The Impact of Early Diagnosis and Therapy on the Development of Children with Autism Spectrum Disorders

Authors

  • Adisa Teliti Department of Psychology, Aleksander Moisiu University of Durres, Durres, Albania
  • Eneida Zalli Department of Psychology, Aleksander Moisiu University of Durres, Durres, Albania

DOI:

https://doi.org/10.6000/1929-4247.2026.15.02.4

Keywords:

Neurodevelopmental disorders, anxiety, neuropsychiatric development, parenting, psycho-emotional reaction, depressive state

Abstract

Background: Neurodevelopmental disorders, including autism spectrum disorders (ASD), are increasingly diagnosed in children, but low awareness, delays in diagnosis, and poor service coordination complicate therapy and negatively affect family quality of life.

Objective: This study aimed to assess the importance of early detection of ASD and the role of therapeutic interventions in improving child development and family well-being.

Methods: Using a qualitative approach, the study involved interviews with 20 pairs of parents of children with ASD and thematic analysis, considering gender, age, and behavioral characteristics, supplemented by the Parental Stress Scale.

Results: Early diagnosis (before age 3, 60%) was associated with faster progress compared to late diagnosis. In the early diagnosis group, behavioral therapy, sensory integration, and speech therapy led to improvements in non-verbal communication, reduced sensory hypersensitivity, and decreased aggression. In the late-diagnosis group, with greater use of behavioral therapy and individual education plans, progress was slower, with improvements in speech, reduced aggression, and less social isolation. Parents reported reduced anxiety and improved family relationships, especially in early-diagnosis cases. Barriers included delays in diagnosis (18-24 months), stigma, and inadequate infrastructure.

Conclusion: The findings highlight the effectiveness of early intervention and the need for standardized diagnostic procedures, parent education programs, professional training, and improved infrastructure to support families raising children with ASD. These results can guide intersectoral cooperation, policy development, and support strategies for families.

References

Caushllari M. Disability and autism spectrum disorder among Albanian youth: an overview. J Educ Soc Res 2024; 14(5): 390-396. DOI: https://doi.org/10.36941/jesr-2024-0146

Curley B. Autism statistics and facts in 2025 [Internet] 2025 [cited 2026 Jan]. Available from: https://www.motivity.net/autism-facts

Duraku ZH, Jahiu GL, Shllaku E, Boci L, Shtylla H. Albanian preschool personnel’s perceived obstacles to implementing effective inclusive education. Front Educ 2021; 6: 645254. DOI: https://doi.org/10.3389/feduc.2021.645254

Naci E, Koletsi M. The relationship between cognitive distortions, hopelessness and depression in parents of children diagnosed with autism spectrum disorder in Albania. Dialogues Clin Neurosci Ment Health 2021; 4(2): 81-90.

Kapp SK. Autistic community and the neurodiversity movement: stories from the frontline. Singapore: Palgrave Macmillan; 2020. DOI: https://doi.org/10.1007/978-981-13-8437-0

Gabbay-Dizdar N, Ilan M, Meiri G, Faroy M, Michaelovski A, Flusser H, et al. Early diagnosis of autism in the community is associated with marked improvement in social symptoms within 1-2 years. Autism 2021; 26(6): 1353-1363. DOI: https://doi.org/10.1177/13623613211049011

Kulari G, Cordeiro GF. Autism diagnosis experience and parental stress among Portuguese parents. Autism Int Adv 2024; 10(1): 1-11. DOI: https://doi.org/10.1108/AIA-08-2023-0046

Dobi F, Tomori S, Zenelaj B. Parental perception of quality of life in children with neurodevelopmental disorders: Albanian experience. Anthropol Res Stud 2024; 15: 28. DOI: https://doi.org/10.26758/15.1.28

Neijs LD, Boeke DB, Berckelaer-Onnes I, Swaab H, Ester WA. Parental stress and quality of life in parents of young children with autism. Child Psychiatry Hum Dev 2024; 1-15.

Shabani Z, Hoxha A, Vadahi F, Pelinku K, Gera R. The situation of children with autism in Shkodra city [Internet] 2024 [cited 2026 Jan]. Available from: https://www.ishp.gov.al/the-situation-of-children-with-autism-in-shkodra-city/

Albanian Children Foundation [Internet] 2025 [cited 2026 Jan]. Available from: https://albanianchildren.org/en/home-2/

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5-TR) [Internet]. Washington (DC): American Psychiatric Association; 2022 [cited 2026 Jan]. Available from: https://www.psychiatry.org/psychiatrists/practice/dsm

Braun V, Clarke V. Thematic analysis: a practical guide. London: SAGE Publications; 2021.

World Medical Association. WMA Declaration of Helsinki: ethical principles for medical research involving human participants [Internet]. 1964, revised 2013 [cited 2026 Jan]. Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/

International Council for Harmonisation. ICH E6(R2) guideline for good clinical practice [Internet]. 1997 [cited 2026 Jan]. Available from: https://www.ema.europa.eu/ en/ich-e6-good-clinical-practice-scientific-guideline

Marat U, Kurakbayev K, Laktionova M, Baimuratova M, Nakhanova Z, Imasheva B. Adaptation and psychometric validation of the Kazakh version of the Edinburgh Postnatal Depression Scale. Georg Med News 2025; 367: 181-186.

