Abstract
Secondary data analyses from the Longitudinal Study of Australian Children Kindergarten cohort were performed to understand any alterations in pubertal timing in Autism Spectrum Disorder (ASD) in a population sample. Timing of parent-reported pubertal events (ages 8–9, 10–11, 12–13 years), and self-report (14–15 years; N = 3454 no ASD, N = 94 with ASD) included breast development, menses, skin changes, growth spurt, body hair, deepening voice and facial hair. Survival analyses and Cox regression controlling for covariates showed no evidence of altered pubertal onset amongst males with ASD. In contrast to some past studies, there was also no difference in pubertal timing in females with ASD. These exploratory findings suggest typical puberty timing in a population representative group of young people with ASD.
Similar content being viewed by others
References
Abrahams, B. S., & Geschwind, D. H. (2008). Advances in autism genetics: On the threshold of a new neurobiology. Nature Reviews Genetics, 9(5), 341–355.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). Washington, DC: American Psychiatric Publications.
Australian Bureau of Statistics. (2013). 2033.0. 55.001-Census of Population and Housing: Socio-Economic Indexes for Areas (SEIFA), Australia, 2011. Australia: Australian Bureau of Statistics Canberra.
Baron-Cohen, S. (2002). The extreme male brain theory of autism. Trends in Cognitive Sciences, 6(6), 248–254.
Dunn, L., & Dunn, L. (1997). Peabody picture vocabulary test. (3rd ed.). Circle Pines, MN: American Guidance Service.
Ellis, B. J. (2004). Timing of pubertal maturation in girls: An integrated life history approach. Psychological Bulletin, 130(6), 920.
Falter, C. M., Plaisted, K. C., & Davis, G. (2008). Visuo-spatial processing in autism—testing the predictions of extreme male brain theory. Journal of Autism and Developmental Disorders, 38(3), 507–515.
Gillberg, C., & Schaumann, H. (1982). Infantile autism and puberty. Journal of Autism and Developmental Disorders, 11(4), 365–371.
Gillberg, C., & Steffenburg, S. (1987). Outcome and prognostic factors in infantile autism and similar conditions: A population-based study of 46 cases followed through puberty. Journal of Autism and Developmental Disorders, 17(2), 273–287.
Gilmour, L., Schalomon, P. M., & Smith, V. (2012). Sexuality in a community based sample of adults with autism spectrum disorder. Research in Autism Spectrum Disorders, 6(1), 313–318.
Graber, J. A., Brooks-Gunn, J., & Warren, M. P. (1995). The antecedents of menarcheal age: heredity, family environment, and stressful life events. Child Development, 66(2), 346–359.
Harper, J., & Collins, J. (1979). Physical growth and development in a sample of autistic girls from New South Wales. Journal of Paediatrics and Child Health, 15(2), 110–112.
Hergüner, A., & Hergüner, S. (2016). Association between age at menarche and autistic traits in Turkish university students. American Journal of Human Biology, 28(1), 44–47.
Ingudomnukul, E., Baron-Cohen, S., Wheelwright, S., & Knickmeyer, R. (2007). Elevated rates of testosterone-related disorders in women with autism spectrum conditions. Hormones and Behavior, 51(5), 597–604.
Karapanou, O., & Papadimitriou, A. (2010). Determinants of menarche. Reproductive Biology and Endocrinology, 8(1), 1.
Knickmeyer, R. C., Wheelwright, S., Hoekstra, R., & Baron-Cohen, S. (2006). Age of menarche in females with autism spectrum conditions. Developmental Medicine & Child Neurology, 48(12), 1007–1008.
Kung, K. T., Spencer, D., Pasterski, V., Neufeld, S., Glover, V., O’Connor, T. G.,. .. Hines, M. (2016). No relationship between prenatal androgen exposure and autistic traits: Convergent evidence from studies of children with congenital adrenal hyperplasia and of amniotic testosterone concentrations in typically developing children. Journal of Child Psychology and Psychiatry, 57(12), 1455–1462.
Lundström, S., Reichenberg, A., Anckarsäter, H., Lichtenstein, P., & Gillberg, C. (2015). Autism phenotype versus registered diagnosis in Swedish children: Prevalence trends over 10 years in general population samples. BMJ (Clinical Research ed.), 350, h1961.
Mensah, F. K., Bayer, J. K., Wake, M., Carlin, J. B., Allen, N. B., & Patton, G. C. (2013). Early puberty and childhood social and behavioral adjustment. Journal of Adolescent Health, 53(1), 118–124.
Mouridsen, S. E., & Larsen, F. W. (1989). Pervasive developmental disorder and idiopathic precocious puberty in a 5-year-old girl. Journal of Autism and Developmental Disorders, 19(2), 351–353.
Parent, A.-S., Teilmann, G., Juul, A., Skakkebaek, N. E., Toppari, J., & Bourguignon, J.-P. (2003). The timing of normal puberty and the age limits of sexual precocity: Variations around the world, secular trends, and changes after migration. Endocrine Reviews, 24(5), 668–693.
