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Factors associated with DSM-5 severity level ratings for autism spectrum disorder / M. O. MAZUREK in Autism, 23-2 (February 2019)
[article]
Titre : Factors associated with DSM-5 severity level ratings for autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : M. O. MAZUREK, Auteur ; F. LU, Auteur ; E. A. MACKLIN, Auteur ; B. L. HANDEN, Auteur Article en page(s) : p.468-476 Langues : Anglais (eng) Mots-clés : Dsm-5 autism spectrum disorder diagnosis need for support severity level Index. décimale : PER Périodiques Résumé : The newest edition of the Diagnostic and Statistical Manual of Mental Disorders (5th ed., DSM-5) introduced substantial changes to the diagnostic criteria for autism spectrum disorder, including new severity level ratings for social communication and restricted and repetitive behavior domains. The purpose of this study was to evaluate the use of these new severity ratings and to examine their relation to other measures of severity and clinical features. Participants included 248 children with autism spectrum disorder who received diagnostic evaluations at one of six Autism Treatment Network sites. Higher severity ratings in both domains were associated with younger age, lower intelligence quotient, and greater Autism Diagnostic Observation Schedule-Second Edition domain-specific symptom severity. Greater restricted and repetitive behavior severity was associated with higher parent-reported stereotyped behaviors. Severity ratings were not associated with emotional or behavioral problems. The new DSM-5 severity ratings in both domains were significantly associated with behavioral observations of autism severity but not with measures of other behavioral or emotional symptoms. However, the strong associations between intelligence quotient and DSM-5 severity ratings in both domains suggest that clinicians may be including cognitive functioning in their overall determination of severity. Further research is needed to examine clinician decision-making and interpretation of these specifiers. En ligne : http://dx.doi.org/10.1177/1362361318755318 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383
in Autism > 23-2 (February 2019) . - p.468-476[article] Factors associated with DSM-5 severity level ratings for autism spectrum disorder [Texte imprimé et/ou numérique] / M. O. MAZUREK, Auteur ; F. LU, Auteur ; E. A. MACKLIN, Auteur ; B. L. HANDEN, Auteur . - p.468-476.
Langues : Anglais (eng)
in Autism > 23-2 (February 2019) . - p.468-476
Mots-clés : Dsm-5 autism spectrum disorder diagnosis need for support severity level Index. décimale : PER Périodiques Résumé : The newest edition of the Diagnostic and Statistical Manual of Mental Disorders (5th ed., DSM-5) introduced substantial changes to the diagnostic criteria for autism spectrum disorder, including new severity level ratings for social communication and restricted and repetitive behavior domains. The purpose of this study was to evaluate the use of these new severity ratings and to examine their relation to other measures of severity and clinical features. Participants included 248 children with autism spectrum disorder who received diagnostic evaluations at one of six Autism Treatment Network sites. Higher severity ratings in both domains were associated with younger age, lower intelligence quotient, and greater Autism Diagnostic Observation Schedule-Second Edition domain-specific symptom severity. Greater restricted and repetitive behavior severity was associated with higher parent-reported stereotyped behaviors. Severity ratings were not associated with emotional or behavioral problems. The new DSM-5 severity ratings in both domains were significantly associated with behavioral observations of autism severity but not with measures of other behavioral or emotional symptoms. However, the strong associations between intelligence quotient and DSM-5 severity ratings in both domains suggest that clinicians may be including cognitive functioning in their overall determination of severity. Further research is needed to examine clinician decision-making and interpretation of these specifiers. En ligne : http://dx.doi.org/10.1177/1362361318755318 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383 Easy assessment of individuals with various severities of autism spectrum disorder, focusing on motor timing control / Chie MORIMOTO in Research in Autism Spectrum Disorders, 79 (November 2020)
[article]