Garagurbanli FA, Mamed-Zade GT, Nasibova EM. Use of dexmedetomidine in parturient women and newborns after cesarean section. Pediatr Anesth Crit Care J 2024; 12(2): 59-63.

Mamed-Zade GT. Probability of fetal congenital malformations in women with a history of miscarriages. Gazz Med Ital Arch Sci Med 2023; 182(12): 973-979. DOI: https://doi.org/10.23736/S0393-3660.23.05092-1

Chalova L, Lokshin V, Kiyan V, Turdaliyeva B, Zhybanisheva K, Kinzhibayev A. Assisted reproductive technologies and oocyte donation. Iran J Public Health 2025; 54(3): 607-614. DOI: https://doi.org/10.18502/ijph.v54i3.18254

Chalova L, Lokshin V, Kiyan V, Turdaliyeva B, Kinzhibayev A. Establishment of a unified register of donor sexual gametes in the Republic of Kazakhstan. Acta Med Acad 2024; 53(1): 81-89. DOI: https://doi.org/10.5644/ama2006-124.436

Behas L, Maksymchuk B, Babii I, et al. Influence of tempo-rhythmic organization of speech during gaming and theatrical activities on correction of stammering in children. J Phys Educ Sport 2019; 19: 1333-1340.

Shckorbatov YG, Pasiuga VN, Kolchigin NN, Grabina VA, Batrakov DO, Kalashnikov VV, et al. Influence of differently polarised microwave radiation on chromatin in human cells. Int J Radiat Biol 2009; 85(4): 322-329. DOI: https://doi.org/10.1080/09553000902781113

Khreisat BM, Donayeva A, Jaafar ZAA, Shaimbetov Z, Abdelazim IA, Sarkulova Z , et al. Acceptable haemoglobin drop after uncomplicated caesarean sections. J Mother Child 2024; 28(1): 129-135.

Požarskis A, Erenpreiss J. Late-onset hypogonadism: review of the problem. Proc Latv Acad Sci B Nat Exact Appl Sci 2010; 64(3-4): 93-97. DOI: https://doi.org/10.2478/v10046-010-0028-3

Bakirzhan MA, Kozhemzharova MK, Kuanyshbaeva GS, Doszhanova GN, Karkabaeva AD. Clinical case of hyperandrogenism in a patient with Itsenko-Cushing disease. Reprod Med Cent Asia 2024; 2024(1): 131-134.

Georgiev Y, Nedev N, Ivanova E, Nikolova D, Popova M. Methods of rehabilitation of children through Eastern martial arts and their impact on health. Int J Child Health Nutr 2025; 14(3): 246-257. DOI: https://doi.org/10.6000/1929-4247.2025.14.03.6

Nesprava M, Otych D, Hreshchuk H, Pyvovarchyk I, Sarancha I, Fedoryshyn H, et al. Competencies in the study of psychological influences of greening on the social quality of life: a review. Grassl J Nat Resour 2025; 8(1): 989-1004. DOI: https://doi.org/10.33002/nr2581.6853.080142

Chalova LR, Lokshin VN, Kinzhibayev AA. Oocyte donation from medical professionals’ view. Russ J Hum Reprod 2022; 28(6): 79-87. DOI: https://doi.org/10.17116/repro20222806179

Stankovska G, Memedi I, Nuhii N. Relationship between bulimia nervosa and psychological problems in adolescence: perfectionism, self-esteem, and beyond. Eat Disord 2023; 2: 723-745. DOI: https://doi.org/10.1007/978-3-031-16691-4_40

Stankovska G, Osmani F, Pandilovska S, Dimitrovski D. Association between puberty, bulimia nervosa and depression. Bangladesh J Med Sci 2015; 14(4): 327-330. DOI: https://doi.org/10.3329/bjms.v14i4.19308

Zeidan J, Fombonne E, Scorah J, Ibrahim A, Durkin MS, Saxena S, et al. Global prevalence of autism: a systematic review update. Autism Res 2022; 15(5): 778-790. DOI: https://doi.org/10.1002/aur.2696

Sartor T, Sons S, Kuhn JT, Tröster H. Coping resources and stress due to demands in parents of children with autism spectrum disorder. Front Rehabil Sci 2023; 4: 1240977. DOI: https://doi.org/10.3389/fresc.2023.1240977

Naicker VV, Hedley D, Bury SM. Does hope mediate the relationship between parents’ resolution of their child’s autism diagnosis and parental stress? Front Psychol 2024; 15: 1443707. DOI: https://doi.org/10.3389/fpsyg.2024.1443707

