higher autistic traits on screeners at either age. These results align with sex differences observed in full-term, autistic youth. These results suggest ASD screeners may under identify autism in EP youth, particularly females.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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