Autism Spectrum Disorder Versus Conduct Problems / Carla MAZEFSKY

Public ISBD in Differential diagnosis of autism spectrum disorder / Katherine K. M. STAVROPOULOS Titre : Autism Spectrum Disorder Versus Conduct Problems Type de document : Texte imprimé et/ou numérique Auteurs : Carla MAZEFSKY, Auteur Année de publication : 2022 Importance : p.86-104 Langues : Anglais (eng) Index. décimale : AUT-D AUT-D - L'Autisme - Dépistage et Diagnostic Résumé : Disruptive behaviors associated with conduct disorder (CD) and oppositional defiant disorder (ODD), such as aggression, noncompliance, and temper tantrums, are common in youth with autism spectrum disorder (ASD). A key consideration is whether such behavioral problems indicate a co-occurring diagnosis of ODD/CD and ASD or reflect an associated phenotype of ASD. The current chapter summarizes key considerations in the differential diagnosis of ASD and ODD/CD, including social and communication impairments, deficits in empathy, and the function of a child?s disruptive behavior. We conclude with a case example to illustrate the factors complicating the differential diagnosis of ASD and ODD/CD and provide validated assessments to guide this process. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 in Differential diagnosis of autism spectrum disorder / Katherine K. M. STAVROPOULOS Autism Spectrum Disorder Versus Conduct Problems [Texte imprimé et/ou numérique] / Carla MAZEFSKY, Auteur . - 2022 . - p.86-104. Langues : Anglais (eng) Index. décimale : AUT-D AUT-D - L'Autisme - Dépistage et Diagnostic Résumé : Disruptive behaviors associated with conduct disorder (CD) and oppositional defiant disorder (ODD), such as aggression, noncompliance, and temper tantrums, are common in youth with autism spectrum disorder (ASD). A key consideration is whether such behavioral problems indicate a co-occurring diagnosis of ODD/CD and ASD or reflect an associated phenotype of ASD. The current chapter summarizes key considerations in the differential diagnosis of ASD and ODD/CD, including social and communication impairments, deficits in empathy, and the function of a child?s disruptive behavior. We conclude with a case example to illustrate the factors complicating the differential diagnosis of ASD and ODD/CD and provide validated assessments to guide this process. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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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)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1762-1770 Titre : Dysregulation in Children and Adolescents Presenting to a Multidisciplinary Autism Clinic Type de document : Texte imprimé et/ou numérique Auteurs : Roma A. VASA, Auteur ; Vini SINGH, Auteur ; Rachel G. MCDONALD, Auteur ; Carla MAZEFSKY, Auteur ; Ji Su HONG, Auteur ; Amy KEEFER, Auteur Article en page(s) : p.1762-1770 Langues : Anglais (eng) Mots-clés : Adolescent  Ambulatory Care Facilities  Autism Spectrum Disorder/diagnosis/epidemiology/psychology  Autistic Disorder/diagnosis/epidemiology  Child  Humans  Prevalence  Autism center  Children  Dysregulation  Screening Index. décimale : PER Périodiques Résumé : Research indicates that children with autism spectrum disorder (ASD) frequently exhibit dysregulation, which refers to poorly coordinated affective, behavioral, and cognitive responses to a given situation. We examined the characteristics of dysregulation in children presenting to a multidisciplinary ASD clinic for an ASD diagnostic evaluation. Sixty percent of children presenting for an ASD evaluation exhibited dysregulation. Dysregulation prevalence was higher in children without ASD versus with ASD (69% versus 56%). Severe dysregulation was higher in children without ASD (29% versus 16%). Both groups with severe dysregulation were equally likely to be taking psychiatric medications, however, children with ASD were less likely to be receiving therapy. These findings highlight the importance of implementing dysregulation screening and treatment protocols in ASD centers. En ligne : http://dx.doi.org/10.1007/s10803-021-05056-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Dysregulation in Children and Adolescents Presenting to a Multidisciplinary Autism Clinic [Texte imprimé et/ou numérique] / Roma A. VASA, Auteur ; Vini SINGH, Auteur ; Rachel G. MCDONALD, Auteur ; Carla MAZEFSKY, Auteur ; Ji Su HONG, Auteur ; Amy KEEFER, Auteur . - p.1762-1770. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1762-1770 Mots-clés : Adolescent  Ambulatory Care Facilities  Autism Spectrum Disorder/diagnosis/epidemiology/psychology  Autistic Disorder/diagnosis/epidemiology  Child  Humans  Prevalence  Autism center  Children  Dysregulation  Screening Index. décimale : PER Périodiques Résumé : Research indicates that children with autism spectrum disorder (ASD) frequently exhibit dysregulation, which refers to poorly coordinated affective, behavioral, and cognitive responses to a given situation. We examined the characteristics of dysregulation in children presenting to a multidisciplinary ASD clinic for an ASD diagnostic evaluation. Sixty percent of children presenting for an ASD evaluation exhibited dysregulation. Dysregulation prevalence was higher in children without ASD versus with ASD (69% versus 56%). Severe dysregulation was higher in children without ASD (29% versus 16%). Both groups with severe dysregulation were equally likely to be taking psychiatric medications, however, children with ASD were less likely to be receiving therapy. These findings highlight the importance of implementing dysregulation screening and treatment protocols in ASD centers. En ligne : http://dx.doi.org/10.1007/s10803-021-05056-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Gender Differences in Emotion Dysregulation in an Autism Inpatient Psychiatric Sample / Andrea TRUBANOVA WIECKOWSKI in Autism Research, 13-8 (August 2020)  

