Age-related differences in the prevalence and correlates of anxiety in youth with autism spectrum disorders / Roma A. VASA in Research in Autism Spectrum Disorders, 7-11 (November 2013)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 7-11 (November 2013) . - p.1358-1369 Titre : Age-related differences in the prevalence and correlates of anxiety in youth with autism spectrum disorders Type de document : texte imprimé Auteurs : Roma A. VASA, Auteur ; Luther G. KALB, Auteur ; Micah O. MAZUREK, Auteur ; Stephen M. KANNE, Auteur ; Brian FREEDMAN, Auteur ; Amy KEEFER, Auteur ; Traci E. CLEMONS, Auteur ; Donna S. MURRAY, Auteur Article en page(s) : p.1358-1369 Langues : Anglais (eng) Mots-clés : Autism  Anxiety  Prevalence  Correlate  Age group Index. décimale : PER Périodiques Résumé : Abstract Age-related differences in the prevalence and correlates of anxiety were cross-sectionally examined in 1316 children and adolescents with autism spectrum disorder (ASD) who presented for initial evaluation at 14 outpatient autism centers around the country and in Canada. The prevalence of clinical and subclinical anxiety as well as the correlates of anxiety were examined in three age groups of children: preschool, school age and adolescents. Findings showed that the prevalence of anxiety in each age group exceeded the prevalence of anxiety in the general population. Adolescents and school age children had the highest prevalence of clinical (40%) and subclinical anxiety (26%), respectively. Higher IQ and less ASD severity were each weakly correlated with more anxiety in preschool and school age children. Affective symptoms were strongly associated with anxiety in each age group. Age specific psychiatric comorbidities were also present. Anxiety was associated with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in the preschool group, ODD and somatic symptoms in the school age children, and ADHD symptoms in adolescents. These data underscore the need for prevention and treatment of anxiety as well as research examining the characteristics of anxiety in children with ASD using a developmental framework. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.07.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=215 [article] Age-related differences in the prevalence and correlates of anxiety in youth with autism spectrum disorders [texte imprimé] / Roma A. VASA, Auteur ; Luther G. KALB, Auteur ; Micah O. MAZUREK, Auteur ; Stephen M. KANNE, Auteur ; Brian FREEDMAN, Auteur ; Amy KEEFER, Auteur ; Traci E. CLEMONS, Auteur ; Donna S. MURRAY, Auteur . - p.1358-1369. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 7-11 (November 2013) . - p.1358-1369 Mots-clés : Autism  Anxiety  Prevalence  Correlate  Age group Index. décimale : PER Périodiques Résumé : Abstract Age-related differences in the prevalence and correlates of anxiety were cross-sectionally examined in 1316 children and adolescents with autism spectrum disorder (ASD) who presented for initial evaluation at 14 outpatient autism centers around the country and in Canada. The prevalence of clinical and subclinical anxiety as well as the correlates of anxiety were examined in three age groups of children: preschool, school age and adolescents. Findings showed that the prevalence of anxiety in each age group exceeded the prevalence of anxiety in the general population. Adolescents and school age children had the highest prevalence of clinical (40%) and subclinical anxiety (26%), respectively. Higher IQ and less ASD severity were each weakly correlated with more anxiety in preschool and school age children. Affective symptoms were strongly associated with anxiety in each age group. Age specific psychiatric comorbidities were also present. Anxiety was associated with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms in the preschool group, ODD and somatic symptoms in the school age children, and ADHD symptoms in adolescents. These data underscore the need for prevention and treatment of anxiety as well as research examining the characteristics of anxiety in children with ASD using a developmental framework. En ligne : http://dx.doi.org/10.1016/j.rasd.2013.07.005 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=215

Anxiety in autistic preschool children: Phenomenology and a network analysis of correlates / Roma A. VASA in Autism Research, 16-8 (August 2023)  

