Dépouillements

PDDBI and ADOS-2 autism severity scores are correlated but yield discrepant levels of severity across assessment sites / Ira L. COHEN in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102206 Titre : PDDBI and ADOS-2 autism severity scores are correlated but yield discrepant levels of severity across assessment sites Type de document : Texte imprimé et/ou numérique Auteurs : Ira L. COHEN, Auteur ; Claire SCHUTTE, Auteur ; Laura HEWITSON, Auteur Article en page(s) : p.102206 Langues : Anglais (eng) Mots-clés : ADOS-2 Comparison Score  PDDBI Autism Composite  Diagnostic sites  Autism severity  Comorbidity Index. décimale : PER Périodiques Résumé : Background Previous studies have indicated significant associations between the severity of PDDBI composite T-scores and ADOS severity. However, significant correlations do not necessarily indicate similar absolute levels of severity which can vary with informants and with how cases are ascertained across diagnostic sites. Methods The relationships between the Comparison Score (CS) measure of autism severity from the ADOS-2 and Composite T-scores from the PDD Behavior Inventory (PDDBI) were examined across parent and teacher informants from cases seen at a tertiary diagnostic center (n = 157) and, for parent informants, an additional site - a diagnostic/treatment center (n = 104), which provides services that attracted cases with comorbid medical and behavioral concerns. Results Across informants, CS scores were more strongly correlated with the PDDBI composite scores assessing social communication abilities (EXSCA/C) and overall autism severity (AUTISM/C) than with the composite score assessing repetitive and ritualistic behaviors (REPRIT/C) with mean severity levels of REPRIT/C and AUTISM/C slightly, but significantly, higher for teachers. Across centers, correlations between PDDBI composite scores and CS were very similar. However, while average CS scores were more severe at the tertiary center, PDDBI AUTISM/C scores were more severe at the diagnostic/treatment center solely due to higher REPRIT/C severity T-scores, likely related to their greater rates of comorbid issues. Conclusions These results indicate the importance of using a variety of assessment tools when making diagnostic and treatment decisions and assessing outcome with repetitive and ritualistic behaviors particularly sensitive to ascertainment factors. En ligne : https://doi.org/10.1016/j.rasd.2023.102206 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] PDDBI and ADOS-2 autism severity scores are correlated but yield discrepant levels of severity across assessment sites [Texte imprimé et/ou numérique] / Ira L. COHEN, Auteur ; Claire SCHUTTE, Auteur ; Laura HEWITSON, Auteur . - p.102206. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102206 Mots-clés : ADOS-2 Comparison Score  PDDBI Autism Composite  Diagnostic sites  Autism severity  Comorbidity Index. décimale : PER Périodiques Résumé : Background Previous studies have indicated significant associations between the severity of PDDBI composite T-scores and ADOS severity. However, significant correlations do not necessarily indicate similar absolute levels of severity which can vary with informants and with how cases are ascertained across diagnostic sites. Methods The relationships between the Comparison Score (CS) measure of autism severity from the ADOS-2 and Composite T-scores from the PDD Behavior Inventory (PDDBI) were examined across parent and teacher informants from cases seen at a tertiary diagnostic center (n = 157) and, for parent informants, an additional site - a diagnostic/treatment center (n = 104), which provides services that attracted cases with comorbid medical and behavioral concerns. Results Across informants, CS scores were more strongly correlated with the PDDBI composite scores assessing social communication abilities (EXSCA/C) and overall autism severity (AUTISM/C) than with the composite score assessing repetitive and ritualistic behaviors (REPRIT/C) with mean severity levels of REPRIT/C and AUTISM/C slightly, but significantly, higher for teachers. Across centers, correlations between PDDBI composite scores and CS were very similar. However, while average CS scores were more severe at the tertiary center, PDDBI AUTISM/C scores were more severe at the diagnostic/treatment center solely due to higher REPRIT/C severity T-scores, likely related to their greater rates of comorbid issues. Conclusions These results indicate the importance of using a variety of assessment tools when making diagnostic and treatment decisions and assessing outcome with repetitive and ritualistic behaviors particularly sensitive to ascertainment factors. En ligne : https://doi.org/10.1016/j.rasd.2023.102206 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

No sex differences in core autism features, social functioning, cognition or co-occurring conditions in young autistic children: A systematic review and meta-analysis / Katherine NATOLI in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102207 Titre : No sex differences in core autism features, social functioning, cognition or co-occurring conditions in young autistic children: A systematic review and meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Katherine NATOLI, Auteur ; Amy BROWN, Auteur ; Catherine A. BENT, Auteur ; Jenny LUU, Auteur ; Kristelle HUDRY, Auteur Article en page(s) : p.102207 Langues : Anglais (eng) Mots-clés : Autism  Sex differences  Early Childhood  Core Autism features  Restricted and Repetitive Behaviours Index. décimale : PER Périodiques Résumé : Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with more males than females diagnosed, and researchers have considered whether the existence of a female-specific ASD phenotype may contribute to differences in rates of diagnosis. We sought to inform this issue through a systematic review and meta-analysis of potential sex differences specifically in young autistic children across a range of domains including core ASD features, social functioning, cognition, and co-occurring internalising and/or externalising conditions. The systematic review identified 35 studies examining sex differences in young autistic children. Conflicting results were evident