Public ISBD [article]  inAutism Research > 13-8 (August 2020) . - p.1343-1348 Titre : Gender Differences in Emotion Dysregulation in an Autism Inpatient Psychiatric Sample Type de document : Texte imprimé et/ou numérique Auteurs : Andrea TRUBANOVA WIECKOWSKI, Auteur ; Stephanie LUALLIN, Auteur ; Zhaoxing PAN, Auteur ; Giulia RIGHI, Auteur ; Robin L. GABRIELS, Auteur ; Carla MAZEFSKY, Auteur Article en page(s) : p.1343-1348 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection  autism spectrum disorder  emotion regulation  gender differences  psychiatric inpatients Index. décimale : PER Périodiques Résumé : There is a wide range of emotion regulation (ER)-related impairment observed in autism spectrum disorder (ASD), which is associated with both internalizing and externalizing problems. Although the importance of ER is widely acknowledged in the ASD literature, little is known about factors associated with variability in ER impairment. Given the identified gender differences in ASD, gender may be a potential contributor to ER. This study examined gender differences in ER in an ASD inpatient psychiatric sample (n = 722; 146 females) aged 4-20?years, collected as part of the Autism Inpatient Collection. In addition, the study investigated whether age, nonverbal intelligence quotient (NVIQ), or verbal ability moderate the association between ER and gender. While both male and female inpatients with ASD presented with clinically elevated emotion dysregulation compared to general population norms, results suggest that female psychiatric inpatients have more severe dysregulation, including higher reactivity and dysphoria, than inpatient males. NVIQ and verbal ability did not moderate the association between gender and ER. Age moderated the association between gender and ER, with greater gender difference seen in older individuals, but only for dysphoria. However, overall, these effects were small. Improved understanding of ER presentation in males and females with ASD is critical, as these symptoms may differentially impact individuals with ASD and may warrant a different treatment emphasis. LAY SUMMARY: Previous research has identified several gender differences in presentation of autism spectrum disorder (ASD) symptoms, as well as difficulties with emotion regulation in individuals with ASD. In order to better understand the factors that may contribute to emotion regulation in ASD, this study examined whether psychiatrically hospitalized males and females with ASD differed in emotion regulation and what factors influenced the differences. Results suggest that females with ASD have slightly but significantly more difficulty with emotion regulation compared to males. Autism Res 2020, 13: 1343-1348. © 2020 International Society for Autism Research, Wiley Periodicals, Inc. En ligne : http://dx.doi.org/10.1002/aur.2295 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430 [article] Gender Differences in Emotion Dysregulation in an Autism Inpatient Psychiatric Sample [Texte imprimé et/ou numérique] / Andrea TRUBANOVA WIECKOWSKI, Auteur ; Stephanie LUALLIN, Auteur ; Zhaoxing PAN, Auteur ; Giulia RIGHI, Auteur ; Robin L. GABRIELS, Auteur ; Carla MAZEFSKY, Auteur . - p.1343-1348. Langues : Anglais (eng) in Autism Research > 13-8 (August 2020) . - p.1343-1348 Mots-clés : Autism Inpatient Collection  autism spectrum disorder  emotion regulation  gender differences  psychiatric inpatients Index. décimale : PER Périodiques Résumé : There is a wide range of emotion regulation (ER)-related impairment observed in autism spectrum disorder (ASD), which is associated with both internalizing and externalizing problems. Although the importance of ER is widely acknowledged in the ASD literature, little is known about factors associated with variability in ER impairment. Given the identified gender differences in ASD, gender may be a potential contributor to ER. This study examined gender differences in ER in an ASD inpatient psychiatric sample (n = 722; 146 females) aged 4-20?years, collected as part of the Autism Inpatient Collection. In addition, the study investigated whether age, nonverbal intelligence quotient (NVIQ), or verbal ability moderate the association between ER and gender. While both male and female inpatients with ASD presented with clinically elevated emotion dysregulation compared to general population norms, results suggest that female psychiatric inpatients have more severe dysregulation, including higher reactivity and dysphoria, than inpatient males. NVIQ and verbal ability did not moderate the association between gender and ER. Age moderated the association between gender and ER, with greater gender difference seen in older individuals, but only for dysphoria. However, overall, these effects were small. Improved understanding of ER presentation in males and females with ASD is critical, as these symptoms may differentially impact individuals with ASD and may warrant a different treatment emphasis. LAY SUMMARY: Previous research has identified several gender differences in presentation of autism spectrum disorder (ASD) symptoms, as well as difficulties with emotion regulation in individuals with ASD. In order to better understand the factors that may contribute to emotion regulation in ASD, this study examined whether psychiatrically hospitalized males and females with ASD differed in emotion regulation and what factors influenced the differences. Results suggest that females with ASD have slightly but significantly more difficulty with emotion regulation compared to males. Autism Res 2020, 13: 1343-1348. © 2020 International Society for Autism Research, Wiley Periodicals, Inc. En ligne : http://dx.doi.org/10.1002/aur.2295 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430

Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder / Jessie B. NORTHRUP in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.968-982 Titre : Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur Article en page(s) : p.968-982 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 [article] Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder [Texte imprimé et/ou numérique] / Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur . - p.968-982. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.968-982 Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425

Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers / Rebecca C. SHAFFER in Journal of Autism and Developmental Disorders, 53-5 (May 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1942-1962 Titre : Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers Type de document : Texte imprimé et/ou numérique Auteurs : Rebecca C. SHAFFER, Auteur ; Lauren M. SCHMITT, Auteur ; Debra L. REISINGER, Auteur ; Marika COFFMAN, Auteur ; Paul HORN, Auteur ; Matthew S. GOODWIN, Auteur ; Carla MAZEFSKY, Auteur ; Shelley RANDALL, Auteur ; Craig ERICKSON, Auteur Article en page(s) : p.1942-1962 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Individuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)-an intensive-outpatient, caregiver-assisted group program to meet the ASD?+?ED intervention critical need. A within-subjects trial was conducted (5-week-control lead-in period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD?+?ED (25 8-12, 19 13-18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD. En ligne : https://doi.org/10.1007/s10803-022-05461-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501 [article] Regulating Together: Emotion Dysregulation Group Treatment for ASD Youth and Their Caregivers [Texte imprimé et/ou numérique] / Rebecca C. SHAFFER, Auteur ; Lauren M. SCHMITT, Auteur ; Debra L. REISINGER, Auteur ; Marika COFFMAN, Auteur ; Paul HORN, Auteur ; Matthew S. GOODWIN, Auteur ; Carla MAZEFSKY, Auteur ; Shelley RANDALL, Auteur ; Craig ERICKSON, Auteur . - p.1942-1962. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1942-1962 Index. décimale : PER Périodiques Résumé : Individuals with autism spectrum disorder (ASD) experience behavioral and emotional symptoms hypothesized to arise from emotion dysregulation (ED), difficulty modulating emotional experience, expression, and intensity in an acceptable and contextually appropriate manner. We developed Regulating Together (RT)-an intensive-outpatient, caregiver-assisted group program to meet the ASD?+?ED intervention critical need. A within-subjects trial was conducted (5-week-control lead-in period, 5-week-treatment, and 5-and 10-weeks-post-treatment follow-ups). Forty-four youth with ASD?+?ED (25 8-12, 19 13-18 yr-olds, 88% male, mean FSIQ of 96) participated. Improvements were found in reactivity, emotion regulation knowledge, and flexibility post-treatment and 10-weeks post-treatment. A reduction in inpatient hospitalization rates by 16% from the 12 months pre-RT to 12 months post-RT was observed. RT shows promise to reduce ED in ASD. En ligne : https://doi.org/10.1007/s10803-022-05461-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=501

The autism inpatient collection: methods and preliminary sample description / Matthew SIEGEL in Molecular Autism, (November 2015)  

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Therapeutic Horseback Riding Outcomes of Parent-Identified Goals for Children with Autism Spectrum Disorder: An ABA? Multiple Case Design Examining Dosing and Generalization to the Home and Community / Margo B. HOLM in Journal of Autism and Developmental Disorders, 44-4 (April 2014)  

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