26 October 2026
Developmental regression was linked with later differences, but could not be predicted from routine clinical data
Primary source: Maruani et al., Autism Research (2026)
What happened?
Researchers examined developmental histories, standardised assessments and genetic data from autistic children attending a specialist centre in Paris. They compared children reported to have lost previously acquired skills with autistic children who had not experienced regression.
What did researchers discover?
Of 505 children, 74 were classified as having experienced developmental regression, at an average age of about 21 months. Before regression, these children had spoken their first words earlier on average. After regression, they were less likely to use functional language and had lower average scores for cognitive ability, communication and adaptive functioning. Routine clinical information did not reliably identify which children would later experience regression.
How strong is the evidence?
This was a single-centre observational study of 505 autistic children, including 74 with regression. Regression was identified retrospectively through parent reports collected using the Autism Diagnostic Interview–Revised, making recall bias possible and potentially missing subtle losses. The analyses were exploratory and did not adjust simultaneously for all possible confounding factors. Genetic pathway findings were based on relatively small groups and require independent replication.
What does it mean for autistic children and families?
The results support careful monitoring when a child loses language, social, play or other established skills. They also suggest that autistic children with reported regression may, as a group, have different later developmental profiles. The study does not establish that regression causes these differences, identify an underlying mechanism or provide a reliable way to predict regression in an individual child.
Does it change clinical practice?
For speech and language practice, a clear loss of established communication skills warrants prompt, broad developmental and medical review rather than a wait-and-see approach. Clinicians can document what changed, when it changed and whether losses affected words, gestures, interaction, play or everyday skills. The findings do not support a particular therapy or medical treatment.
What don't we know yet?
Prospective studies following children from infancy are needed to measure regression as it occurs and to clarify how different forms of skill loss relate to later communication. It also remains uncertain whether the exploratory genetic differences represent reproducible biological pathways or whether regression forms a distinct autism subgroup.