Multisystem Developmental Disorder in Children from 2 to 6 Years Old: A Three Years Follow-Up Study

Ester Pla, Rosa M. Galceran, Olga Casas, Ferran Viñas, Júlia Clara Buscató

Cdiap Integra Garrotxa, Olot. Education and Psychology Faculty, University of Girona, Girona, Spain.
Cdiap Oreig, Palamòs, Spain.
Cdiap Pacem, Figueres, Spain.
Cdiap Ramon Noguera, Girona, Spain.
Education and Psychology Faculty, University of Girona, Girona, Spain.

DOI: 10.4236/psych.2014.57076                

Abstract

This research studied children who had been diagnosed with Multisystem Developmental Disorder (MSDD) (NC, 2002) under the Diagnostic Classifications of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC: 0 - 3). They all showed, to a varying degree, difficulties in relating to others, play, affective interaction and severe delay in developing communication skills. Some studies have observed continuity in the diagnosis of autism during the first years of life. The objective of this study is to analyse the development of infants with MSDD whose diagnosis of autism was not confirmed. We also attempted to verify any possible psychomotor developmental differences based on, or related to, the severity and typology (B and C) of the MSDD. To enable us to do this we carried out a 3-year follow-up during which we assessed the infants (n = 15) and their parents. They are 2 - 4 years old. Results showed that type B children did present a greater impairment of psychomotor development in assessment tests. However, we did not observe any correlation between the degree of severity of the initial symptoms and later diagnoses. Conclusion: although our sample is small, we can conclude that there isn’t a clear evolution in the diagnosis, but we have found significant differences in the symptomatology between the type B and C.

Keywords

Multisystem Developmental Disorder (MSDD), Development, Diagnosis, Early Childhood, Autism Spectrum Disorder (ASD)

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	American Psychiatric Association (APA) (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
[2]	Charman, T., Taylor, E., Drew, A., Cockerill, H., Brown, J. A., & Baird, G. (2005). Outcome at 7 Years of Children Diagnosed with Autism at Age 2: Predictive Validity of Assessments Conducted at 2 and 3 Years of Age and Pattern of Symbol Change over Time. Journal of Child Psychology and Psychiatry, 46, 500-513. http://dx.doi.org/10.1111/j.1469-7610.2004.00377.x
[3]	Chawarska, K., Klin, A., Paul, R., & Volkmar, F. (2007). Autism Spectrum Disorder in the Second Year: Stability and Change in Syndrome Expression. Journal of Psychology and Psychiatry, 48, 128-138. http://dx.doi.org/10.1111/j.1469-7610.2006.01685.x
[4]	Dawson, G. (2008). Early Behavioral Intervention, Brain Plasticity, and the Prevention of Autism Spectrum Disorder. Development and Psychopathology, 20, 775-803. http://dx.doi.org/10.1017/S0954579408000370
[5]	Jane, M. C., Capdevila, R. M., & Domenech, E. (1994) Autism Assessment Scale (ATA). Revista de Psiquiatría Infanto-Juvenil, 4, 254-263.
[6]	Landa, R., & Garret-Mayer, E. (2006). Development in Infants with Autism Spectrum Disorder: A Prospective Study. Journal of Child Psychology and Psychiatry, 47, 629-638. http://dx.doi.org/10.1111/j.1469-7610.2006.01531.x
[7]	Lord, C. (1995). Follow-Up of Two-Year-Olds Referred for Possible Autism. Journal of Child Psychology and Psychiatry, 36, 1365-1382. http://dx.doi.org/10.1111/j.1469-7610.1995.tb01669.x
[8]	Mahoney, G., & Perales, F. (2005). Relationship-Focused Early Intervention With Children With Pervasive Developmental Disorders and Other Disabilities: A Comparative Study. Journal of Developmental and Behavioral Pediatrics, 26, 77-85. http://dx.doi.org/10.1097/00004703-200504000-00002
[9]	McConachie, H., & Diggle, T. (2007). Parent Implemented Early Intervention for Young Children with Autism Spectrum Disorder: A Systematic Review. Journal of Evaluation and Clinical Practice, 13, 120-129. http://dx.doi.org/10.1111/j.1365-2753.2006.00674.x
[10]	Mendoza, E, & Munoz, J. (2005). Del trastorno especifo del lenguaje al autismo. Revista de Neurología, 41, S91-S98.
[11]	National Center for Clinical Infant Program (2002). Classification 0-3. Barcelona: Paidós.
[12]	Newborg, J. (2005). Battelle Developmental Inventory. Barcelona: TEA Editions.
[13]	Osterling, J., Dawson, G., & Munson J. (2002). Early Recognition of 1-Year-Old Infants with Autism Spectrum Disorder versus Mental Retardation: A Study of First Birthday Party Home Videotapes. Development and Psychopathology, 14, 239-251. http://dx.doi.org/10.1017/S0954579402002031
[14]	Rutter, M., Le Couteur, A., & Lord, C. (Adaptadores: V. Nanclares-Nogues, A. Cordero, & P. Santamaría) (2006). Scale ADI-R. Barcelona: TEA Ediciones.
[15]	Sprafkin, J., & Gadow, K. D. (1996). Early Childhood Symptom Inventories. Nueva York: Checkmate Plus.
[16]	Sullivan, M., Finelli, J., Marvin, A., Garret-Mayer, E., Bauman, M., & Landa, R. (2007). Response to Joint Attention in Toddler at Risk for Autism Spectrum Disorder: A Prospective Study. Journal of Autism Developmental Disorders, 37, 37-48. http://dx.doi.org/10.1007/s10803-006-0335-3
[17]	Turner, L. M., Stone, W. L., Pozdol, S. L., & Coonrod, E. E. (2006). Follow-Up of Children with Autism Spectrum Disorder from Age 2 to Age 9. Autism, 10, 243-265. http://dx.doi.org/10.1177/1362361306063296
[18]	Ventola, P., Kleinman, J., & Pandey, J. (2007). Differentiating between Autism Spectrum Disorders and Other Developmental Disabilities in Children Who Failed a Screening Instrument for ADS. Journal of Autism and Developmental Disorders, 37, 425-436. http://dx.doi.org/10.1007/s10803-006-0177-z