{"id":895,"date":"2023-03-21T15:45:26","date_gmt":"2023-03-21T14:45:26","guid":{"rendered":"http:\/\/nlautis-gadamael.savviihq.com\/?page_id=895"},"modified":"2025-08-18T15:19:44","modified_gmt":"2025-08-18T13:19:44","slug":"early-traits-of-autism","status":"publish","type":"page","link":"https:\/\/www.autismejongekind.nl\/en\/vroege-kenmerken-van-ass\/","title":{"rendered":"Early traits of autism"},"content":{"rendered":"<p><strong>How can you tell if a child has autism? There are certain traits in the behaviour of young children that could indicate that a child has an autism spectrum disorder (ASD). Traits of autism may include, for instance, that your child:<\/strong><\/p>\n<ul>\n<li aria-level=\"1\">makes little eye contact with others or rarely smiles at others;<\/li>\n<li aria-level=\"1\">does not react when spoken to.<\/li>\n<li aria-level=\"1\">has little interest in other people.<\/li>\n<li aria-level=\"1\">is difficult to comfort.<\/li>\n<li aria-level=\"1\">babbles little, or is slow to develop language.<\/li>\n<li aria-level=\"1\">plays with little variety.<\/li>\n<li aria-level=\"1\">can get extremely angry about small things.<\/li>\n<li aria-level=\"1\">barely reacts when he or she gets hurt.<\/li>\n<li aria-level=\"1\">has great difficulty falling or staying asleep.<\/li>\n<li aria-level=\"1\">has eating problems.<\/li>\n<li aria-level=\"1\">is very focused on certain topics or details.<\/li>\n<\/ul>\n<p>Below, you will find an overview of so-called \u2018red flags\u2019 for children aged 0\u20134 and 4\u20136 years. For older children, there is currently no reliable list freely available online.<span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<h2>Traits of autism in children up to 4 years old<\/h2>\n<p><strong>The overview below lists a number of characteristics that may be seen in young children (up to the age of 4). These signs may indicate autism.<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not smile at others (from 12 months)<\/span><\/strong><\/h2>\n<p>You try to engage with your child and smile at them, but your child does not respond. Your child may be less focused on the people around them and less likely to smile back when others smile at them. They may also be less likely to initiate shared enjoyment by smiling at others.<span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\"><br \/>\n<\/span><\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1343\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-glimlach.jpg\" alt=\"\" width=\"218\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not react when spoken to (from 12 months)<\/span><\/strong><\/h2>\n<p>When your child is called by name, they may seem as if they are deaf. Your child may respond less often or not at all and may barely look up.<span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\"><br \/>\n<\/span><\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1341\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-alleen-spelen.jpg\" alt=\"\" width=\"217\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not babble (from 12 months)<\/span><\/strong><\/h2>\n<p>Your child makes no or few sounds that resemble words, and babbles little or not at all during play.<\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1346\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-reactie.jpg\" alt=\"\" width=\"215\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not make gestures (pointing and waving) (from 12 months)<\/span><\/strong><\/h2>\n<p>Your child does not make gestures, and\/or points yet. Examples of gestures are: nodding yes, shaking no, waving, a gesture for 'up' or 'away'.<\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1342\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-delen.jpg\" alt=\"\" width=\"218\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Has no interest in other people (from 12 months)<\/span><\/strong><\/h2>\n<p>Your child is mainly focused on themselves and shows little interest in the people around them. For example, they may show little curiosity about an adult\u2019s involvement in their play or rarely watch what other children are doing.<\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1727\" src=\"https:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/08\/alarmsignaal-sociale-interesse.jpg\" alt=\"\" width=\"215\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not make use of words in a functional manner (from 18 months)<\/span><\/strong><\/h2>\n<p>Your child does not use words (or sounds that resemble words) to indicate that they want something or to draw attention to something.<\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1348\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-vragen.jpg\" alt=\"\" width=\"213\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Does not use two-word sentences (excluding echolalia) (from 24 months)<\/span><\/strong><\/h2>\n<p>Your child does not use spontaneous two-word sentences to communicate. Such as: 'drive car' or 'have cake'. Repeating what another person says without the intention to communicate (echolalia) is not meant here. Naturally, this symptom can for instance also point to \u2013 besides a risk of autism \u2013 language development issues without autism.