Pasterski, V., Gilligan, L., & Curtis, R. (2014). Traits of autism spectrum disorders in adults with gender dysphoria. Archives of Sexual Behavior, 43(2), 387–393.
Petersen, A. C., Crockett, L., Richards, M., & Boxer, A. (1988). A self-report measure of pubertal status: Reliability, validity, and initial norms. Journal of Youth and Adolescence, 17(2), 117–133.
Pohl, A., Cassidy, S., Auyeung, B., & Baron-Cohen, S. (2014). Uncovering steroidopathy in women with autism: A latent class analysis. Molecular Autism, 5(1), 1.
Randall, M., Sciberras, E., Brignell, A., Ihsen, E., Efron, D., Dissanayake, C., & Williams, K. (2016). Autism spectrum disorder: Presentation and prevalence in a nationally representative Australian sample. Australian and New Zealand Journal of Psychiatry, 50(3), 243–253.
Sedlmeyer, I. L., & Palmert, M. R. (2002). Delayed puberty: Analysis of a large case series from an academic center. The Journal of Clinical Endocrinology & Metabolism, 87(4), 1613–1620.
Soliman, A., De Sanctis, V., & Elalaily, R. (2014). Nutrition and pubertal development. Indian Journal of Endocrinology and Metabolism, 18(Suppl 1), S39-S47. doi: 10.4103/2230-8210.145073.
Soloff, C., Lawrence, D., Misson, S., Johnstone, R., & Slater, J. (2006). Wave 1 weighting and non-response. LSAC Technical Paper, 3.
Tordjman, S., Ferrari, P., Sulmont, V., Duyme, M., & Roubertoux, P. (1997). Androgenic activity in autism. American Journal of Psychiatry, 154(11), 1626a–1627.
Warnell, F., George, B., McConachie, H., Johnson, M., Hardy, R., & Parr, J. (2015). Designing and recruiting to UK autism spectrum disorder research databases: Do they include representative children with valid ASD diagnoses? BMJ Open, 5(9), e008625.
Wechsler, D. (2003). Wechsler intelligence scale for children–Fourth Edition (WISC-IV). San Antonio, TX: The Psychological Corporation.
Whitehouse, A. J., Mattes, E., Maybery, M. T., Dissanayake, C., Sawyer, M., Jones, R. M., ... Hickey, M. (2012). Perinatal testosterone exposure and autistic-like traits in the general population: A longitudinal pregnancy-cohort study. Journal of Neurodevelopmental Disorders, 4(1), 1.
Whitehouse, A. J., Maybery, M. T., Hart, R., Mattes, E., Newnham, J. P., Sloboda, D. M., ... Hickey, M. (2010). Fetal androgen exposure and pragmatic language ability of girls in middle childhood: Implications for the extreme male-brain theory of autism. Psychoneuroendocrinology, 35(8), 1259–1264.
Whitehouse, A. J., Maybery, M. T., Hickey, M., & Sloboda, D. M. (2011). Brief report: autistic-like traits in childhood predict later age at menarche in girls. Journal of Autism and Developmental Disorders, 41(8), 1125–1130.
Willemsen, R. H., & Dunger, D. B. (2015). Normal Variation in Pubertal Timing: Genetic Determinants in Relation to Growth and Adiposity Puberty from Bench to Clinic (Vol. 29, pp. 17–35): Basel: Karger Publishers.
Yoshimura, K., Naiki, Y., Horikawa, R., & Tanaka, T. (2005). Three patients with autism and central precocious puberty. Clinical Pediatric Endocrinology, 14(Supplement24), S24_55–S24_57.
Acknowledgments
This article uses confidential unit record files from the LSAC survey. The LSAC was initiated and funded by the Commonwealth Department of Families, Housing, Community Services, and Indigenous Affairs and was managed by the Australian Institute of Family Studies. The findings and views reported in this article are those of the authors and should not be attributed to either the Commonwealth Department of Families, Housing, Community Services, and Indigenous Affairs, or the Australian Institute of Family Studies. We thank all the families participating in the LSAC study. We wish to thank the William Collie Trust, University of Melbourne, and the Lorenzo and Pamela Galli Charitable Trust, for their support of authors Dr May and Professor Williams, and the Melbourne Children’s Clinician Scientist Fellowship scheme for its support of Dr Pang.
Author information
Authors and Affiliations
Contributions
TM conceived of the secondary analysis and drafted the manuscript and performed the statistical analysis; KP, KW, and MO participated in the interpretation of the data and helped to draft the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors report no conflicts of interest.
Rights and permissions
About this article
Cite this article
May, T., Pang, K.C., O’Connell, M.A. et al. Typical Pubertal Timing in an Australian Population of Girls and Boys with Autism Spectrum Disorder. J Autism Dev Disord 47, 3983–3993 (2017). https://doi.org/10.1007/s10803-017-3281-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-017-3281-3