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) suggested ASD could be considered an extreme expression of normal male, compared to female, phenotypic profiles.
However, controlling for total M-CHAT failures, this male disadvantage was more equivocal and many classically ASD-associated features were found more common in non-ASD.
Within ASD, females showed relative strengths in joint attention, but impairments in imitation.
Studies examining gender differences in typically developing infants and toddlers show sex-specific patterns in behavior and development.
Differences include higher activity level in males, while social orienting, reciprocity, eye-contact and language development tend to represent areas of strength for females (Bouchard et al. One study found that infants as young as 1-day of age showed sex-specific looking preferences, with males preferring mechanical objects while females showed a greater degree of interest in faces (Connellan et al. These findings are consistent with several studies suggesting that females in the general population outperform males in a variety of skills typically perceived as being deficits within ASD, e.g. Sex differences in autism-related symptoms among children with ASD is an emerging but under-researched area.
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Results suggest a nuanced view of the “extreme male brain theory of autism”.
At an item level, almost every male versus female disadvantage in the broader population was consistent with M-CHAT vulnerabilities in ASD.
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