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Content loaded within last 14 days An exploration of the Pathological (or Extreme) Demand Avoidant profile in children referred for an autism diagnostic assessment using data from ADOS-2 assessments and their developmental histories

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This paper is in two parts. The first part analyses the scores on Module 3 of the ADOS-2 of 136 children diagnosed with autism following an autism diagnostic assessment at a specialist multidisciplinary clinic. From all the information collected during the assessment, it was concluded that 65 (47 per cent) of the children in this sample had both autism and a Pathological Demand Avoidant (PDA) profile. The authors therefore compared scores on Module 3 of the ADOS-2 of the two groups. They concluded that these scores successfully differentiated children with autism only, from those with autism with a PDA profile. The ADOS-2, Module 3 may therefore be a useful assessment tool for qualified clinicians to use as part of their diagnostic formulation. The authors acknowledge that this does not constitute evidence that autism with a PDA profile is a discrete autism subgroup or that similar types of behaviours to those observed in the PDA profile are never observed in other groups of children, as this study only included children diagnosed with autism.
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Document Type: Research Article

Publication date: October 1, 2020

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  • Good Autism Practice is dedicated solely to promoting good practice with children and adults with autism and Asperger's syndrome.
    Each journal includes articles:
    • encouraging good and innovative practice
    • written by practitioners, academics, parents and people with autism
    The journal is edited by highly respected academics and practitioners specialising in autistic spectrum conditions and will be of interest to parents and practitioners in health, education and social services, as well as people who have autistic spectrum conditions.
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