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November 18, 2025Child and Adolescent Psychiatry and Mental HealthOpen Access

Predicting autism spectrum disorder severity in children based on specific language milestones: a random forest model approach

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Authors

HXHaiyi XiongXXXueli XiangXLXiao Liu

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Overview

Random forest model predicts autism spectrum disorder severity using language milestones, indicating key indicators for intervention.

Key Points

  • To investigate whether specific language milestones can predict the severity of autism spectrum disorder in children.
  • Included 574 children diagnosed with autism spectrum disorder.
  • Evaluated 33 language milestones covering receptive, expressive, and pragmatic aspects.
  • Applied Boruta algorithm for predictor identification and random forest models for each age group.
  • Used nested cross-validation and grid search for hyperparameter tuning.
  • Assessed model performance with bootstrapping to estimate AUC, accuracy, sensitivity, specificity, and F1 scores.
  • Identified 14 significant predictors of ASD severity in children under 4 years.
  • Identified 16 significant predictors of ASD severity in children aged 4 years and above.
  • Achieved AUC values of 0.81 ± 0.01 for younger group and 0.85 ± 0.00 for older group.

Cite This Study

Xiong et al. (2025) studied this question.

synapsesocial.com/papers/6924fef4c0ce034ddc351da3https://doi.org/10.1186/s13034-025-00988-0
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessing Language Skills in Children Aged 4 to 6 Years with Autism Spectrum Disorder: A Prospective Study2025
  2. 2Assessing Language Skills in Children Aged 4 to 6 Years with Autism Spectrum Disorder: A Prospective Study2025
  3. 3Assessing Language Skills in Children Aged 4 to 6 Years with Autism Spectrum Disorder: A Prospective Study2025
  4. 4A Prediction Model of Autism Spectrum Diagnosis from Well-Baby Electronic Data Using Machine Learning2024 · 19 citations
  5. 5Opinion Mining-Driven Classification Model for Early Autism Spectrum Disorders Identification Based on Standardized Assessments2026