[article]
| Titre : |
Perceived child impairment and the 'autism epidemic' |
| Type de document : |
Texte imprimé et/ou numérique |
| Auteurs : |
Sebastian LUNDSTROM, Auteur ; Mark J. TAYLOR, Auteur ; Henrik LARSSON, Auteur ; Paul LICHTENSTEIN, Auteur ; Ralf KUJA-HALKOLA, Auteur ; Christopher GILLBERG, Auteur |
| Article en page(s) : |
p.591-598 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Adolescent Adult Autism Spectrum Disorder/diagnosis/epidemiology Autistic Disorder Child Family Humans Longitudinal Studies Parents Autism autism spectrum disorder epidemiology prevalence |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: The prevalence of diagnosed Autism Spectrum Disorder (ASD) has increased substantially across the world. Much - or even most - prevalence increase seems to reflect changes in diagnostic practice and ascertainment. A key part of ASD assessment is to document that the relevant symptoms are associated with clinical impairment. The aim of the present study is to capitalize on a nationwide longitudinal study spanning 15 consecutive birth year cohorts in order to investigate whether there has been a secular change in how parents perceive the impairment and suffering conferred by autism symptomatology in their children. METHODS: Data came from the Child and Adolescent Twin Study in Sweden (27,240 individuals), where parents had reported on their child's ASD symptoms and impairment. Impairment due to ASD symptoms was regressed on an ASD symptom score across time. This was done for five 3-year birth cohorts (1995-1997, 1998-2000, 2001-2003, 2004-2006, and 2007-2009). RESULTS: Reported impairment increased with consecutively later birth cohorts. This was evident across all levels of autism symptomatology. At clinically relevant levels of symptomatology, parents of those born 2007-2009 reported a 23% higher degree of impairment as compared with parents of those born in 1995-1997. The relative difference, however, was even greater at levels that previously would have been considered below the diagnostic threshold. DISCUSSION: The results presented here contribute to the notion of a growing diffuseness in the conceptualization of the ASD diagnosis by adding the element of secular changes in the parental perception of the consequences of ASD symptom expression. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.13497 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 |
in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.591-598
[article] Perceived child impairment and the 'autism epidemic' [Texte imprimé et/ou numérique] / Sebastian LUNDSTROM, Auteur ; Mark J. TAYLOR, Auteur ; Henrik LARSSON, Auteur ; Paul LICHTENSTEIN, Auteur ; Ralf KUJA-HALKOLA, Auteur ; Christopher GILLBERG, Auteur . - p.591-598. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 63-5 (May 2022) . - p.591-598
| Mots-clés : |
Adolescent Adult Autism Spectrum Disorder/diagnosis/epidemiology Autistic Disorder Child Family Humans Longitudinal Studies Parents Autism autism spectrum disorder epidemiology prevalence |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: The prevalence of diagnosed Autism Spectrum Disorder (ASD) has increased substantially across the world. Much - or even most - prevalence increase seems to reflect changes in diagnostic practice and ascertainment. A key part of ASD assessment is to document that the relevant symptoms are associated with clinical impairment. The aim of the present study is to capitalize on a nationwide longitudinal study spanning 15 consecutive birth year cohorts in order to investigate whether there has been a secular change in how parents perceive the impairment and suffering conferred by autism symptomatology in their children. METHODS: Data came from the Child and Adolescent Twin Study in Sweden (27,240 individuals), where parents had reported on their child's ASD symptoms and impairment. Impairment due to ASD symptoms was regressed on an ASD symptom score across time. This was done for five 3-year birth cohorts (1995-1997, 1998-2000, 2001-2003, 2004-2006, and 2007-2009). RESULTS: Reported impairment increased with consecutively later birth cohorts. This was evident across all levels of autism symptomatology. At clinically relevant levels of symptomatology, parents of those born 2007-2009 reported a 23% higher degree of impairment as compared with parents of those born in 1995-1997. The relative difference, however, was even greater at levels that previously would have been considered below the diagnostic threshold. DISCUSSION: The results presented here contribute to the notion of a growing diffuseness in the conceptualization of the ASD diagnosis by adding the element of secular changes in the parental perception of the consequences of ASD symptom expression. |
| En ligne : |
http://dx.doi.org/10.1111/jcpp.13497 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 |
|
Perceived child impairment and the 'autism epidemic' in Journal of Child Psychology and Psychiatry, 63-5 (May 2022)
