الفهرس 
Autistic DisorderOnly 14 pages are availabe for public view
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Abstract
All children go through puberty regardless of IQ or social skills. The brain does not tell the body to stop growing if the boy/girl’s developmental level is younger than their age.
Children’s sexual behavior develops over time, and many behaviors are normal for children at certain ages. On the other hand, there are sexual behaviors about which we should be concerned, some sexual behaviors are worrisome, and should not be ignored or seen as child’s play. Other sexual behaviors are more serious and may be dangerous to the child and others.
The main diagnostic features of Autism Disorder can be divided into three categories: impairments in social interactions, impairments in communication, and restricted, repetitive and stereotyped interests and behaviors. These diagnostic categories, which are at the core of Autism Disorder, all contribute to potential difficulties with sexuality development, learning and understanding.
Sexuality and autism is a topic that has not been studied widely. Currently, there is minimal understanding of the sexual knowledge, attitudes and behaviors in individuals with autistic disorder due to neglect of the topic in the literature.
The aim of the study was to estimate the difference in sexual behavior among children with autistic disorder and other normally developed children. To enlighten this difference, 30 children with autistic disorder beside 30 control subjects within the same age and sex were studied.
All the study population was subjected to proper history taking with laying stress on full psychiatric history sheet to diagnose autistic disorder according to DSM-IV and to clinical examination with particular emphasis on psychiatric examination to rule out exclusion criteria. Assessment of autistic Disorder was done by using DSM-IV and assessing its severity was done by GARS. The social score was calculated using El Shaks scale of social and economical status though measuring father’s job and education, mother’s job and education and family income. Developmental assessment was done using The Carolina Curriculum for Infant and Toddlers with Special Needs (CCIT-SN) and The Carolina Curriculum for Preschoolers with Special Needs (CCPSN). The curriculum covers 6 developmental domains (cognition, communication, social/adaptation, fine motor, and gross motor). Assessment of sexual behavior was done by using Child Sexual Behavior Inventory (CSBI) which is a questionnaire given to the parents, it is formed of 38-item. It is one of the most widely used measures of sexual behaviors from age two to twelve years old. It yields a total CSBI score, a Developmentally Related Sexual Behavior Score, and a Sexual Abuse Specific Items Score, with norms by age and gender for these scales. It also yields scores on 9 domains: 1) Boundary Problems, 2) Exhibitionism, 3) Gender Role Behavior, 4) Self- Stimulation, 5) Sexual Anxiety, 6) Sexual Interest, 7) Sexual Intrusiveness, 8) Sexual Knowledge, and 9) Voyeuristic Behavior.
There was no significant difference between mean of age and socioeconomic standers of autistic children and their control, this lack of difference gives a good basis of comparison and it means that selection of both groups was adequate.
There was a highly significant different between patient and control in cognitive skills, percentage of cognitive skills delay, speech skills, percentage of speech skills delay, social skills, percentage of social skills delay, self help skills, percentage of self help skills delay, fine motor skills, percentage of fine motor skills delay while there was no significant difference in gross motor skills between children and controls.
There was no significant difference between children with autistic Disorder and controls in CSBI.
In patient with autistic disorder, there was no correlation between age, degree of Autism, socioeconomic standers, percentage of speech delay, percentage of gross motor delay and percentage of fine motor delay and CSBI.
There was significant difference between mean of percentage of cognitive delay and mean of percentage of social skills delay in autistic children whose CSBI was clinically significant and whose CSBI was non significant as the high percentage of delay associated with high degree of CSBI significance.
There was significant difference in DRSB between children with autistic Disorder and controls as it was higher in children with autistic disorder.
In patient with autistic disorder, there was no correlation between age, degree of autism, socioeconomic standers, percentage of speech delay and percentage of gross motor delay and DRSB.
There was significant difference between mean of percentage of cognitive delay, mean of percentage of social skills delay and mean of percentage of fine motor delay in autistic children whose DRSB was clinically significant and whose DRSB was non significant as the high percentage of delay associated with high degree of DRSB significance.
There was no significant in SASI difference between children with autistic disorder and controls.
In patient with autistic Disorder, there was no correlation between age, degree of Autism, socioeconomic standers, percentage of speech delay, percentage of cognitive delay, percentage of gross motor delay and percentage of fine motor delay and SASI.
Types of sexual behavior in both children with autistic disorder and controls:
• There was no significant difference between children with autistic Disorder and controls in boundary problems.
• There was no significant difference between children with autistic disorder and controls in exhibitionism.
• There was no significant difference between children with autistic disorder and controls in gender role behavior.
• There was no significant difference between children with autistic disorder and controls in self stimulation behaviour.
• There was significant difference between children with autistic disorder and controls in sex anxiety as it was higher in controls.
• There was significant difference between children with autistic disorder and control in sexual interest as it was higher in control.
• There was no significant difference between children with autistic disorder and control in sexual intrusiveness.
• There was significant difference between children with Autistic Disorder and control in sexual knowledge as it was higher in control.
• There was no significant difference between children with autistic disorder and controls in voyeuristic.