Research on the severity of symptoms in children with ASD based on integrated machine learning and structural equation modeling: age-specific predictive features and mediation effect path analysis - Scorecard - MDSpire

Research on the severity of symptoms in children with ASD based on integrated machine learning and structural equation modeling: age-specific predictive features and mediation effect path analysis

  • By

  • Shimei Lu

  • Liangqiong Deng

  • Daoqing Gong

  • Xinyi Jia

  • Xiya Lang

  • Lianghui Diao

  • Liqin Ma

  • Pingjing Wen

  • June 17, 2026

  • 0 min

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Clinical Scorecard: Investigation of Symptom Severity in Pediatric ASD Using Integrated Machine Learning and Structural Equation Modeling: Age-Dependent Predictive Factors and Mediation Pathway Analysis

At a Glance

CategoryDetail
ConditionAutism Spectrum Disorder (ASD)
Key MechanismsDevelopmental level and physical development mediate the relationship between age at first diagnosis and symptom severity.
Target PopulationChildren with ASD aged 24 to 71 months.
Care SettingClinical settings focusing on pediatric neurodevelopmental disorders.

Key Highlights

  • Language is a core predictive feature for symptom severity in younger children (24-47 months).
  • In older children (48-71 months), the importance of personal-social, motor skills, and physical development increases.
  • Age at first diagnosis has a masking effect on symptom severity, showing both positive indirect and negative direct effects.

Guideline-Based Recommendations

Diagnosis

  • Utilize the Childhood Autism Rating Scale (CARS) for evaluating symptom severity.

Management

  • Consider age-specific intervention strategies based on developmental level and physical development.

Monitoring & Follow-up

  • Regularly assess developmental quotients in adaptive behavior, gross motor, fine motor, language, and personal-social skills.

Risks

  • Children with ASD are at risk for malnutrition or overnutrition due to poor dietary behaviors and limited physical activity.

Patient & Prescribing Data

Children diagnosed with ASD aged 24 to 71 months.

Interventions should be tailored based on age and developmental assessments.

Clinical Best Practices

  • Implement integrated machine learning algorithms for classification of ASD severity.
  • Utilize structural equation modeling (SEM) to explore mediating pathways affecting symptom severity.

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