Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD / Amy S. WEITLAUF in Journal of Autism and Developmental Disorders, 44-2 (February 2014)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 44-2 (February 2014) . - p.471-476 Titre : Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD Type de document : Texte imprimé et/ou numérique Auteurs : Amy S. WEITLAUF, Auteur ; Katherine GOTHAM, Auteur ; Alison C. VEHORN, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.471-476 Langues : Anglais (eng) Mots-clés : Autism  Severity  Diagnosis  DSM-5 Index. décimale : PER Périodiques Résumé : Proposed DSM-5 revisions to the diagnosis of autism spectrum disorder (ASD) include a “severity” marker based on degree of impairment. Although qualitative differences between support levels are described, quantitative methods or practice recommendations for differentiating between levels remain undetermined. This leaves the field vulnerable to potential discrepancies between severity categorizations that may have inadvertent service implications. We examined overlap between mild, moderate, and severe impairment classifications based on autism symptoms, cognitive skills, and adaptive functioning in 726 participants (15 months—17 years) with ASD. Participants with mild, moderate, and severe autism symptoms demonstrated varying levels of adaptive and cognitive impairment. These discrepancies highlight the need for a clearly elucidated method of classifying level of support in ASD diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-013-1882-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=223 [article] Brief Report: DSM-5 “Levels of Support:” A Comment on Discrepant Conceptualizations of Severity in ASD [Texte imprimé et/ou numérique] / Amy S. WEITLAUF, Auteur ; Katherine GOTHAM, Auteur ; Alison C. VEHORN, Auteur ; Zachary WARREN, Auteur . - p.471-476. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 44-2 (February 2014) . - p.471-476 Mots-clés : Autism  Severity  Diagnosis  DSM-5 Index. décimale : PER Périodiques Résumé : Proposed DSM-5 revisions to the diagnosis of autism spectrum disorder (ASD) include a “severity” marker based on degree of impairment. Although qualitative differences between support levels are described, quantitative methods or practice recommendations for differentiating between levels remain undetermined. This leaves the field vulnerable to potential discrepancies between severity categorizations that may have inadvertent service implications. We examined overlap between mild, moderate, and severe impairment classifications based on autism symptoms, cognitive skills, and adaptive functioning in 726 participants (15 months—17 years) with ASD. Participants with mild, moderate, and severe autism symptoms demonstrated varying levels of adaptive and cognitive impairment. These discrepancies highlight the need for a clearly elucidated method of classifying level of support in ASD diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-013-1882-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=223

Relationship satisfaction, parenting stress, and depression in mothers of children with autism / Amy S. WEITLAUF in Autism, 18-2 (February 2014)  

Public ISBD [article]  inAutism > 18-2 (February 2014) . - p.194-198 Titre : Relationship satisfaction, parenting stress, and depression in mothers of children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Amy S. WEITLAUF, Auteur ; Alison C. VEHORN, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.194-198 Langues : Anglais (eng) Mots-clés : parents  depression  autism  relationship Index. décimale : PER Périodiques Résumé : Mothers of children with autism report higher levels of depression than mothers of children with other developmental disabilities. We explored the relations between child characteristics of diagnostic severity and problem behaviors, parenting stress, relationship quality, and depressive symptoms in 70 mothers of young children with autism. We hypothesized that relationship quality and parenting stress would relate to maternal depression beyond contributions of child characteristics. Multiple regression analysis revealed a main effect of parenting stress above and beyond child problem behaviors and autism severity. A significant interaction emerged, with relationship quality buffering the effect of parenting stress on depression. Results suggest that the relation between child problem behaviors and maternal depression should be considered in conjunction with other measures of marriage and family stress. Relationship quality and parenting stress may also represent important factors to be explicitly considered within intervention paradigms for young children with autism spectrum disorders. En ligne : http://dx.doi.org/10.1177/1362361312458039 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224 [article] Relationship satisfaction, parenting stress, and depression in mothers of children with autism [Texte imprimé et/ou numérique] / Amy S. WEITLAUF, Auteur ; Alison C. VEHORN, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Zachary WARREN, Auteur . - p.194-198. Langues : Anglais (eng) in Autism > 18-2 (February 2014) . - p.194-198 Mots-clés : parents  depression  autism  relationship Index. décimale : PER Périodiques Résumé : Mothers of children with autism report higher levels of depression than mothers of children with other developmental disabilities. We explored the relations between child characteristics of diagnostic severity and problem behaviors, parenting stress, relationship quality, and depressive symptoms in 70 mothers of young children with autism. We hypothesized that relationship quality and parenting stress would relate to maternal depression beyond contributions of child characteristics. Multiple regression analysis revealed a main effect of parenting stress above and beyond child problem behaviors and autism severity. A significant interaction emerged, with relationship quality buffering the effect of parenting stress on depression. Results suggest that the relation between child problem behaviors and maternal depression should be considered in conjunction with other measures of marriage and family stress. Relationship quality and parenting stress may also represent important factors to be explicitly considered within intervention paradigms for young children with autism spectrum disorders. En ligne : http://dx.doi.org/10.1177/1362361312458039 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224