<span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\"><br \/>\n<\/span><\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1344\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-hulp-vragen.jpg\" alt=\"\" width=\"212\" height=\"200\" \/><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 64.2587%;\">\n<h2><strong><span style=\"font-family: georgia,palatino,serif; font-size: 12pt;\">Any loss of language or social skills (any age)<\/span><\/strong><\/h2>\n<p>Your child loses skills they previously had, for example in language or social skills. Examples include:<\/p>\n<ul>\n<li><span style=\"font-size: 12pt;\">your child stops talking.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">your child no longer waves.<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">your child makes little or no eye contact.<\/span><\/li>\n<\/ul>\n<p>Even though your child used to do this before.<\/p>\n<p>If your child loses skills or is no longer able to do things as well as before, this is concerning, regardless of their age. Unless it is clearly related to particular circumstances and is temporary.<\/td>\n<td style=\"width: 35.7413%;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1345\" src=\"http:\/\/www.autismejongekind.nl\/wp-content\/uploads\/2018\/07\/alarmsignaal-praten.jpg\" alt=\"\" width=\"213\" height=\"200\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Source: Dietz, C. (2007). The early screening of Autistic Spectrum Disorders. Gildeprint: Enschede<\/em><\/p>\n<p>If you recognise one or more of the characteristics described above in your child, it certainly does not mean that your child has autism. However, it may be a good reason to explore further whether there may be something else going on. A good next step is to complete the <a href=\"http:\/\/www.autismejongekind.nl\/en\/cosos-esat-questionnaire\/\">CoSoS\/ESAT test<\/a>\u00a0(Early Screening of Autistic Traits).<\/p>\n<p><strong>PLEASE NOTE:<\/strong> It may be that none of the characteristics above apply to your child, but you are still concerned. In that case, it may also be helpful to complete the CoSoS questionnaire, as it includes additional characteristics of autism. For example, that your child:<\/p>\n<ul>\n<li aria-level=\"1\">is difficult to comfort.<\/li>\n<li aria-level=\"1\">has sleeping problems.<\/li>\n<li aria-level=\"1\">has eating problems.<\/li>\n<li aria-level=\"1\">bites or hits others for no apparent reason.<\/li>\n<li aria-level=\"1\">constantly clings to you.<\/li>\n<li aria-level=\"1\">is very anxious about new situations.<br \/>\n<span style=\"font-weight: 400;\"><br \/>\n<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><a style=\"box-shadow: inset 0px 0px 0px 0px #fce2c1; background: -moz-linear-gradient( center top, #ffc477 5%, #fb9e25 100% ); filter: progid; background-color: #e68639; border-radius: 6px; border: 2px solid #e68639; display: inline-block; color: #ffffff; font-family: arial; font-size: 15px; font-weight: bold; padding: 6px 24px; text-decoration: none;\" href=\"http:\/\/www.autismejongekind.nl\/en\/cosos-esat-questionnaire\/\">Take the CoSoS (ESAT) questionnaire &gt;<\/a><\/p>\n<h2>Traits of autism in children aged 4-6 years<\/h2>\n<p><strong>For children aged 4\u20136, the Dietz &amp; Berckelaer (2013) screening checklist lists characteristics that may indicate autism. The checklist includes signs that may point to autism in children aged 4\u20136. These signs are grouped into four areas: social interaction, communication, stereotyped behaviours, and sensory processing.<\/strong><\/p>\n<table style=\"border-style: solid; width: 100%;\" border=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td style=\"width: 1627px;\" width=\"539\">\n<h2><span style=\"font-size: 12pt;\">1. Social interaction<\/span><\/h2>\n<ul>\n<li><span style=\"font-size: 12pt;\">has difficulty making eye contact;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">finds it difficult to establish and maintain friendships with peers;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">shows little awareness of other people\u2019s feelings.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 1627px;\" width=\"539\">\n<h2><span style=\"font-size: 12pt;\">2. Communication<\/span><\/h2>\n<ul>\n<li><span style=\"font-size: 12pt;\">has difficulty engaging in back-and-forth conversations, including about topics other than their own interests;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">has difficulty using and understanding humour;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">has no understanding of proverbs and sayings;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">uses few gestures to support communication;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">shows differences in language use, such as: taking things very literally (e.g. when told \u201cget your coat,\u201d the child picks up the coat without putting it on); using unusually formal or bookish language; echolalia (repeating what others say) or using fixed phrases; and referring to themselves in the third person (\u201che\/she\u201d).