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Protective effect or missed diagnosis? Females with autism spectrum disorder

Hull, L; Mandy, W; (2017) Protective effect or missed diagnosis? Females with autism spectrum disorder. Future Neurology , 12 (3) pp. 159-169. 10.2217/fnl-2017-0006. Green open access

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Abstract

Autism spectrum disorder (ASD) has historically been diagnosed more frequently in males than females. One explanation for this is the ‘female protective effect’: that there is something inherent in being female that makes girls and women less susceptible to ASD. Another possibility is that ASD is under-diagnosed in girls and women, due to the existence of a ‘female autism phenotype’, which is not well captured by current, male-biased diagnostic criteria. To evaluate the ‘female protective effect’ and ‘female autism phenotype’ hypotheses, this narrative review describes recent developments exploring the genetic underpinning and behavioral expression of ASD in females. We then look at the ways to better identify females with ASD who may be missed under the current diagnostic criteria.

Type: Article
Title: Protective effect or missed diagnosis? Females with autism spectrum disorder
Open access status: An open access version is available from UCL Discovery
DOI: 10.2217/fnl-2017-0006
Publisher version: https://doi.org/10.2217/fnl-2017-0006
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: autism, autism spectrum disorders, diagnosis, gender differences, genetics, person-environment fit, sex differences
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1569617
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