Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta-analysis / Tamara MAY in Autism Research, 14-12 (December 2021)  

Public ISBD [article]  inAutism Research > 14-12 (December 2021) . - p.2688-2710 Titre : Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Tamara MAY, Auteur ; Pamela PILKINGTON, Auteur ; Rita YOUNAN, Auteur ; Katrina WILLIAMS, Auteur Article en page(s) : p.2688-2710 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/epidemiology  Borderline Personality Disorder/epidemiology  Case-Control Studies  Humans  Prevalence  autism spectrum disorder  borderline personality disorder Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) and borderline personality Disorder (BPD) share features, including social and emotion regulation difficulties. The evidence for the overlap in prevalence and clinical characteristics was systematically reviewed. Ovid Medline, PsycInfo, and PubMed were searched until November 30, 2020 using keywords relating to BPD and ASD. Studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort, or case-controlled design were included. Of 1633 screened studies, 19 were included, of which 12 reported data suitable for meta-analysis. Most samples were of small, clinically ascertained groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across clinical areas. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was within population prevalence estimates of each disorder. Based on this data we were not able to assess whether there is misdiagnosis of one in favor of the other. Neurocognitive differences may underlie similar behavioral symptoms, but further research using larger, well-validated samples is needed. LAY SUMMARY: Autism spectrum disorder (ASD) and borderline personality disorder (BPD) have overlaps in their symptoms. The overlap in how frequently they co-occur and their presentation was systematically reviewed. We searched the key databases and including all studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort or case-controlled design. Of 1633 studies, 19 were included, of which 12 reported data suitable for pooling. Most samples were of small, clinical groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across studies comparing ASD and BPD related symptoms and problems. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was similar to the population prevalence of each disorder. Further research using larger, well-validated samples is needed. En ligne : http://dx.doi.org/10.1002/aur.2619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 [article] Overlap of autism spectrum disorder and borderline personality disorder: A systematic review and meta-analysis [texte imprimé] / Tamara MAY, Auteur ; Pamela PILKINGTON, Auteur ; Rita YOUNAN, Auteur ; Katrina WILLIAMS, Auteur . - p.2688-2710. Langues : Anglais (eng) in Autism Research > 14-12 (December 2021) . - p.2688-2710 Mots-clés : Autism Spectrum Disorder/epidemiology  Borderline Personality Disorder/epidemiology  Case-Control Studies  Humans  Prevalence  autism spectrum disorder  borderline personality disorder Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) and borderline personality Disorder (BPD) share features, including social and emotion regulation difficulties. The evidence for the overlap in prevalence and clinical characteristics was systematically reviewed. Ovid Medline, PsycInfo, and PubMed were searched until November 30, 2020 using keywords relating to BPD and ASD. Studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort, or case-controlled design were included. Of 1633 screened studies, 19 were included, of which 12 reported data suitable for meta-analysis. Most samples were of small, clinically ascertained groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across clinical areas. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was within population prevalence estimates of each disorder. Based on this data we were not able to assess whether there is misdiagnosis of one in favor of the other. Neurocognitive differences may underlie similar behavioral symptoms, but further research using larger, well-validated samples is needed. LAY SUMMARY: Autism spectrum disorder (ASD) and borderline personality disorder (BPD) have overlaps in their symptoms. The overlap in how frequently they co-occur and their presentation was systematically reviewed. We searched the key databases and including all studies that reported on the overlap of ASD and BPD diagnoses or traits and used a case, cohort or case-controlled design. Of 1633 studies, 19 were included, of which 12 reported data suitable for pooling. Most samples were of small, clinical groups, with 11 having high risk of bias. The pooled prevalence of BPD in ASD was 4% [95% CI 0%-9%] and of ASD in BPD, 3% [95% CI 1%-8%]. There were inconsistent findings across studies comparing ASD and BPD related symptoms and problems. The prevalence of a dual diagnosis of BPD in ASD cohorts and of ASD in BPD cohorts was similar to the population prevalence of each disorder. Further research using larger, well-validated samples is needed. En ligne : http://dx.doi.org/10.1002/aur.2619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450