across studies, with some reporting small sex differences and others reporting no sex differences. Meta-analysis revealed no overarching significant sex differences in the domains investigated. However, the meta-analytic effect for the RRB domain approached significance, with females demonstrating fewer RRBs than males. Many of the primary studies included here utilised data from standardised diagnostic instruments to measure autism features, so while this study suggests non-significant sex differences in early childhood ASD, it remains possible that current tools are insufficiently sensitive to detect differences in ASD presentation by sex at this age. It is also possible that the diagnostic criteria may reflect a predominately 'male phenotype' and this may obscure the detection of genuine sex differences in young autistic children. En ligne : https://doi.org/10.1016/j.rasd.2023.102207 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] No sex differences in core autism features, social functioning, cognition or co-occurring conditions in young autistic children: A systematic review and meta-analysis [Texte imprimé et/ou numérique] / Katherine NATOLI, Auteur ; Amy BROWN, Auteur ; Catherine A. BENT, Auteur ; Jenny LUU, Auteur ; Kristelle HUDRY, Auteur . - p.102207. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102207 Mots-clés : Autism  Sex differences  Early Childhood  Core Autism features  Restricted and Repetitive Behaviours Index. décimale : PER Périodiques Résumé : Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with more males than females diagnosed, and researchers have considered whether the existence of a female-specific ASD phenotype may contribute to differences in rates of diagnosis. We sought to inform this issue through a systematic review and meta-analysis of potential sex differences specifically in young autistic children across a range of domains including core ASD features, social functioning, cognition, and co-occurring internalising and/or externalising conditions. The systematic review identified 35 studies examining sex differences in young autistic children. Conflicting results were evident across studies, with some reporting small sex differences and others reporting no sex differences. Meta-analysis revealed no overarching significant sex differences in the domains investigated. However, the meta-analytic effect for the RRB domain approached significance, with females demonstrating fewer RRBs than males. Many of the primary studies included here utilised data from standardised diagnostic instruments to measure autism features, so while this study suggests non-significant sex differences in early childhood ASD, it remains possible that current tools are insufficiently sensitive to detect differences in ASD presentation by sex at this age. It is also possible that the diagnostic criteria may reflect a predominately 'male phenotype' and this may obscure the detection of genuine sex differences in young autistic children. En ligne : https://doi.org/10.1016/j.rasd.2023.102207 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Making needle procedures comfortable for autistic children: Caregiver perspectives / Olivia DOBSON in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102208 Titre : Making needle procedures comfortable for autistic children: Caregiver perspectives Type de document : Texte imprimé et/ou numérique Auteurs : Olivia DOBSON, Auteur ; Frank J. SYMONS, Auteur ; C. Meghan MCMURTRY, Auteur Article en page(s) : p.102208 Langues : Anglais (eng) Mots-clés : Autism  Needles  Needle fear  Pain  Pain management  Vaccination Index. décimale : PER Périodiques Résumé : Background Autistic children are at greater risk for having difficulty undergoing needle procedures and poor management of their needle pain and fear. While there are general clinical practice guidelines (CPGs) available for managing pediatric needle pain and fear, it is unclear whether these strategies are appropriate for autistic children and their caregivers. Method The objective of this study was to explore caregiver perspectives on what is needed for needle procedures to be comfortable and CPGs to be appropriate for them and their autistic child. Twenty Canadian caregivers of autistic children were interviewed, including open-ended questions and ratings of how helpful CPG strategies would be for autistic children. Results Using reflexive thematic analysis, four themes were identified: 1) autistic children?s sense of autonomy is important; 2) external factors impact autistic children?s comfort (e.g., environment, familiarity, healthcare providers); 3) caregivers play a key role by preparing themselves and others before needle procedures and 4) it is essential to tailor CPG strategies to children?s needs. Conclusions Findings indicate that a child and family-centered approach is imperative to making needle procedures comfortable for autistic children. Practical recommendations for healthcare providers and caregivers are provided. En ligne : https://doi.org/10.1016/j.rasd.2023.102208 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Making needle procedures comfortable for autistic children: Caregiver perspectives [Texte imprimé et/ou numérique] / Olivia DOBSON, Auteur ; Frank J. SYMONS, Auteur ; C. Meghan MCMURTRY, Auteur . - p.102208. