Objectives
To evaluate the correlates of a clinically significant high score on
the Social Responsiveness Scale (SRS) in 10-year-old children who were born
extremely preterm and who did not meet criteria for Autism Spectrum Disorder
(ASD).
Methods
After excluding 61 participants diagnosed with ASD, we grouped
children by IQ < or ≥ 85 and then compared the prevalence of
neurocognitive and other deficits between those who had SRS total and
component scores ≥ 65 and their peers who had lower scores.
Results
Among children who had IQ ≥ 85, the prevalence of SRS total
scores ≥ 65 was 16% (n=103/628), and among children
who had IQ < 85 it was 27% (n=40/148), higher than the
4% prevalence expected based on normative population data. Among
children who had IQ ≥ 85, those who had high SRS scores more often
than their peers had deficits in attention and executive function, and
language and communication, and they were more often rated by their parents
and teachers as having behavioral (e.g., ADHD) and emotional (e.g., anxiety,
depression) problems.
Conclusions
SRS-defined social impairment was much more common in our cohort of
10-year-old children born extremely preterm than was expected based on
general population norms. High SRS scores were characteristic of children
who had intellectual, neurocognitive, language and communication
limitations, as well as deficits in behavior and emotion regulation.