Skip to main content
. Author manuscript; available in PMC: 2023 May 3.
Published in final edited form as: Nat Rev Neurol. 2023 Feb 6;19(3):136–159. doi: 10.1038/s41582-023-00774-6

Table 1 |.

Neurodevelopmental conditions: summary of prevalence, sex/gender ratio, and average differences in behavioural presentation and co-occurring conditions

Neurodevelopmental conditiona Prevalence (%) Female to male ratio Moderation by sex/gender Refs.
Behavioural presentation Co-occurring conditions
Allb Children: 17.8
F:12.6
M: 22.7
Children: 1:1.7 F: possibly internalizing problems and later detection of some conditions more likely
M: possibly co-occurring externalizing behaviours more likely
12,132,133,320
Autism 1.0 1:3 F: less RRB; better social communication, prelinguistic and linguistic functioning, cognitive flexibility and autobiographical memory
M: fewer compulsions and less self-injurious behaviour; better impulse inhibition and visuospatial functioning
F: higher rates of epilepsy, endocrine problems, depression, eating problems and internalizing behaviours
M: hyperactivity in childhood and externalizing behaviours more likely
15,61,7880,94,104106,110119,122,123,125,126,309
ADHD Children: 5.9c
Adults: 2.8
Children: 1:2.3
Adults: 1:1.6
F: inattentive presentation more likely (childhood); fewer inhibition and cognitive flexibility problems (childhood); fewer complex attention problems (adulthood)
M: hyperactive presentation more likely (childhood)
F: possibly higher rates of anxiety, depression and other internalizing behaviours; higher rates of cigarette smoking
M: possibly higher rates of delinquent behaviours, ODD, conduct disorder and ASPD (adulthood)
60,72,106,129133,320
Non-syndromic ID All: 1.0
Children: 1.8
Adults: 0.5
Mild: 1:1.6
Severe: 1:1.2
Children: 1:1.0–2.2
Adults: 1:1.1–1.4
F: depression (all ages) and dementia (later adulthood) more likely
M: personality disorder and psychosis (adulthood) more likely
65,158,160,162
Fragile X syndrome F: 0.009
M: 0.014
1:1.6 F: milder cognitive difficulties, less evident dysmorphism, and higher adaptive functioning and verbal strengths F: typically with mild ID or borderline-to-average IQ, co-occurring learning disorder, socioemotional difficulties and psychiatric problems, and 20% have an autism diagnosis
M: typically with severe ID and co-occurring ADHD, anxiety and features of autism, and 50–60% have an autism diagnosis
162164
Communication disorders Children: 7.7 1:1.7 F: modest advantage in language acquisition in early childhood; grammar problems in childhood and later referral to services more likely M: higher association with medical conditions in childhood 62,141143
Learning disorders Lifetime: 9.7
F: 7.1
M: 12.2
1:1.7 F: literacy advantage, better verbal processing speed, working memory, conceptualization, and orthographic and visuospatial coding
M: tendency for mathematical skills to be less challenging, better verbal reasoning
F: higher rates of inattentive and internalizing symptoms
M: higher rates of hyperactive and other externalizing behaviours
63,144148
Motor disorders All: 5.0–6.0
DCD, severe: 1.5
DCD, probable: 3.0
SMD: 3.0–4.0
TS: 0.77 (adults, 0.05; M, 1.1; F, 0.3)
Tic disorders: 3.0 (M, 4.1; F, 3.1)
DCD, severe: 1:2
TS and other tic
disorders: 1:1.5
F: onset of tics with OCD; increase of tics during menstrual cycle; higher social impairment; tics more complex and persistent, with a later onset and a later peak of severity; in DCD, gross motor problems and higher social impact more likely
M: onset of tics with rage and ADHD; in DCD, fine motor problems more likely
F: possibly higher rates of anxiety and mood disorders with tics
M: possibly higher rates of ADHD and disruptive behavioural disorders with tics
64,149,150,154,157

ADHD, attention-deficit/hyperactivity disorder; ASPD, antisocial personality disorder; DCD, developmental coordination disorder; F, females; ID, intellectual disabilities; M, males; OCD, obsessive-compulsive disorder; ODD, oppositional defiant disorder; RRB, restricted and repetitive behaviour; SMD, stereotypic movement disorder; TS, Tourette syndrome.

a

DSM-5-TR or ICD-11 diagnoses.

b

ADHD, autism, speech fluency disorder (stuttering), learning disorders, intellectual disabilities or any other developmental delay.

c

Best estimate for children and adolescents.