Public ISBD [article]  inAutism Research > 16-8 (August 2023) . - p.1561-1572 Titre : Anxiety in autistic preschool children: Phenomenology and a network analysis of correlates Type de document : texte imprimé Auteurs : Roma A. VASA, Auteur ; Connor M. KERNS, Auteur ; Vini SINGH, Auteur ; Rachel G. MCDONALD, Auteur ; Yeon Sik JANG, Auteur ; Amy KEEFER, Auteur Article en page(s) : p.1561-1572 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract Anxiety disorders in autistic children are associated with significant functional impairment. Few studies have examined impairing anxiety presentations in autistic preschool children (i.e., 3-5 years old). This cross-sectional study examined the phenomenology of impairing anxiety and the strongest correlates of anxiety in 75 autistic preschool children. Parents completed a diagnostic interview that assesses two anxiety types, DSM-5 anxiety disorders and impairing distinct anxiety presentations, and measures of anxiety correlates. An exploratory network analysis examined connections between anxiety and its correlates. Forty percent of children had impairing anxiety. Specific phobia followed by 'other social fear,' a type of distinct anxiety, were the most common anxiety types. Child intolerance of uncertainty (IU) was the only correlate that was associated with anxiety in a network analysis framework. Child IU linked anxiety to two other correlates, sensory over-responsivity and somatic symptoms. Findings emphasize the need for early intervention for anxiety and further research on its correlates. En ligne : https://doi.org/10.1002/aur.2968 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510 [article] Anxiety in autistic preschool children: Phenomenology and a network analysis of correlates [texte imprimé] / Roma A. VASA, Auteur ; Connor M. KERNS, Auteur ; Vini SINGH, Auteur ; Rachel G. MCDONALD, Auteur ; Yeon Sik JANG, Auteur ; Amy KEEFER, Auteur . - p.1561-1572. Langues : Anglais (eng) in Autism Research > 16-8 (August 2023) . - p.1561-1572 Index. décimale : PER Périodiques Résumé : Abstract Anxiety disorders in autistic children are associated with significant functional impairment. Few studies have examined impairing anxiety presentations in autistic preschool children (i.e., 3-5 years old). This cross-sectional study examined the phenomenology of impairing anxiety and the strongest correlates of anxiety in 75 autistic preschool children. Parents completed a diagnostic interview that assesses two anxiety types, DSM-5 anxiety disorders and impairing distinct anxiety presentations, and measures of anxiety correlates. An exploratory network analysis examined connections between anxiety and its correlates. Forty percent of children had impairing anxiety. Specific phobia followed by 'other social fear,' a type of distinct anxiety, were the most common anxiety types. Child intolerance of uncertainty (IU) was the only correlate that was associated with anxiety in a network analysis framework. Child IU linked anxiety to two other correlates, sensory over-responsivity and somatic symptoms. Findings emphasize the need for early intervention for anxiety and further research on its correlates. En ligne : https://doi.org/10.1002/aur.2968 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510

