Analysis Of Autism Spectrum Disorders

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One of the most characteristic features of Autism Spectrum Disorders (ASD) is its prominent higher prevalence among the male gender in comparison with the female gender. Although rates of ASD are consistent across cultures, these rates vary significantly by gender. It is the male gender that seems to be more affected by ASD with an average male-to-female ratio of 4.2:1, affecting 1 in 70 males and only 1 in 315 females (Fombonne, 2009). Although a well-known fact, the causes for such a great difference among sex ratios still remains unexplained, there are several hypotheses and studies trying to explain the reason for this inequality. In this paper I will outline some of the different attempts to explain the differences between the sex ratios. Among these attempts we can find diverse hypotheses that vary from the role of the sex hormones and genetic vulnerability to the biases of medical professionals during the diagnostic process (Goldman, 2013).
Researching on perinatal and neonatal risk factors for autism, Gardener suggested that boys are more vulnerable to a variety of prenatal insults (e.g., infection, malnutrition, stress) and for some reason they might be more prone to genetic mutations leading to autism (Goldman, 2013).
Other researchers propose that girls are more resilient to these prenatal factors. Among the theories that favor this protective feature, we find those ones that defend a higher exposure to female sex hormones and to oxytocin at critical periods of fetal development (Goldman, 2013). However, little research has proven the protective effect of female sex hormones (Robinson, Lichtenstein, Anckarsäterd, Happée, & Ronalde, 2013).
Another hypothesis is that male preponderance could be due to females needing a l...

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...hat the difference in diagnoses among genders may be in part due to the bias of the diagnostic tools. ASDs are diagnosed using a clinical tool called Autism Diagnostic Observation Schedule (ADOS) or by using a parent report format with the Autism Diagnostic Interview-Revised (ADI-R) (Goldman, 2013). The child’s expected behaviors in accordance to societal norms for his/her gender, vary greatly depending on whether the child is a male for female, thus generating a gender bias in the diagnostic process. The only widely accepted screening tool to consider gender differences is the Social Responsiveness Scale (SRS) (Goldman, 2013).
Having reviewed several articles and internet sources, I have learned that there is not conclusive proof of what produces the differences between male and female ratios. The causes of Autism seem to be a still broad field for investigation.

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