Pediatricians' perspectives on identification and diagnosis of autism spectrum disorders

Qualitative interview methodology was used to investigate the perspectives and experiences of five general pediatricians who had diagnosed children with autism spectrum disorder (ASD). Information was obtained from the participants in the following areas: a) training; b) signs/symptoms of ASD; c) causes of ASD; d) well-child exams; e) first concerns/signs of ASD; f) use of 'wait and see'; g) communication with families; h) making referrals; i) the diagnostic process for ASD; j) pediatrician comfort with making the ASD diagnosis; k) family reactions to the ASD diagnosis; l) recommendations for families; and m) recommendations for other pediatricians. The results of this investigation are discussed as they relate to these themes and with reference to published literature. Recommendations and future directions are also presented.