Brief Report: Self-Injurious Behaviors in Preschool Children with Autism Spectrum Disorder Compared to Other Developmental Delays and Disorders / Gnakub N. SOKE in Journal of Autism and Developmental Disorders, 48-7 (July 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-7 (July 2018) . - p.2558-2566 Titre : Brief Report: Self-Injurious Behaviors in Preschool Children with Autism Spectrum Disorder Compared to Other Developmental Delays and Disorders Type de document : texte imprimé Auteurs : Gnakub N. SOKE, Auteur ; Steven A. ROSENBERG, Auteur ; C. Robinson ROSENBERG, Auteur ; Roma A. VASA, Auteur ; Li-Ching LEE, Auteur ; Carolyn G. DIGUISEPPI, Auteur Article en page(s) : p.2558-2566 Langues : Anglais (eng) Mots-clés : Autism  Autism spectrum disorder  Developmental delays and disorders  Prevalence  Self-injurious behaviors Index. décimale : PER Périodiques Résumé : We compared the prevalence of self-injurious behaviors (SIB) in preschoolers aged 30-68 months with autism spectrum disorder (ASD) (n = 691) versus other developmental delays and disorders (DD) (n = 977) accounting for sociodemographic, cognitive, and medical factors. SIB prevalence was higher in ASD versus all DD [adjusted odds-ratio (aOR) 2.13 (95% confidence interval (95% CI) 1.53, 2.97)]. In subgroup analyses, SIB prevalence was higher in ASD versus DD without ASD symptoms [aOR 4.42 (95% CI 2.66, 7.33)], but was similar between ASD and DD with ASD symptoms [aOR 1.09 (95% CI 0.68, 1.77)]. We confirmed higher prevalence of SIB in ASD versus DD, independent of confounders. In children with DD, SIB prevalence increased with more ASD symptoms. These findings are informative to clinicians, researchers, and policymakers. En ligne : http://dx.doi.org/10.1007/s10803-018-3490-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 [article] Brief Report: Self-Injurious Behaviors in Preschool Children with Autism Spectrum Disorder Compared to Other Developmental Delays and Disorders [texte imprimé] / Gnakub N. SOKE, Auteur ; Steven A. ROSENBERG, Auteur ; C. Robinson ROSENBERG, Auteur ; Roma A. VASA, Auteur ; Li-Ching LEE, Auteur ; Carolyn G. DIGUISEPPI, Auteur . - p.2558-2566. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-7 (July 2018) . - p.2558-2566 Mots-clés : Autism  Autism spectrum disorder  Developmental delays and disorders  Prevalence  Self-injurious behaviors Index. décimale : PER Périodiques Résumé : We compared the prevalence of self-injurious behaviors (SIB) in preschoolers aged 30-68 months with autism spectrum disorder (ASD) (n = 691) versus other developmental delays and disorders (DD) (n = 977) accounting for sociodemographic, cognitive, and medical factors. SIB prevalence was higher in ASD versus all DD [adjusted odds-ratio (aOR) 2.13 (95% confidence interval (95% CI) 1.53, 2.97)]. In subgroup analyses, SIB prevalence was higher in ASD versus DD without ASD symptoms [aOR 4.42 (95% CI 2.66, 7.33)], but was similar between ASD and DD with ASD symptoms [aOR 1.09 (95% CI 0.68, 1.77)]. We confirmed higher prevalence of SIB in ASD versus DD, independent of confounders. In children with DD, SIB prevalence increased with more ASD symptoms. These findings are informative to clinicians, researchers, and policymakers. En ligne : http://dx.doi.org/10.1007/s10803-018-3490-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367

Characteristics of psychiatric emergency department use among privately insured adolescents with autism spectrum disorder / Luke G. KALB in Autism, 23-3 (April 2019)  