Parenting Self-Efficacy and Psychological Distress in Parents of Children with an Autism Spectrum Disorder / Pamela PILKINGTON in Journal of Autism and Developmental Disorders, 54-7 (July 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2604-2614 Titre : Parenting Self-Efficacy and Psychological Distress in Parents of Children with an Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Pamela PILKINGTON, Auteur Article en page(s) : p.2604-2614 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Research suggests that challenges associated with raising a child with an Autism Spectrum Disorder (ASD) can increase parents' risk for diminished parenting self-efficacy (PSE) and psychological wellbeing. The present study aimed to explore interrelationships between noteworthy predictors of PSE and parental psychological distress, including parental mastery beliefs and the co-parenting relationship amongst 122 Australian parents of children with autism. Results indicated that greater mastery beliefs and more favourable co-parenting relationships predicted greater PSE, and higher PSE predicted less psychological distress. PSE significantly mediated relationships between mastery beliefs and psychological distress, and between the co-parenting relationship and psychological distress. Findings have implications that can aid professionals to more effectively support parents raising children on the autism spectrum. En ligne : https://doi.org/10.1007/s10803-023-05939-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533 [article] Parenting Self-Efficacy and Psychological Distress in Parents of Children with an Autism Spectrum Disorder [texte imprimé] / Pamela PILKINGTON, Auteur . - p.2604-2614. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-7 (July 2024) . - p.2604-2614 Index. décimale : PER Périodiques Résumé : Research suggests that challenges associated with raising a child with an Autism Spectrum Disorder (ASD) can increase parents' risk for diminished parenting self-efficacy (PSE) and psychological wellbeing. The present study aimed to explore interrelationships between noteworthy predictors of PSE and parental psychological distress, including parental mastery beliefs and the co-parenting relationship amongst 122 Australian parents of children with autism. Results indicated that greater mastery beliefs and more favourable co-parenting relationships predicted greater PSE, and higher PSE predicted less psychological distress. PSE significantly mediated relationships between mastery beliefs and psychological distress, and between the co-parenting relationship and psychological distress. Findings have implications that can aid professionals to more effectively support parents raising children on the autism spectrum. En ligne : https://doi.org/10.1007/s10803-023-05939-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533

A systematic review of factors related to parents’ treatment decisions for their children with autism spectrum disorders / Meghan WILSON in Research in Autism Spectrum Disorders, 48 (April 2018)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 48 (April 2018) . - p.17-35 Titre : A systematic review of factors related to parents’ treatment decisions for their children with autism spectrum disorders Type de document : texte imprimé Auteurs : Meghan WILSON, Auteur ; David HAMILTON, Auteur ; Thomas WHELAN, Auteur ; Pamela PILKINGTON, Auteur Article en page(s) : p.17-35 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  ASD  Treatment decisions  Parents  Systematic review Index. décimale : PER Périodiques Résumé : Background There are many treatment options for children with Autism Spectrum Disorder (ASD). Misinformation and easy access to ineffective treatments complicates the decision-making process for parents. Research on implicit factors (e.g., parent or child characteristics) and declared factors (e.g., parent-reported reasons) contributes to an understanding of what influences these decisions. Method The aim of this systematic review was to examine the significance of factors associated with treatment selection. The review was conducted in accordance with the PRISMA protocol. Results The search revealed 51 studies which contained data on implicit and/or declared factors associated with treatment selection. The data were tabulated by factor and synthesised. The severity of a child’s behavioural problems, parental stress, and parent beliefs about ASD were consistently identified as implicit factors associated with the use of particular treatments. A wide range of reasons for treatment choices were declared by parent respondents, including; the individual needs of their child, recommendations from others, practical reasons (e.g., cost), child age, hope for recovery, hope for improvement, and concerns about side-effects. Conclusion A better understanding of these factors will inform targeted educational approaches which encourage evidence-based practice and a more informed view of treatments not yet supported by research. En ligne : https://doi.org/10.1016/j.rasd.2018.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=340 [article] A systematic review of factors related to parents’ treatment decisions for their children with autism spectrum disorders [texte imprimé] / Meghan WILSON, Auteur ; David HAMILTON, Auteur ; Thomas WHELAN, Auteur ; Pamela PILKINGTON, Auteur . - p.17-35. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 48 (April 2018) . - p.17-35 Mots-clés : Autism spectrum disorder  ASD  Treatment decisions  Parents  Systematic review Index. décimale : PER Périodiques Résumé : Background There are many treatment options for children with Autism Spectrum Disorder (ASD). Misinformation and easy access to ineffective treatments complicates the decision-making process for parents. Research on implicit factors (e.g., parent or child characteristics) and declared factors (e.g., parent-reported reasons) contributes to an understanding of what influences these decisions. Method The aim of this systematic review was to examine the significance of factors associated with treatment selection. The review was conducted in accordance with the PRISMA protocol. Results The search revealed 51 studies which contained data on implicit and/or declared factors associated with treatment selection. The data were tabulated by factor and synthesised. The severity of a child’s behavioural problems, parental stress, and parent beliefs about ASD were consistently identified as implicit factors associated with the use of particular treatments. A wide range of reasons for treatment choices were declared by parent respondents, including; the individual needs of their child, recommendations from others, practical reasons (e.g., cost), child age, hope for recovery, hope for improvement, and concerns about side-effects. Conclusion A better understanding of these factors will inform targeted educational approaches which encourage evidence-based practice and a more informed view of treatments not yet supported by research. En ligne : https://doi.org/10.1016/j.rasd.2018.01.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=340

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