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102208 Mots-clés : Autism  Needles  Needle fear  Pain  Pain management  Vaccination Index. décimale : PER Périodiques Résumé : Background Autistic children are at greater risk for having difficulty undergoing needle procedures and poor management of their needle pain and fear. While there are general clinical practice guidelines (CPGs) available for managing pediatric needle pain and fear, it is unclear whether these strategies are appropriate for autistic children and their caregivers. Method The objective of this study was to explore caregiver perspectives on what is needed for needle procedures to be comfortable and CPGs to be appropriate for them and their autistic child. Twenty Canadian caregivers of autistic children were interviewed, including open-ended questions and ratings of how helpful CPG strategies would be for autistic children. Results Using reflexive thematic analysis, four themes were identified: 1) autistic children?s sense of autonomy is important; 2) external factors impact autistic children?s comfort (e.g., environment, familiarity, healthcare providers); 3) caregivers play a key role by preparing themselves and others before needle procedures and 4) it is essential to tailor CPG strategies to children?s needs. Conclusions Findings indicate that a child and family-centered approach is imperative to making needle procedures comfortable for autistic children. Practical recommendations for healthcare providers and caregivers are provided. En ligne : https://doi.org/10.1016/j.rasd.2023.102208 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Meta-analysis of effectiveness of parent-mediated telehealth interventions in children with Autism spectrum disorder / Chieh-Yu PAN in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102209 Titre : Meta-analysis of effectiveness of parent-mediated telehealth interventions in children with Autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Chieh-Yu PAN, Auteur ; Tien-Yu KUO, Auteur ; Fen-Ling KUO, Auteur Article en page(s) : p.102209 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Fidelity  Self-efficacy  Stress  Problem behaviors Index. décimale : PER Périodiques Résumé : Background Parent-mediated telehealth interventions can provide caregivers of children with autism spectrum disorder (ASD) with support and the training required to care for autistic children. Although many studies demonstrated the effects of telehealth on autistic children, meta-analyses of the benefits to parents are lacking. Aim To examine the effects of telehealth on parents of autistic children in terms of fidelity in parents and problem behaviors in autistic children. Methods We conducted a systematic search in PubMed, EMBASE, and Cochrane library in July 2022. Data were analyzed using RevMan 5.4, and changes in implementation fidelity, self-efficacy, and stress in parents and behavioral problems in autistic children were compared and quality assessment was conducted. Results 17 controlled trials were included in this meta-analysis. The parent implementation fidelity (p = .003, CI = 0.58-2.74) and self-efficacy (p = .005, CI = 0.11-0.63) significantly increased and parent stress (p = .02, CI = ?1.23 to ?0.10) and children's problem behaviors significantly decreased (p = .002, CI = ?2.70 to ?0.60) in the telehealth group compared with the control group. Eight articles indicated the feasibility of using telehealth interventions. No significant differences were noted between the telehealth and face-to-face groups. Conclusion Telehealth interventions improved the implementation fidelity and self-efficacy and reduced the stress of parents of autistic children. However, the differences in their effects between the telehealth and face-to-face groups must be analyzed in future studies. En ligne : https://doi.org/10.1016/j.rasd.2023.102209 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Meta-analysis of effectiveness of parent-mediated telehealth interventions in children with Autism spectrum disorder [Texte imprimé et/ou numérique] / Chieh-Yu PAN, Auteur ; Tien-Yu KUO, Auteur ; Fen-Ling KUO, Auteur . - p.102209. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102209 Mots-clés : Autism spectrum disorder  Fidelity  Self-efficacy  Stress  Problem behaviors Index. décimale : PER Périodiques Résumé : Background Parent-mediated telehealth interventions can provide caregivers of children with autism spectrum disorder (ASD) with support and the training required to care for autistic children. Although many studies demonstrated the effects of telehealth on autistic children, meta-analyses of the benefits to parents are lacking. Aim To examine the effects of telehealth on parents of autistic children in terms of fidelity in parents and problem behaviors in autistic children. Methods We conducted a systematic search in PubMed, EMBASE, and Cochrane library in July 2022. Data were analyzed using RevMan 5.4, and changes in implementation fidelity, self-efficacy, and stress in parents and behavioral problems in autistic children were compared and quality assessment was conducted. Results 17 controlled trials were included in this meta-analysis. The parent implementation fidelity (p = .003, CI = 0.58-2.74) and self-efficacy (p = .005, CI = 0.11-0.63) significantly increased and parent stress (p = .02, CI = ?1.23 to ?0.10) and children's problem behaviors significantly decreased (p = .002, CI = ?2.70 to ?0.60) in the telehealth group compared with the control group. Eight articles indicated the feasibility of using telehealth interventions. No significant differences were noted between the telehealth and face-to-face groups. Conclusion Telehealth interventions improved the implementation fidelity and self-efficacy and reduced the stress of parents of autistic children. However, the differences in their effects between the telehealth and face-to-face groups must be analyzed in future studies. En ligne : https://doi.org/10.1016/j.rasd.2023.102209 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal / Inês GENÉSIO in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Titre : Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal Type de document : Texte imprimé et/ou numérique Auteurs : Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur Article en page(s) : p.102219 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal [Texte imprimé et/ou numérique] / Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur . - p.102219. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Program logic model and impacts perceived by stakeholders in a post-school transition program for autistic young adults / Gary Yu Hin LAM in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102220 Titre : Program logic model and impacts perceived by stakeholders in a post-school transition program for autistic young adults Type de document : Texte imprimé et/ou numérique Auteurs : Gary Yu Hin LAM, Auteur ; Jaimie TIMMONS, Auteur ; Agnieszka ZALEWSKA, Auteur Article en page(s) : p.102220 Langues : Anglais (eng) Mots-clés : Post-school transition  Young adults  Qualitative interview  Logic model  Career development  Program evaluation Index. décimale : PER Périodiques Résumé : Background Autistic young adults frequently experience challenges in their transition to adulthood. Despite the available research base describing isolated transition practices, efforts to document comprehensive programs combining multiple components in community settings are scant. This study aimed to explore stakeholders' experience of a post-school transition program, including their perceived program components, processes, and impacts that contributed to the program success. Method We conducted individual qualitative interviews with 17 program stakeholders, including autistic students, parents, mentors, community collaborators, and program staff. Findings were used to create a logic model that describes how various program components and processes effect changes in autistic youths and their parents. Results Results revealed that the program values are focused on student-led participation, a strength-based approach, individualization and customization, and professional development. Program activities holistically fostered development in the autistic youth through processes of imparting career-related knowledge, facilitating ecologically relevant practice, and providing supportive peers and environment. Stakeholders described heightened sense of self-awareness, self-esteem, independence, social competence, and preparedness for the future in autistic young adults, while parents also gained the trust and confidence in fostering autonomy in their adult children. Conclusions Transition program that integrates multiple components and processes informed by the evidence-based literature can facilitate career construction and development in autistic youth. Program model developed based on stakeholders' input can offer rich information about how a program works in a naturalistic context, which can support future program adaptaion and replication to meet the needs of diverse communities and settings. En ligne : https://doi.org/10.1016/j.rasd.2023.102220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Program logic model and impacts perceived by stakeholders in a post-school transition program for autistic young adults [Texte imprimé et/ou numérique] / Gary Yu Hin LAM, Auteur ; Jaimie TIMMONS, Auteur ; Agnieszka ZALEWSKA, Auteur . - p.102220. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102220 Mots-clés : Post-school transition  Young adults  Qualitative interview  Logic model  Career development  Program evaluation Index. décimale : PER Périodiques Résumé : Background Autistic young adults frequently experience challenges in their transition to adulthood. Despite the available research base describing isolated transition practices, efforts to document comprehensive programs combining multiple components in community settings are scant. This study aimed to explore stakeholders' experience of a post-school transition program, including their perceived program components, processes, and impacts that contributed to the program success. Method We conducted individual qualitative interviews with 17 program stakeholders, including autistic students, parents, mentors, community collaborators, and program staff. Findings were used to create a logic model that describes how various program components and processes effect changes in autistic youths and their parents. Results Results revealed that the program values are focused on student-led participation, a strength-based approach, individualization and customization, and professional development. Program activities holistically fostered development in the autistic youth through processes of imparting career-related knowledge, facilitating ecologically relevant practice, and providing supportive peers and environment. Stakeholders described heightened sense of self-awareness, self-esteem, independence, social competence, and preparedness for the future in autistic young adults, while parents also gained the trust and confidence in fostering autonomy in their adult children. Conclusions Transition program that integrates multiple components and processes informed by the evidence-based literature can facilitate career construction and development in autistic youth. Program model developed based on stakeholders' input can offer rich information about how a program works in a naturalistic context, which can support future program adaptaion and replication to meet the needs of diverse communities and settings. En ligne : https://doi.org/10.1016/j.rasd.2023.102220 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism / Matti CERVIN in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102221 Titre : Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism Type de document : Texte imprimé et/ou numérique Auteurs : Matti CERVIN, Auteur ; Eric A. STORCH, Auteur ; Philip C. KENDALL, Auteur ; John D. HERRINGTON, Auteur ; Brent J. SMALL, Auteur ; Jeffrey J. WOOD, Auteur ; Connor M. KERNS, Auteur Article en page(s) : p.102221 Langues : Anglais (eng) Mots-clés : Anxiety  Children  Adolescents  Autism  Cognitive-behavioral therapy  Treatment Index. décimale : PER Périodiques Résumé : Background Anxiety disorders (ADs) are common in youth with autism and cognitive-behavioral therapy (CBT) may be less efficacious than among anxious youth without autism. Yet, little is known about which aspects of anxiety are targeted less effectively by CBT in youth with autism. Method We pooled youth with autism and ADs randomized to CBT or a control condition from five randomized controlled trials (RCTs; CBT, n = 197, Mage = 10.30 [2.05], age range: 7-16; control conditions, n = 83; Mage = 10.57 [2.30], age range: 7-16) and examined whether CBT outperformed control conditions across core aspects of anxiety and whether more pronounced autism traits predicted outcomes. CBT response in youth with autism was also compared to CBT response among anxious youth without autism (n = 129; Mage = 11.16 [2.80], age range: 7-17). Results CBT for youth with autism yielded significantly better effects than control conditions for frequency of symptoms, intensity of anxiety, avoidance, family interference, and social interference but not for physical symptoms of anxiety. Youth with more pronounced autism traits had poorer outcomes