Gender ratio in a clinical population sample, age of diagnosis and duration of assessment in children and adults with autism spectrum disorder.

This article reports on gender ratio, age of diagnosis and the duration of assessment procedures in autism spectrum disorder diagnosis in a national study which included all types of clinical services for children and adults. Findings are reported from a retrospective case note analysis undertaken with a representative sample of 150 Scottish children and adults recently diagnosed with autism spectrum disorder. The study reports key findings that the gender ratio in this consecutively referred cohort is lower than anticipated in some age groups and reduces with increasing age. The gender ratio in children, together with the significant difference in the mean age of referral and diagnosis for girls compared to boys, adds evidence of delayed recognition of autism spectrum disorder in younger girls. There was no significant difference in duration of assessment for males and females suggesting that delays in diagnosis of females occur prior to referral for assessment. Implications for practice and research are considered.

Concurrent processing of words and their replacements during speech.

Two picture naming experiments, in which an initial picture was occasionally replaced with another (target) picture, were conducted to study the temporal coordination of abandoning one word and resuming with another word in speech production. In Experiment 1, participants abandoned saying the initial name, and resumed with the name of the target picture. This triggered both interrupted (e.g., Mush- ...scooter) and completed (mushroom ...scooter) productions of the initial name. We found that the time from beginning naming the initial picture to ending it was longer when the target picture was visually degraded than when it was intact. In Experiment 2, participants abandoned saying the initial name, but without resuming. There was no visual degradation effect, and thus the effect did not seem to be driven by detection of the stopping cue. These findings demonstrate that planning a new word can begin before the initial word is abandoned, so that both words can be processed concurrently.