Public ISBD [article]  inAutism > 23-3 (April 2019) . - p.566-573 Titre : Characteristics of psychiatric emergency department use among privately insured adolescents with autism spectrum disorder Type de document : texte imprimé Auteurs : Luke G. KALB, Auteur ; Elizabeth A. STUART, Auteur ; Roma A. VASA, Auteur Article en page(s) : p.566-573 Langues : Anglais (eng) Mots-clés : attention deficit hyperactivity disorder  autism spectrum disorders  crisis  emergency  health services Index. décimale : PER Périodiques Résumé : This study examined differences in the rates of psychiatric-related emergency department visits among adolescents with autism spectrum disorder, adolescents with attention deficit hyperactivity disorder, and adolescents without autism spectrum disorder or attention deficit hyperactivity disorder. Additional outcomes included emergency department recidivism, probability of psychiatric hospitalization after the emergency department visit, and receipt of outpatient mental health services before and after the emergency department visit. Data came from privately insured adolescents, aged 12-17 years, with autism spectrum disorder (N = 46,323), attention deficit hyperactivity disorder (N = 408,066), and neither diagnosis (N = 2,330,332), enrolled in the 2010-2013 MarketScan Commercial Claims Database. Adolescents with autism spectrum disorder had an increased rate of psychiatric emergency department visits compared to adolescents with attention deficit hyperactivity disorder (IRR = 2.0, 95% confidence interval: 1.9, 2.1) and adolescents with neither diagnosis (IRR = 9.9, 95% confidence interval: 9.4, 10.4). Compared to the other groups, adolescents with autism spectrum disorder also had an increased probability of emergency department recidivism, psychiatric hospitalization after the emergency department visit, and receipt of outpatient care before and after the visit (all p < 0.001). Further research is required to understand whether these findings extend to youth with other neurodevelopmental disorders, particularly those who are publicly insured. En ligne : http://dx.doi.org/10.1177/1362361317749951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392 [article] Characteristics of psychiatric emergency department use among privately insured adolescents with autism spectrum disorder [texte imprimé] / Luke G. KALB, Auteur ; Elizabeth A. STUART, Auteur ; Roma A. VASA, Auteur . - p.566-573. Langues : Anglais (eng) in Autism > 23-3 (April 2019) . - p.566-573 Mots-clés : attention deficit hyperactivity disorder  autism spectrum disorders  crisis  emergency  health services Index. décimale : PER Périodiques Résumé : This study examined differences in the rates of psychiatric-related emergency department visits among adolescents with autism spectrum disorder, adolescents with attention deficit hyperactivity disorder, and adolescents without autism spectrum disorder or attention deficit hyperactivity disorder. Additional outcomes included emergency department recidivism, probability of psychiatric hospitalization after the emergency department visit, and receipt of outpatient mental health services before and after the emergency department visit. Data came from privately insured adolescents, aged 12-17 years, with autism spectrum disorder (N = 46,323), attention deficit hyperactivity disorder (N = 408,066), and neither diagnosis (N = 2,330,332), enrolled in the 2010-2013 MarketScan Commercial Claims Database. Adolescents with autism spectrum disorder had an increased rate of psychiatric emergency department visits compared to adolescents with attention deficit hyperactivity disorder (IRR = 2.0, 95% confidence interval: 1.9, 2.1) and adolescents with neither diagnosis (IRR = 9.9, 95% confidence interval: 9.4, 10.4). Compared to the other groups, adolescents with autism spectrum disorder also had an increased probability of emergency department recidivism, psychiatric hospitalization after the emergency department visit, and receipt of outpatient care before and after the visit (all p < 0.001). Further research is required to understand whether these findings extend to youth with other neurodevelopmental disorders, particularly those who are publicly insured. En ligne : http://dx.doi.org/10.1177/1362361317749951 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392

DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD / Amy KEEFER in Journal of Neurodevelopmental Disorders, 13 (2021)  

