{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:40:10Z","timestamp":1793173210549,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2004,11,26]],"date-time":"2004-11-26T00:00:00Z","timestamp":1101427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:p><jats:bold>Objective:\u2003<\/jats:bold> To establish a community database for children with autism spectrum disorder (ASD) to determine prevalence and identify subgroups based on key intellectual, clinical and family parameters.<\/jats:p><jats:p><jats:bold>Methods:\u2003<\/jats:bold> Data were collected for children previously diagnosed with an ASD in the Barwon region using parental interview and review of the child's paediatric and psychological records. Preschool diagnoses were typically made by specialist psychologists and school\u2010age diagnoses made by a multidisciplinary team.<\/jats:p><jats:p><jats:bold>Results:\u2003<\/jats:bold> One hundred and seventy\u2010seven children in the Barwon region were identified as having ASD (82% response rate). The prevalence of ASD was one per 255 children aged two to 17\u2003years. The prevalence increased 10 fold over a 16\u2010year period and this increase was relatively even across all levels of child intellectual functioning. Forty\u2010two percent of children were intellectually disabled (IQ\u2003&lt;\u200370) and performance IQ was significantly higher than verbal IQ but typical block design\u2010comprehension subtest patterns were not common. Nine sibling pair families were identified, 24% were labelled as having attention deficit hyperactivity disorder (ADHD), 6% had epilepsy, and 18.3% were macrocephalic where data were available. Family difficulty was associated with the degree of obsessions\/rituals, frequency and intensity of anger\/aggression, and ADHD but overall was not associated with the child's intellectual status.<\/jats:p><jats:p><jats:bold>Conclusions:\u2003<\/jats:bold> The relatively rapid increase in prevalence is consistent with overseas studies and suggests significant changes in diagnostic criteria, increasing community awareness and the need for support at all levels of intellectual functioning. Increased occurrence in siblings and relatives gives further evidence for a genetic cause.<\/jats:p>","DOI":"10.1111\/j.1440-1754.2004.00513.x","type":"journal-article","created":{"date-parts":[[2004,11,26]],"date-time":"2004-11-26T16:39:13Z","timestamp":1101487153000},"page":"696-701","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Childhood autism spectrum disorder in the Barwon region: A community based study"],"prefix":"10.1111","volume":"40","author":[{"given":"F","family":"Icasiano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Hewson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Machet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,11,26]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1300\/J019v19n04_02"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025058711465"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2003.00097.x"},{"key":"e_1_2_7_5_2","unstructured":"EisenmajerR.Autism: Is it a growing concern?Way Ahead2001;1\u22122."},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02172825"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1076\/chin.5.1.1.7075"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02178188"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/1469-7610.00423"},{"key":"e_1_2_7_10_2","first-page":"9","volume-title":"RANZCP National Conference, 2003;","author":"Williams K","year":"2003"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.2002.00859.x"},{"key":"e_1_2_7_12_2","volume-title":"CLib1991 catalogue no. 2720.0","author":"Australian Bureau of Statistics.","year":"1994"},{"key":"e_1_2_7_13_2","volume-title":"3235.2 Population by Age and Sex (Victoria).","author":"Australian Bureau of Statistics.","year":"2001"},{"key":"e_1_2_7_14_2","unstructured":"Department of Infrastructure.Regional Victoria in Fact: 1996 Census statistics for Victoria's Local Governement Areas.Crown Copyright 1998."},{"key":"e_1_2_7_15_2","volume-title":"Essentials of WISC\u2010III and WPPSI Assessment","author":"Kaufman A","year":"2000"},{"key":"e_1_2_7_16_2","volume-title":"Manual for the Wechsler Intelligence Scale for Children","author":"Wechsler D.","year":"1991"},{"key":"e_1_2_7_17_2","unstructured":"RileyM.Barwon Health region 1991 2001. 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