Identification of children with the same level of impairment as children on the autistic spectrum, and analysis of their service use / Ginny RUSSELL in Journal of Child Psychology and Psychiatry, 51-6 (June 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-6 (June 2010) . - p.643-651 Titre : Identification of children with the same level of impairment as children on the autistic spectrum, and analysis of their service use Type de document : Texte imprimé et/ou numérique Auteurs : Ginny RUSSELL, Auteur ; Tamsin FORD, Auteur ; Jean GOLDING, Auteur ; Colin STEER, Auteur Année de publication : 2010 Article en page(s) : p.643-651 Langues : Anglais (eng) Mots-clés : Autism pervasive-developmental-disorders Asperger's-syndrome epidemiology prevalence child-mental-health Index. décimale : PER Périodiques Résumé : Background: Data from epidemiology have consistently highlighted a disparity between the true prevalence of childhood psychiatric disorders and their recognition as defined by receiving a clinical diagnosis. Few studies have looked specifically at the level of unidentified autistic spectrum disorder (ASD) in the population. Method: Logistic regression was used to determine the behavioural traits associated with receiving a diagnosis of ASD using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). A composite score was derived to measure levels of autistic traits; undiagnosed children with scores matching those diagnosed with ASD were identified. Levels of educational provision beyond that provided by standard schooling were examined. Results: Fifty-five percent of children with autistic traits at the same levels as those who had an autism diagnosis had not been identified as needing extra support from education or specialised health services. Of those who were identified as having special needs, 37.5% had been formally diagnosed with an ASD. For children with impairment at the same level as that associated with Asperger's syndrome, 57% had no special provision at school, and were not accessing specialised health services. Twenty-six percent of those who did have special provision at school had an ASD diagnosis. Conclusions: The results suggest that there may be a substantial proportion of children on the autistic spectrum who are never identified by services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02233.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=101 [article] Identification of children with the same level of impairment as children on the autistic spectrum, and analysis of their service use [Texte imprimé et/ou numérique] / Ginny RUSSELL, Auteur ; Tamsin FORD, Auteur ; Jean GOLDING, Auteur ; Colin STEER, Auteur . - 2010 . - p.643-651. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-6 (June 2010) . - p.643-651 Mots-clés : Autism pervasive-developmental-disorders Asperger's-syndrome epidemiology prevalence child-mental-health Index. décimale : PER Périodiques Résumé : Background: Data from epidemiology have consistently highlighted a disparity between the true prevalence of childhood psychiatric disorders and their recognition as defined by receiving a clinical diagnosis. Few studies have looked specifically at the level of unidentified autistic spectrum disorder (ASD) in the population. Method: Logistic regression was used to determine the behavioural traits associated with receiving a diagnosis of ASD using data from the Avon Longitudinal Study of Parents and Children (ALSPAC). A composite score was derived to measure levels of autistic traits; undiagnosed children with scores matching those diagnosed with ASD were identified. Levels of educational provision beyond that provided by standard schooling were examined. Results: Fifty-five percent of children with autistic traits at the same levels as those who had an autism diagnosis had not been identified as needing extra support from education or specialised health services. Of those who were identified as having special needs, 37.5% had been formally diagnosed with an ASD. For children with impairment at the same level as that associated with Asperger's syndrome, 57% had no special provision at school, and were not accessing specialised health services. Twenty-six percent of those who did have special provision at school had an ASD diagnosis. Conclusions: The results suggest that there may be a substantial proportion of children on the autistic spectrum who are never identified by services. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02233.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=101

Social and behavioural outcomes in children diagnosed with autism spectrum disorders: a longitudinal cohort study / Ginny RUSSELL in Journal of Child Psychology and Psychiatry, 53-7 (July 2012)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 53-7 (July 2012) . - p.735-744 Titre : Social and behavioural outcomes in children diagnosed with autism spectrum disorders: a longitudinal cohort study Type de document : Texte imprimé et/ou numérique Auteurs : Ginny RUSSELL, Auteur ; Jean GOLDING, Auteur ; Brahm NORWICH, Auteur ; Alan EMOND, Auteur ; Tamsin FORD, Auteur ; Colin STEER, Auteur Année de publication : 2012 Article en page(s) : p.735-744 Langues : Anglais (eng) Mots-clés : Longitudinal studies  autism  social development  early diagnosis Index. décimale : PER Périodiques Résumé : Objective:  To compare social and behavioural outcomes between children formally diagnosed with autism spectrum disorders (ASD) with those of children who displayed autistic traits at preschool age, but remained undiagnosed as teenagers. Method:  A secondary analysis of data from a birth cohort study, the Avon Longitudinal Study of Parents and Children (N = 13,944), in SW England. Children clinically diagnosed with ASD were identified from their medical records (n = 71). A comparison group, who displayed autistic traits at age 3–4, but without ASD diagnosis were also identified (n = 142). Social and behavioural outcomes in adolescence were compared between the two groups. Results:  Children with ASD diagnoses were more impaired as teenagers that those in the comparison group on a range of measures of autistic-like behaviour. The developmental trajectory of prosocial behaviour showed that differences between the case and comparison groups increased dramatically in the preschool and early primary years, but that after 6 years the trajectories were similar. Conclusions:  The divergence of the clinically diagnosed group and the nondiagnosed group in measures of autistic-like behaviour increased with age. This study provides evidence that it may be difficult to distinguish preschool age children who exhibit autistic-like symptoms but improve, from those who go on to develop lifelong impairment. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02490.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166 [article] Social and behavioural outcomes in children diagnosed with autism spectrum disorders: a longitudinal cohort study [Texte imprimé et/ou numérique] / Ginny RUSSELL, Auteur ; Jean GOLDING, Auteur ; Brahm NORWICH, Auteur ; Alan EMOND, Auteur ; Tamsin FORD, Auteur ; Colin STEER, Auteur . - 2012 . - p.735-744. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 53-7 (July 2012) . - p.735-744 Mots-clés : Longitudinal studies  autism  social development  early diagnosis Index. décimale : PER Périodiques Résumé : Objective:  To compare social and behavioural outcomes between children formally diagnosed with autism spectrum disorders (ASD) with those of children who displayed autistic traits at preschool age, but remained undiagnosed as teenagers. Method:  A secondary analysis of data from a birth cohort study, the Avon Longitudinal Study of Parents and Children (N = 13,944), in SW England. Children clinically diagnosed with ASD were identified from their medical records (n = 71). A comparison group, who displayed autistic traits at age 3–4, but without ASD diagnosis were also identified (n = 142). Social and behavioural outcomes in adolescence were compared between the two groups. Results:  Children with ASD diagnoses were more impaired as teenagers that those in the comparison group on a range of measures of autistic-like behaviour. The developmental trajectory of prosocial behaviour showed that differences between the case and comparison groups increased dramatically in the preschool and early primary years, but that after 6 years the trajectories were similar. Conclusions:  The divergence of the clinically diagnosed group and the nondiagnosed group in measures of autistic-like behaviour increased with age. This study provides evidence that it may be difficult to distinguish preschool age children who exhibit autistic-like symptoms but improve, from those who go on to develop lifelong impairment. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02490.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166

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