for frequency of symptoms, family interference, and social interference. Compared to anxious youth without autism, youth with autism had poorer outcomes for physical symptoms and family interference. Conclusions CBT is efficacious across core aspects of anxiety for youth with autism, but outcomes for anxiety-related interference, particularly for those with more pronounced autism traits, may be poorer than among youth without autism. More work is needed to better understand how anxiety impacts the everyday lives of anxious youth with autism and which interventions and support are needed. En ligne : https://doi.org/10.1016/j.rasd.2023.102221 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Effects of cognitive-behavioral therapy on core aspects of anxiety in anxious youth with autism [Texte imprimé et/ou numérique] / Matti CERVIN, Auteur ; Eric A. STORCH, Auteur ; Philip C. KENDALL, Auteur ; John D. HERRINGTON, Auteur ; Brent J. SMALL, Auteur ; Jeffrey J. WOOD, Auteur ; Connor M. KERNS, Auteur . - p.102221. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102221 Mots-clés : Anxiety  Children  Adolescents  Autism  Cognitive-behavioral therapy  Treatment Index. décimale : PER Périodiques Résumé : Background Anxiety disorders (ADs) are common in youth with autism and cognitive-behavioral therapy (CBT) may be less efficacious than among anxious youth without autism. Yet, little is known about which aspects of anxiety are targeted less effectively by CBT in youth with autism. Method We pooled youth with autism and ADs randomized to CBT or a control condition from five randomized controlled trials (RCTs; CBT, n = 197, Mage = 10.30 [2.05], age range: 7-16; control conditions, n = 83; Mage = 10.57 [2.30], age range: 7-16) and examined whether CBT outperformed control conditions across core aspects of anxiety and whether more pronounced autism traits predicted outcomes. CBT response in youth with autism was also compared to CBT response among anxious youth without autism (n = 129; Mage = 11.16 [2.80], age range: 7-17). Results CBT for youth with autism yielded significantly better effects than control conditions for frequency of symptoms, intensity of anxiety, avoidance, family interference, and social interference but not for physical symptoms of anxiety. Youth with more pronounced autism traits had poorer outcomes for frequency of symptoms, family interference, and social interference. Compared to anxious youth without autism, youth with autism had poorer outcomes for physical symptoms and family interference. Conclusions CBT is efficacious across core aspects of anxiety for youth with autism, but outcomes for anxiety-related interference, particularly for those with more pronounced autism traits, may be poorer than among youth without autism. More work is needed to better understand how anxiety impacts the everyday lives of anxious youth with autism and which interventions and support are needed. En ligne : https://doi.org/10.1016/j.rasd.2023.102221 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Screen time and diagnoses of anxiety and depression in autistic versus neurotypical youth / Michelle MENEZES in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102222 Titre : Screen time and diagnoses of anxiety and depression in autistic versus neurotypical youth Type de document : Texte imprimé et/ou numérique Auteurs : Michelle MENEZES, Auteur ; Jim SOLAND, Auteur ; Micah MAZUREK, Auteur Article en page(s) : p.102222 Langues : Anglais (eng) Mots-clés : Autism  Mental health  Screen  Technology  Electronic Index. décimale : PER Périodiques Résumé : Background Autistic youth engage in higher levels of screen time and are more likely to have mental health conditions (e.g., anxiety and depression) than their neurotypical peers; however, no study has compared the relationship between daily screen time hours and mental health in autistic and neurotypical youth. Therefore, this study sought to compare the association between parent-reported daily screen time hours and parent-reported anxiety and depression in a large, nationally derived sample of autistic and neurotypical youth (i.e., with data from the National Survey of Children?s Health). Method Separate binary logistic regressions were conducted for depression and anxiety as the dependent variable. Screen time was the independent variable of interest in all models. Covariates included were child age, sex, and race, as well as family/household income. Screen time estimates/coefficients were compared across autistic and neurotypical youth. Results Findings showed that screen time was significantly associated with anxiety and depression in neurotypical youth; conversely, screen time was not significantly associated with anxiety and depression in autistic youth. Conclusions Results indicate that autistic children may have a different relationship with electronic screen media than neurotypical children. Whereas neurotypical youth find electronic screen media to be a source of social stress and comparison, autistic youth may not experience screen time as stress-inducing. Supporters (e.g., parents and clinicians) of autistic youth should consider whether the autistic child experiences screen time as promotive, reductive, or neither for their mental health before establishing screen time limits. En ligne : https://doi.org/10.1016/j.rasd.2023.102222 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Screen time and diagnoses of anxiety and depression in autistic versus neurotypical youth [Texte imprimé et/ou numérique] / Michelle MENEZES, Auteur ; Jim SOLAND, Auteur ; Micah MAZUREK, Auteur . - p.102222. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102222 Mots-clés : Autism  Mental health  Screen  Technology  Electronic Index. décimale : PER Périodiques Résumé : Background Autistic youth engage in higher levels of screen time and are more likely to have mental health conditions (e.g., anxiety and depression) than their neurotypical peers; however, no study has compared the relationship between daily screen time hours and mental health in autistic and neurotypical youth. Therefore, this study sought to compare the association between parent-reported daily screen time hours and parent-reported anxiety and depression in a large, nationally derived sample of autistic and neurotypical youth (i.e., with data from the National Survey of Children?s Health). Method Separate binary logistic regressions were conducted for depression and anxiety as the dependent variable. Screen time was the independent variable of interest in all models. Covariates included were child age, sex, and race, as well as family/household income. Screen time estimates/coefficients were compared across autistic and neurotypical youth. Results Findings showed that screen time was significantly associated with anxiety and depression in neurotypical youth; conversely, screen time was not significantly associated with anxiety and depression in autistic youth. Conclusions Results indicate that autistic children may have a different relationship with electronic screen media than neurotypical children. Whereas neurotypical youth find electronic screen media to be a source of social stress and comparison, autistic youth may not experience screen time as stress-inducing. Supporters (e.g., parents and clinicians) of autistic youth should consider whether the autistic child experiences screen time as promotive, reductive, or neither for their mental health before establishing screen time limits. En ligne : https://doi.org/10.1016/j.rasd.2023.102222 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Self-supervised ensembled learning for autism spectrum classification / Manu GAUR in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102223 Titre : Self-supervised ensembled learning for autism spectrum classification Type de document : Texte imprimé et/ou numérique Auteurs : Manu GAUR, Auteur ; Kunal CHATURVEDI, Auteur ; Dinesh Kumar VISHWAKARMA, Auteur ; Savitha RAMASAMY, Auteur ; Mukesh PRASAD, Auteur Article en page(s) : p.102223 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Self-supervised learning  Pre-training  Classification  Ensembled learning Index. décimale : PER Périodiques Résumé : Purpose Deep learning has made remarkable progress in classifying autism spectrum disorder (ASD) using neuroimaging data. However, the current methods rely mainly on supervised learning, which requires a large amount of manually labeled data, making it an expensive and difficult task to scale. Methods To overcome this limitation, we propose a novel ensemble-based framework that learns a transferable and generalizable visual representation from different self-supervised features for the downstream task of ASD classification. This framework dynamically learns a superior representation by aggregating complementary information in the frequency domain from independent self-supervised features with limited data. Additionally, to address the information loss caused by the dimensionality reduction of 3D fMRI data, we propose a thresholding algorithm to optimally extract the most discriminant features from 2D rs-fMRI data. Results Experimental results demonstrate that the proposed method outperforms previous state-of-the-art methods by 19.69% on the ABIDE-1 dataset with a 10-fold cross-validation accuracy of 94.51%. Conclusion The proposed method learns a transferrable and generalizable ensembled representation by leveraging complementary information encoded in different self-supervised representations for ASD classification. En ligne : https://doi.org/10.1016/j.rasd.2023.102223 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Self-supervised ensembled learning for autism spectrum classification [Texte imprimé et/ou numérique] / Manu GAUR, Auteur ; Kunal CHATURVEDI, Auteur ; Dinesh Kumar VISHWAKARMA, Auteur ; Savitha RAMASAMY, Auteur ; Mukesh PRASAD, Auteur . - p.102223. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102223 Mots-clés : Autism spectrum disorder  Self-supervised learning  Pre-training  Classification  Ensembled learning Index. décimale : PER Périodiques Résumé : Purpose Deep learning has made remarkable progress in classifying autism spectrum disorder (ASD) using neuroimaging data. However, the current methods rely mainly on supervised learning, which requires a large amount of manually labeled data, making it an expensive and difficult task to scale. Methods To overcome this limitation, we propose a novel ensemble-based framework that learns a transferable and generalizable visual representation from different self-supervised features for the downstream task of ASD classification. This framework dynamically learns a superior representation by aggregating complementary information in the frequency domain from independent self-supervised features with limited data. Additionally, to address the information loss caused by the dimensionality reduction of 3D fMRI data, we propose a thresholding algorithm to optimally extract the most discriminant features from 2D rs-fMRI data. Results Experimental results demonstrate that the proposed method outperforms previous state-of-the-art methods by 19.69% on the ABIDE-1 dataset with a 10-fold cross-validation accuracy of 94.51%. Conclusion The proposed method learns a transferrable and generalizable ensembled representation by leveraging complementary information encoded in different self-supervised representations for ASD classification. En ligne : https://doi.org/10.1016/j.rasd.2023.102223 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Brief report: Parenting stress among Chinese and Dutch caregivers of children with autism / Fangyuan LIU in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102224 Titre : Brief report: Parenting stress among Chinese and Dutch caregivers of children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Fangyuan LIU, Auteur ; Sander BEGEER, Auteur ; Rosa A. HOEKSTRA, Auteur ; Qiao BAI, Auteur ; Chongying WANG, Auteur ; Anke M. SCHEEREN, Auteur Article en page(s) : p.102224 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Parenting stress  Caregivers  Culture  China  The Netherlands Index. décimale : PER Périodiques Résumé : Background Parenting stress is higher in caregivers of autistic compared to typically developing children. Culture and context may impact parenting stress. Some studies suggest that Asian caregivers with autistic children experience more stress compared to European/American caregivers although similar levels have also been