Titre : Easy assessment of individuals with various severities of autism spectrum disorder, focusing on motor timing control Type de document : Texte imprimé et/ou numérique Auteurs : Chie MORIMOTO, Auteur ; Shogo NAKAZONO, Auteur ; Satoshi KOBORI, Auteur ; Fumiko KANEKO, Auteur ; Sho MURATAKE, Auteur ; Hitoshi OKAMURA, Auteur Article en page(s) : 101682 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Assessment Motor timing control Severity level Index. décimale : PER Périodiques Résumé : Background Objective evaluation is important to achieve an effective intervention. However, there are limited assessment tools to easily apply to autism spectrum disorder (ASD) individuals with various severities in the clinical setting. This study aimed to characterize the timing control ability of ASD individuals and clarify the relationship between timing control ability and ASD severity level in order to establish an assessment tool for ASD function. Method We developed a simple touchscreen-based task for evaluate motor timing control ability and used two types of sensorimotor timing controls (i.e., simple timing and delayed timing tasks) in ASD (n?=?77) and typically developing (TD) individuals (n?=?87). Results Each participant with ASD completed the simple timing task. Regarding the delayed timing task, two participants in the ASD group were excluded as they faced difficulties when conducting the task according to the instruction. Accuracy of motor-timing control was significantly lower in participants with ASD than in those with TD for each timing task. The mean timing error in the adaptive timing control were correlated with clinically evaluated ASD severity and participant age in the ASD group. Furthermore, receiver operating characteristic curve analysis indicated that altered motor timing control is useful for distinguishing individuals with and without ASD (area under the curve?=?.845). Conclusions We showed that our assessment tool accurately assessed timing control ability of individuals with ASD, regardless of the varying ranges of symptomatic severities, and served as a useful tool for capturing the overall severity of such a heterogeneous disorder, which may lead to more effective therapies for ASD. En ligne : https://doi.org/10.1016/j.rasd.2020.101682 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434
in Research in Autism Spectrum Disorders > 79 (November 2020) . - 101682[article] Easy assessment of individuals with various severities of autism spectrum disorder, focusing on motor timing control [Texte imprimé et/ou numérique] / Chie MORIMOTO, Auteur ; Shogo NAKAZONO, Auteur ; Satoshi KOBORI, Auteur ; Fumiko KANEKO, Auteur ; Sho MURATAKE, Auteur ; Hitoshi OKAMURA, Auteur . - 101682.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 79 (November 2020) . - 101682
Mots-clés : Autism spectrum disorder Assessment Motor timing control Severity level Index. décimale : PER Périodiques Résumé : Background Objective evaluation is important to achieve an effective intervention. However, there are limited assessment tools to easily apply to autism spectrum disorder (ASD) individuals with various severities in the clinical setting. This study aimed to characterize the timing control ability of ASD individuals and clarify the relationship between timing control ability and ASD severity level in order to establish an assessment tool for ASD function. Method We developed a simple touchscreen-based task for evaluate motor timing control ability and used two types of sensorimotor timing controls (i.e., simple timing and delayed timing tasks) in ASD (n?=?77) and typically developing (TD) individuals (n?=?87). Results Each participant with ASD completed the simple timing task. Regarding the delayed timing task, two participants in the ASD group were excluded as they faced difficulties when conducting the task according to the instruction. Accuracy of motor-timing control was significantly lower in participants with ASD than in those with TD for each timing task. The mean timing error in the adaptive timing control were correlated with clinically evaluated ASD severity and participant age in the ASD group. Furthermore, receiver operating characteristic curve analysis indicated that altered motor timing control is useful for distinguishing individuals with and without ASD (area under the curve?=?.845). Conclusions We showed that our assessment tool accurately assessed timing control ability of individuals with ASD, regardless of the varying ranges of symptomatic severities, and served as a useful tool for capturing the overall severity of such a heterogeneous disorder, which may lead to more effective therapies for ASD. En ligne : https://doi.org/10.1016/j.rasd.2020.101682 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434