<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 1627px;\" width=\"539\">\n<h2><span style=\"font-size: 12pt;\">3. Stereotypies<\/span><\/h2>\n<ul>\n<li><span style=\"font-size: 12pt;\">has limited areas of interest (e.g. only interested in dinosaurs or computers);<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">cannot play imaginatively;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">does not lose himself\/herself in pretend play;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">sticks to rituals (always does things in the same order);<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">adheres ridgidly to rules;<\/span><\/li>\n<li><span style=\"font-size: 12pt;\">has difficulty coping with changes.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 1627px;\" width=\"539\">\n<h2><span style=\"font-size: 12pt;\">4. Stimulus processing<\/span><\/h2>\n<p><span style=\"font-size: 12pt;\">Shows unusual sensory processing: they may be particularly sensitive or under-sensitive to certain sensory stimuli. For example, they may smell everything, seek out or linger on tactile sensations, be highly interested in flashing lights, or repeatedly cover their ears in response to loud sounds.<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 1627px;\" width=\"539\">\n<h2><span style=\"font-size: 12pt;\">Overall, does not appear to be developmentally appropriate for their age.<\/span><\/h2>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>Source: Appendix <a href=\"https:\/\/assets.ncj.nl\/docs\/c467cdeb-4b36-4217-a602-9d24cada0885.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ASS alarmsignalen lijst 4-18 jaar<\/a> (Dietz &amp; Berckelaer, 2013), NCJ Richtlijn Autismespectrumstoornissen 2015.<\/em><\/p>\n<p>If you recognise three or more traits (which are not exclusively within one area), it is advisable to\u00a0<a href=\"https:\/\/www.autismejongekind.nl\/en\/autism-in-children-information-for-parents-2\/step-by-step-plan-for-suspected-autism\/step-4-enlisting-professional-help\/\">take further steps.<\/a>.<br \/>\n<strong><br \/>\nPLEASE NOTE: <\/strong>Did you find fewer than three signs that apply to your child, but you are still worried? Even then, it is good to explore those concerns further and see whether they are justified. You can, for instance, <a href=\"https:\/\/www.autismejongekind.nl\/en\/autism-in-children-information-for-parents-2\/step-by-step-plan-for-suspected-autism\/step-4-enlisting-professional-help\/\">discuss your concerns with a professional.<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<h2>Want to stay up to date?<\/h2>\n<p>Would you like to stay informed about new information regarding autism in young children? Then sign up for the free digital newsletter from the National Expertise Network Autisme Jonge Kind. The newsletter is published approximately four times a year.<\/p>\n<p><a style=\"box-shadow: inset 0px 0px 0px 0px #fce2c1; background: -moz-linear-gradient( center top, #ffc477 5%, #fb9e25 100% ); filter: progid; background-color: #e68639; border-radius: 6px; border: 2px solid #e68639; display: inline-block; margin-top: 0.5em; color: #ffffff; font-family: arial; font-size: 15px; font-weight: bold; padding: 6px 24px; text-decoration: none;\" href=\"https:\/\/www.autismejongekind.nl\/en\/nieuwsbrief-voor-ouders\/\">Yes, I\u2019ll sign up for the newsletter &gt;<\/a><\/p>\n<p>Do you want to know more about autism (and the diagnosis)? Visit the website of the <a href=\"http:\/\/www.autisme.nl\/\" target=\"_blank\" rel=\"noopener\">Nederlandse Vereniging voor Autisme (NVA).<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Hoe herken je autisme bij kinderen? Er zijn bepaalde kenmerken in het gedrag van jonge kinderen die kunnen wijzen op een autisme spectrum stoornis (ASS). Kenmerken van autisme kunnen bijvoorbeeld zijn dat je kind: anderen weinig aankijkt of weinig naar anderen lacht; niet reageert als het wordt aangesproken; weinig interesse heeft in andere mensen; moeilijk [&hellip;]<\/p>\n","protected":false},"author":27,"featured_media":5772,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-page-full-width-image.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-895","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Wat zijn vroege kenmerken van autisme bij kinderen?<\/title>\n<meta name=\"description\" content=\"Al vanaf 1 jaar kun je kenmerken van autisme kinderen herkennen. Wat zijn vroege kenmerken van autisme (ASS)? - info@autismejongekind.nl\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.autismejongekind.nl\/en\/early-traits-of-autism\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Wat zijn vroege kenmerken van autisme bij kinderen?\" \/>\n<meta property=\"og:description\" content=\"Al vanaf 1 jaar kun je kenmerken van autisme kinderen herkennen. 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Are you curious to know how autism manifests itself? Get to know the early traits of autism (ASD) in young children here.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.autismejongekind.nl\/en\/early-traits-of-autism\/","og_locale":"en_GB","og_type":"article","og_title":"Wat zijn vroege kenmerken van autisme bij kinderen?","og_description":"Al vanaf 1 jaar kun je kenmerken van autisme kinderen herkennen. 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