reported. Child and caregiver factors (age, gender, income and educational level) may affect parenting stress differently in Asian and European countries. We compared parenting stress levels between caregivers of autistic children from China and the Netherlands, and examined the impact of caregiver factors (age, income, educational level) and child factors (gender) on parenting stress in both countries, and exploring the association with caregivers' worries about COVID-19. Method We used the 11-item Parenting Distress Subscale (PD) of the Nijmegen Parenting Stress Index (NPSI-PD) to compare parenting stress between two groups: 95 Chinese caregivers (76 boys; 19 girls) and 118 Dutch caregivers of autistic children (93 boys; 25 girls) aged 2-16 years. Controlling for child?s gender, caregivers' age, income, educational level and COVID-19-related concerns. Results Chinese caregivers of autistic children reported higher parenting stress levels than Dutch caregivers, despite fewer COVID-19 worries. Younger caregivers reported more parenting stress in both countries. Conclusion Culture and context may play a role in the parenting stress of caregivers with an autistic child. Factors influencing parenting stress in different socio-cultural settings are an important issue that requires further study. En ligne : https://doi.org/10.1016/j.rasd.2023.102224 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Brief report: Parenting stress among Chinese and Dutch caregivers of children with autism [Texte imprimé et/ou numérique] / Fangyuan LIU, Auteur ; Sander BEGEER, Auteur ; Rosa A. HOEKSTRA, Auteur ; Qiao BAI, Auteur ; Chongying WANG, Auteur ; Anke M. SCHEEREN, Auteur . - p.102224. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102224 Mots-clés : Autism spectrum disorders  Parenting stress  Caregivers  Culture  China  The Netherlands Index. décimale : PER Périodiques Résumé : Background Parenting stress is higher in caregivers of autistic compared to typically developing children. Culture and context may impact parenting stress. Some studies suggest that Asian caregivers with autistic children experience more stress compared to European/American caregivers although similar levels have also been reported. Child and caregiver factors (age, gender, income and educational level) may affect parenting stress differently in Asian and European countries. We compared parenting stress levels between caregivers of autistic children from China and the Netherlands, and examined the impact of caregiver factors (age, income, educational level) and child factors (gender) on parenting stress in both countries, and exploring the association with caregivers' worries about COVID-19. Method We used the 11-item Parenting Distress Subscale (PD) of the Nijmegen Parenting Stress Index (NPSI-PD) to compare parenting stress between two groups: 95 Chinese caregivers (76 boys; 19 girls) and 118 Dutch caregivers of autistic children (93 boys; 25 girls) aged 2-16 years. Controlling for child?s gender, caregivers' age, income, educational level and COVID-19-related concerns. Results Chinese caregivers of autistic children reported higher parenting stress levels than Dutch caregivers, despite fewer COVID-19 worries. Younger caregivers reported more parenting stress in both countries. Conclusion Culture and context may play a role in the parenting stress of caregivers with an autistic child. Factors influencing parenting stress in different socio-cultural settings are an important issue that requires further study. En ligne : https://doi.org/10.1016/j.rasd.2023.102224 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Promoting young autistic students' social functioning and engagement in the classroom: Positive response strategies and close student-teacher relationships / Ainsley LOSH in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102225 Titre : Promoting young autistic students' social functioning and engagement in the classroom: Positive response strategies and close student-teacher relationships Type de document : Texte imprimé et/ou numérique Auteurs : Ainsley LOSH, Auteur ; Jan BLACHER, Auteur Article en page(s) : p.102225 Langues : Anglais (eng) Mots-clés : Autism  Education  Student-teacher relationships  Classroom management  Inclusion  Praise Index. décimale : PER Périodiques Résumé : Background Classrooms can create barriers to young autistic students' social and behavioral success at school. Better quality student-teacher relationships (STRs) have been associated with improved student social and behavioral outcomes. When teachers use more positive response strategies (e.g., praise), they create more opportunities for positive interactions with students, likely developing closer STRs. Method The present study uses SEM to investigate a path by which teachers' use of positive response strategies is associated with closer STRs, which lead to improved social functioning and classroom engagement for N = 145 young autistic students (age 4-7 years). Factors contributing to teachers' reported frequency of using positive response strategies were also explored using multiple linear regression. Results The model was a close fit to the data (?2 (18, N = 145) = 18.4, p = .43, TLI = 1.0, CFI = 1.0, RMSEA = .01). Teachers who reported using positive response strategies more frequently had significantly closer STRs, which were associated with lasting improvements in students' social functioning and engagement in the classroom. Positive response strategies that teachers reported using most frequently were praise, positive comments, and incentives. Teachers' perceived usefulness of positive response strategies and regular trainings in autism were significantly associated with frequency of positive response strategy use. Conclusions Positive, supportive classrooms in which teachers utilized more positive response strategies and developed closer STRs were associated with young autistic students' academic engagement and social functioning. Regular autism trainings and perceived usefulness of positive response strategies emerged as significant factors for teachers' use of strategies. En ligne : https://doi.org/10.1016/j.rasd.2023.102225 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Promoting young autistic students' social functioning and engagement in the classroom: Positive response strategies and close student-teacher relationships [Texte imprimé et/ou numérique] / Ainsley LOSH, Auteur ; Jan BLACHER, Auteur . - p.102225. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102225 Mots-clés : Autism  Education  Student-teacher relationships  Classroom management  Inclusion  Praise Index. décimale : PER Périodiques Résumé : Background Classrooms can create barriers to young autistic students' social and behavioral success at school. Better quality student-teacher relationships (STRs) have been associated with improved student social and behavioral outcomes. When teachers use more positive response strategies (e.g., praise), they create more opportunities for positive interactions with students, likely developing closer STRs. Method The present study uses SEM to investigate a path by which teachers' use of positive response strategies is associated with closer STRs, which lead to improved social functioning and classroom engagement for N = 145 young autistic students (age 4-7 years). Factors contributing to teachers' reported frequency of using positive response strategies were also explored using multiple linear regression. Results The model was a close fit to the data (?2 (18, N = 145) = 18.4, p = .43, TLI = 1.0, CFI = 1.0, RMSEA = .01). Teachers who reported using positive response strategies more frequently had significantly closer STRs, which were associated with lasting improvements in students' social functioning and engagement in the classroom. Positive response strategies that teachers reported using most frequently were praise, positive comments, and incentives. Teachers' perceived usefulness of positive response strategies and regular trainings in autism were significantly associated with frequency of positive response strategy use. Conclusions Positive, supportive classrooms in which teachers utilized more positive response strategies and developed closer STRs were associated with young autistic students' academic engagement and social functioning. Regular autism trainings and perceived usefulness of positive response strategies emerged as significant factors for teachers' use of strategies. En ligne : https://doi.org/10.1016/j.rasd.2023.102225 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

Father engagement in Syrian Asylum-Seeker families with children on the autistic spectrum / Özlem Haskan AVC? in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102226 Titre : Father engagement in Syrian Asylum-Seeker families with children on the autistic spectrum Type de document : Texte imprimé et/ou numérique Auteurs : Özlem Haskan AVC?, Auteur ; Tolga ZENCIR, Auteur Article en page(s) : p.102226 Langues : Anglais (eng) Mots-clés : Father engagement  Autism spectrum disorders  Parenting  Migration  Asylum-seeking Index. décimale : PER Périodiques Résumé : Background Asylum-seeking has aspects that encourage and discourage father engagement. The additional care burden of a child on the autistic spectrum is combined with the psychological and economic effects of asylum-seeking for families. Aims We aimed to contribute to understanding asylum-seeker fathers' experiences and to illuminate father engagement more comprehensively in the upbringing of children on the autistic spectrum. Methods and procedures As part of the research, fourteen Syrian asylum-seeker parents with children on the autistic spectrum were interviewed individually. The researchers used a inductive thematic analysis method. Outcomes and results We identified two themes. The first theme related to the barriers to fathers' engagement. Barriers included economic problems, double stigmatization, belonging problems, Covid-19-related barriers, and gender role norms. The second theme related to the factors that motivate father engagement. These factors were the number of children, the mother's mental health problems, lack of social support, and belief in God (Allah). Conclusions and implications The study provided important clues about the contribution of civil society support to individuals who have been asylum-seekers. In addition, policies that encourage reducing stigmatization and supporting the integration process of asylum-seekers can be developed. En ligne : https://doi.org/10.1016/j.rasd.2023.102226 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Father engagement in Syrian Asylum-Seeker families with children on the autistic spectrum [Texte imprimé et/ou numérique] / Özlem Haskan AVC?, Auteur ; Tolga ZENCIR, Auteur . - p.102226. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102226 Mots-clés : Father engagement  Autism spectrum disorders  Parenting  Migration  Asylum-seeking Index. décimale : PER Périodiques Résumé : Background Asylum-seeking has aspects that encourage and discourage father engagement. The additional care burden of a child on the autistic spectrum is combined with the psychological and economic effects of asylum-seeking for families. Aims We aimed to contribute to understanding asylum-seeker fathers' experiences and to illuminate father engagement more comprehensively in the upbringing of children on the autistic spectrum. Methods and procedures As part of the research, fourteen Syrian asylum-seeker parents with children on the autistic spectrum were interviewed individually. The researchers used a inductive thematic analysis method. Outcomes and results We identified two themes. The first theme related to the barriers to fathers' engagement. Barriers included economic problems, double stigmatization, belonging problems, Covid-19-related barriers, and gender role norms. The second theme related to the factors that motivate father engagement. These factors were the number of children, the mother's mental health problems, lack of social support, and belief in God (Allah). Conclusions and implications The study provided important clues about the contribution of civil society support to individuals who have been asylum-seekers. In addition, policies that encourage reducing stigmatization and supporting the integration process of asylum-seekers can be developed. En ligne : https://doi.org/10.1016/j.rasd.2023.102226 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512