Public ISBD [article]  inJournal of Neurodevelopmental Disorders > 13 (2021) Titre : DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD Type de document : texte imprimé Auteurs : Amy KEEFER, Auteur ; Roma A. VASA, Auteur Langues : Anglais (eng) Mots-clés : Animals  Anxiety/complications/therapy  Anxiety Disorders/complications/therapy  Autism Spectrum Disorder/complications/therapy  Cognition  Cognitive Behavioral Therapy  Dinosaurs  Pilot Projects  Uncertainty  Anxiety  Autism  Treatment  Young child Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety disorders are highly prevalent in children and adolescents with autism spectrum disorder and often emerge before the age of 6 years. Yet, only a few studies have examined anxiety treatment for this group. Preliminary evidence from these studies suggests that utilizing cognitive behavioral therapy (CBT) as well as strategies to target intolerance of uncertainty (IU) and parental accommodation, known mechanistic and maintaining factors of anxiety may improve anxiety and optimize outcomes in this age group. MAIN BODY: To meet this need, we developed an integrated treatment called DINO Strategies for Anxiety and intolerance of Uncertainty Reduction (DINOSAUR), a 12-week group telehealth treatment for 4- to 6-year-old children with ASD. DINOSAUR works with young children and their parents to deliver CBT along with interventions targeting IU and parental accommodation. In this paper, we first discuss the rationale for developing this treatment and then describe a pilot study of its feasibility and preliminary efficacy. CONCLUSIONS: There is a great need to develop anxiety treatments for young children with ASD. We proposed a novel integrated treatment approach that aims to alter the way young children and parents respond to fear, which could potentially improve short- and long-term mental health outcomes for this age group. TRIAL REGISTRATION: ClinicalTrials.gov NCT04432077 on June 03, 2020. En ligne : https://dx.doi.org/10.1186/s11689-021-09396-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=574 [article] DINOSAUR: an integrated cognitive-behavioral treatment for anxiety in young children with ASD [texte imprimé] / Amy KEEFER, Auteur ; Roma A. VASA, Auteur. Langues : Anglais (eng) in Journal of Neurodevelopmental Disorders > 13 (2021) Mots-clés : Animals  Anxiety/complications/therapy  Anxiety Disorders/complications/therapy  Autism Spectrum Disorder/complications/therapy  Cognition  Cognitive Behavioral Therapy  Dinosaurs  Pilot Projects  Uncertainty  Anxiety  Autism  Treatment  Young child Index. décimale : PER Périodiques Résumé : BACKGROUND: Anxiety disorders are highly prevalent in children and adolescents with autism spectrum disorder and often emerge before the age of 6 years. Yet, only a few studies have examined anxiety treatment for this group. Preliminary evidence from these studies suggests that utilizing cognitive behavioral therapy (CBT) as well as strategies to target intolerance of uncertainty (IU) and parental accommodation, known mechanistic and maintaining factors of anxiety may improve anxiety and optimize outcomes in this age group. MAIN BODY: To meet this need, we developed an integrated treatment called DINO Strategies for Anxiety and intolerance of Uncertainty Reduction (DINOSAUR), a 12-week group telehealth treatment for 4- to 6-year-old children with ASD. DINOSAUR works with young children and their parents to deliver CBT along with interventions targeting IU and parental accommodation. In this paper, we first discuss the rationale for developing this treatment and then describe a pilot study of its feasibility and preliminary efficacy. CONCLUSIONS: There is a great need to develop anxiety treatments for young children with ASD. We proposed a novel integrated treatment approach that aims to alter the way young children and parents respond to fear, which could potentially improve short- and long-term mental health outcomes for this age group. TRIAL REGISTRATION: ClinicalTrials.gov NCT04432077 on June 03, 2020. En ligne : https://dx.doi.org/10.1186/s11689-021-09396-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=574

Dysregulation in Children and Adolescents Presenting to a Multidisciplinary Autism Clinic / Roma A. VASA in Journal of Autism and Developmental Disorders, 52-4 (April 2022)  

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Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder / Luther G. KALB in Journal of Autism and Developmental Disorders, 46-8 (August 2016)  

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Exploring the Symptom Profiles of Intolerance of Uncertainty in Autistic Children / Vini SINGH ; Yeon Sik JANG ; Leigh ALON ; Madison SURMACZ ; Calliope HOLINGUE ; Stewart H. MOSTOFSKY ; Roma A. VASA in Journal of Autism and Developmental Disorders, 54-1 (January 2024)  

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Intolerance of Uncertainty Predicts Anxiety Outcomes Following CBT in Youth with ASD / Amy KEEFER in Journal of Autism and Developmental Disorders, 47-12 (December 2017)  

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Investigating mental health crisis in youth with autism spectrum disorder / Roma A. VASA in Autism Research, 13-1 (January 2020)  

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Investigating the factor structure of the child behavior checklist dysregulation profile in children and adolescents with autism spectrum disorder / Amy KEEFER in Autism Research, 13-3 (March 2020)  

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Methodological considerations when assessing restricted and repetitive behaviors and aggression / A.J. KEEFER in Research in Autism Spectrum Disorders, 8-11 (November 2014)  

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Mood Disorders in Mothers of Children on the Autism Spectrum Are Associated with Higher Functioning Autism / Roma A. VASA in Autism Research and Treatment, (July 2012)  

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Normal Rates of Neuroradiological Findings in Children with High Functioning Autism / Roma A. VASA in Journal of Autism and Developmental Disorders, 42-8 (August 2012)  

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One-year course and predictors of abdominal pain in children with autism spectrum disorders: The role of anxiety and sensory over-responsivity / Micah O. MAZUREK in Research in Autism Spectrum Disorders, 8-11 (November 2014)  

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