The diagnosis of autism in community pediatric settings: Does advanced training facilitate practice change? / Amy R. SWANSON in Autism, 18-5 (July 2014)  

Public ISBD [article]  inAutism > 18-5 (July 2014) . - p.555-561 Titre : The diagnosis of autism in community pediatric settings: Does advanced training facilitate practice change? Type de document : Texte imprimé et/ou numérique Auteurs : Amy R. SWANSON, Auteur ; Zachary WARREN, Auteur ; Wendy L. STONE, Auteur ; Alison C. VEHORN, Auteur ; Elizabeth DOHRMANN, Auteur ; Quentin HUMBERD, Auteur Article en page(s) : p.555-561 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  diagnosis  screening Index. décimale : PER Périodiques Résumé : The increased prevalence of autism spectrum disorder and documented benefits of early intensive intervention have created a need for flexible systems for determining eligibility for autism-specific services. This study evaluated the effectiveness of a training program designed to enhance autism spectrum disorder identification and assessment within community pediatric settings across the state. Twenty-seven pediatric providers participated in regional trainings across a 3.5-year period. Trainings provided clinicians with strategies for conducting relatively brief within-practice interactive assessments following positive autism spectrum disorder screenings. Program evaluation was measured approximately 1.5 years following training through (a) clinician self-reports of practice change and (b) blind diagnostic verification of a subset of children assessed. Pediatric providers participating in the training reported significant changes in screening and consultation practices following training, with a reported 85% increase in diagnostic identification of children with autism spectrum disorder within their own practice setting. In addition, substantial agreement (86%–93%) was found between pediatrician diagnostic judgments and independent, comprehensive blinded diagnostic evaluations. Collaborative training methods that allow autism spectrum disorder identification within broader community pediatric settings may help translate enhanced screening initiatives into more effective and efficient diagnosis and treatment. En ligne : http://dx.doi.org/10.1177/1362361313481507 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=233 [article] The diagnosis of autism in community pediatric settings: Does advanced training facilitate practice change? [Texte imprimé et/ou numérique] / Amy R. SWANSON, Auteur ; Zachary WARREN, Auteur ; Wendy L. STONE, Auteur ; Alison C. VEHORN, Auteur ; Elizabeth DOHRMANN, Auteur ; Quentin HUMBERD, Auteur . - p.555-561. Langues : Anglais (eng) in Autism > 18-5 (July 2014) . - p.555-561 Mots-clés : autism spectrum disorders  diagnosis  screening Index. décimale : PER Périodiques Résumé : The increased prevalence of autism spectrum disorder and documented benefits of early intensive intervention have created a need for flexible systems for determining eligibility for autism-specific services. This study evaluated the effectiveness of a training program designed to enhance autism spectrum disorder identification and assessment within community pediatric settings across the state. Twenty-seven pediatric providers participated in regional trainings across a 3.5-year period. Trainings provided clinicians with strategies for conducting relatively brief within-practice interactive assessments following positive autism spectrum disorder screenings. Program evaluation was measured approximately 1.5 years following training through (a) clinician self-reports of practice change and (b) blind diagnostic verification of a subset of children assessed. Pediatric providers participating in the training reported significant changes in screening and consultation practices following training, with a reported 85% increase in diagnostic identification of children with autism spectrum disorder within their own practice setting. In addition, substantial agreement (86%–93%) was found between pediatrician diagnostic judgments and independent, comprehensive blinded diagnostic evaluations. Collaborative training methods that allow autism spectrum disorder identification within broader community pediatric settings may help translate enhanced screening initiatives into more effective and efficient diagnosis and treatment. En ligne : http://dx.doi.org/10.1177/1362361313481507 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=233

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