Seçinti D, Diş D, Albayrak ZS, Şen E. Depression and parental distress among caregivers of autistic children: a serial mediator analysis. BMC Psychol 2024; 12: 339. DOI: https://doi.org/10.1186/s40359-024-01704-x

Buchwald KF, Shepherd D, Siegert RJ, Vignes M, Landon J. Factors predicting parenting stress in the autism spectrum disorder context: a network analysis approach. PLoS One 2025; 20(4): e0319036. DOI: https://doi.org/10.1371/journal.pone.0319036

Cheng AWY, Lai CYY. Parental stress in families of children with special educational needs: a systematic review. Front Psychiatry 2023; 14: 1198302. DOI: https://doi.org/10.3389/fpsyt.2023.1198302

Bitsika V, Sharpley CF, Bell R. Buffering effect of resilience upon stress, anxiety and depression in parents of a child with an autism spectrum disorder. Dev Neurorehabil 2013; 25: 533-543. DOI: https://doi.org/10.1007/s10882-013-9333-5

Alenezi S, Alsewailem N, Almubaddil BA, Alshaya RS, Alqahtani SMA, Aldossari SA, et al. Raising hopes, facing challenges: understanding parental well-being in the midst of autism in Saudi Arabia. Behav Sci (Basel) 2024; 14(7): 531. DOI: https://doi.org/10.3390/bs14070531

Lord C, Charman T, Havdahl A, Carbone P, Anagnostou E, Boyd B, et al. The Lancet Commission on the future of care and clinical research in autism. Lancet 2020; 395(10221): 271-334. DOI: https://doi.org/10.1016/S0140-6736(21)01541-5

Conrad CE, Rimestad ML, Rohde JF, Petersen BH, Korfitsen CB, Tarp S, et al. Parent-mediated interventions for children and adolescents with autism spectrum disorders: a systematic review and meta-analysis. Front Psychiatry 2021; 12: 773604. DOI: https://doi.org/10.3389/fpsyt.2021.773604

Snijder MIJ, Langerak IPC, Kaijadoe SPT, Buruma ME, Verschuur R, Dietz C, et al. Parental experiences with early identification and initial care for their child with autism: tailored improvement strategies. J Autism Dev Disord 2022; 52(8): 3473-3485. DOI: https://doi.org/10.1007/s10803-021-05226-y

Franz L, Goodwin CD, Rieder A, Matheis M, Damiano DL. Early intervention for very young children with or at high likelihood for autism spectrum disorder: an overview of reviews. Dev Med Child Neurol 2022; 64(9): 1063-1076. DOI: https://doi.org/10.1111/dmcn.15258

Tajik-Parvinchi D, Farmus L, Modica PT, Cribbie RA, Weiss JA. Role of cognitive control and emotion regulation in predicting mental health problems in children with neurodevelopmental disorders. Child Care Health Dev 2021; 47(5): 608-617. DOI: https://doi.org/10.1111/cch.12868

Long F, Zheng J, Zhou J, Hu P, Xiong B. Knockout of tanc2 causes autism-like behavior and sleep disturbance in zebrafish. Autism Res 2022; 16(3): 524-534. DOI: https://doi.org/10.1002/aur.2880

Zhao X, Kuo F, Chen X, Li D, Duan H. Parent-mediated interventions for autism spectrum disorder under 3 years: a systematic review, meta-analysis, and moderator analyses. J Autism Dev Disord 2025; 1-21. DOI: https://doi.org/10.1007/s10803-025-06845-5

Wang T, Ma Y, Du X, Li C, Peng Z, Wang Y. et al. Digital interventions for autism spectrum disorders: a systematic review and meta-analysis. Pediatr Investig 2024; 8(3): 224-236. DOI: https://doi.org/10.1002/ped4.12417

Sideraki A, Anagnostopoulos C. Use of artificial intelligence for intervention and assessment in individuals with autism spectrum disorder. arXiv [Preprint] 2025; arXiv: 2505.02747.

Mun J, Kim S, Chung M. Developing an end-to-end framework for predicting social communication severity scores of children with autism spectrum disorder. arXiv [Preprint] 2024; arXiv: 2409.00158. DOI: https://doi.org/10.21437/Interspeech.2024-131

Ingling ME, Bell BA. Application of speech therapy, occupational therapy, and physiotherapy in the diagnosis of autism spectrum disorders. Child Care Health Dev 2020; 46(5): 563-570. DOI: https://doi.org/10.1111/cch.12790

Mumenin N, Rahman MM, Yousuf MA, Noori FM, Uddin MZ. Early diagnosis of autism across developmental stages through scalable and interpretable ensemble model. Front Artif Intell 2025; 8: 1507922. DOI: https://doi.org/10.3389/frai.2025.1507922

Published

2026-04-10

How to Cite

Teliti, A. ., & Zalli, E. . (2026). The Impact of Early Diagnosis and Therapy on the Development of Children with Autism Spectrum Disorders. International Journal of Child Health and Nutrition, 15(2), 94–108. https://doi.org/10.6000/1929-4247.2026.15.02.4

Issue

Section

General Articles