Diagnoses of autism spectrum disorders in Germany: Time trends in administrative prevalence and diagnostic stability / C. J. BACHMANN in Autism, 22-3 (April 2018)  

Public ISBD [article]  inAutism > 22-3 (April 2018) . - p.283-290 Titre : Diagnoses of autism spectrum disorders in Germany: Time trends in administrative prevalence and diagnostic stability Type de document : Texte imprimé et/ou numérique Auteurs : C. J. BACHMANN, Auteur ; B. GERSTE, Auteur ; F. HOFFMANN, Auteur Article en page(s) : p.283-290 Langues : Anglais (eng) Mots-clés : Germany  autism spectrum disorders  diagnosis  health services  prevalence  secular trends Index. décimale : PER Périodiques Résumé : For Germany, no data on trends in autism spectrum disorder diagnoses are available. The primary aim of this study was to establish the time trends in the administrative prevalence of autism spectrum disorder diagnoses. The second aim was to assess the stability of autism spectrum disorder diagnoses over time. We analysed administrative outpatient data (2006-2012) from a nationwide health insurance fund and calculated the prevalence of autism spectrum disorder diagnoses for each year, stratified by age and sex. Additionally, we studied a cohort with a first-time diagnosis of autism spectrum disorder in 2007 through 2012, investigating the percentage of retained autism spectrum disorder diagnoses. From 2006 to 2012, the prevalence of autism spectrum disorder diagnoses in 0- to 24-year-olds increased from 0.22% to 0.38%. In insurees with a first-time autism spectrum disorder diagnosis in 2007, this diagnosis was carried on in all years through 2012 in 33.0% (The International Classification of Diseases, Tenth Revision diagnoses: F84.0/F84.1/F84.5) and 11.2% (F84.8/F84.9), respectively. In Germany, like in other countries, there has been an increase in the administrative prevalence of autism spectrum disorder diagnoses. Yet, prevalences are still lower than in some other Western countries. The marked percentage of autism spectrum disorder diagnoses which were not retained could indicate a significant portion of autism spectrum disorder misdiagnoses, which might contribute to rising autism spectrum disorder prevalences. En ligne : http://dx.doi.org/10.1177/1362361316673977 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=358 [article] Diagnoses of autism spectrum disorders in Germany: Time trends in administrative prevalence and diagnostic stability [Texte imprimé et/ou numérique] / C. J. BACHMANN, Auteur ; B. GERSTE, Auteur ; F. HOFFMANN, Auteur . - p.283-290. Langues : Anglais (eng) in Autism > 22-3 (April 2018) . - p.283-290 Mots-clés : Germany  autism spectrum disorders  diagnosis  health services  prevalence  secular trends Index. décimale : PER Périodiques Résumé : For Germany, no data on trends in autism spectrum disorder diagnoses are available. The primary aim of this study was to establish the time trends in the administrative prevalence of autism spectrum disorder diagnoses. The second aim was to assess the stability of autism spectrum disorder diagnoses over time. We analysed administrative outpatient data (2006-2012) from a nationwide health insurance fund and calculated the prevalence of autism spectrum disorder diagnoses for each year, stratified by age and sex. Additionally, we studied a cohort with a first-time diagnosis of autism spectrum disorder in 2007 through 2012, investigating the percentage of retained autism spectrum disorder diagnoses. From 2006 to 2012, the prevalence of autism spectrum disorder diagnoses in 0- to 24-year-olds increased from 0.22% to 0.38%. In insurees with a first-time autism spectrum disorder diagnosis in 2007, this diagnosis was carried on in all years through 2012 in 33.0% (The International Classification of Diseases, Tenth Revision diagnoses: F84.0/F84.1/F84.5) and 11.2% (F84.8/F84.9), respectively. In Germany, like in other countries, there has been an increase in the administrative prevalence of autism spectrum disorder diagnoses. Yet, prevalences are still lower than in some other Western countries. The marked percentage of autism spectrum disorder diagnoses which were not retained could indicate a significant portion of autism spectrum disorder misdiagnoses, which might contribute to rising autism spectrum disorder prevalences. En ligne : http://dx.doi.org/10.1177/1362361316673977 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=358

A good investment: longer-term cost savings of sensitive parenting in childhood / C. J. BACHMANN in Journal of Child Psychology and Psychiatry, 63-1 (January 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.78-87 Titre : A good investment: longer-term cost savings of sensitive parenting in childhood Type de document : Texte imprimé et/ou numérique Auteurs : C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur Article en page(s) : p.78-87 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Child  Child, Preschool  Cost Savings  Humans  Longitudinal Studies  Parent-Child Relations  Parenting  Parents  Antisocial behaviour  costs  physical abuse  sensitive responding Index. décimale : PER Périodiques Résumé : BACKGROUND: Good quality parenting in early childhood is reliably associated with positive mental and physical health over the lifespan. The hypothesis that early parenting quality has significant long-term financial benefits has not been previously tested. METHODS: Design: Longitudinal study with follow-up from 2012 to 2016. SETTING: UK multicentre study cohort (London, South-East England). PARTICIPANTS: 174 young people drawn from 2 samples, one at moderate risk of poor outcomes and one at high risk, assessed aged 4-6?years then followed up in early adolescence (mean age 12.1?years). MEASURES: The primary outcome was total costs: health, social care, extra school support, out-of-home placements and family-born expenditure, determined through semistructured economic interviews. Early parenting quality was independently assessed through direct observation of parent-child interaction. RESULTS: Costs were lower for youths exposed to more sensitive parenting (most sensitive quartile mean £1,619, least sensitive quartile mean £21,763; p? En ligne : http://dx.doi.org/10.1111/jcpp.13461 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 [article] A good investment: longer-term cost savings of sensitive parenting in childhood [Texte imprimé et/ou numérique] / C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur . - p.78-87. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-1 (January 2022) . - p.78-87 Mots-clés : Adolescent  Adult  Child  Child, Preschool  Cost Savings  Humans  Longitudinal Studies  Parent-Child Relations  Parenting  Parents  Antisocial behaviour  costs  physical abuse  sensitive responding Index. décimale : PER Périodiques Résumé : BACKGROUND: Good quality parenting in early childhood is reliably associated with positive mental and physical health over the lifespan. The hypothesis that early parenting quality has significant long-term financial benefits has not been previously tested. METHODS: Design: Longitudinal study with follow-up from 2012 to 2016. SETTING: UK multicentre study cohort (London, South-East England). PARTICIPANTS: 174 young people drawn from 2 samples, one at moderate risk of poor outcomes and one at high risk, assessed aged 4-6?years then followed up in early adolescence (mean age 12.1?years). MEASURES: The primary outcome was total costs: health, social care, extra school support, out-of-home placements and family-born expenditure, determined through semistructured economic interviews. Early parenting quality was independently assessed through direct observation of parent-child interaction. RESULTS: Costs were lower for youths exposed to more sensitive parenting (most sensitive quartile mean £1,619, least sensitive quartile mean £21,763; p? En ligne : http://dx.doi.org/10.1111/jcpp.13461 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456

Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics / J. HOFER in Journal of Autism and Developmental Disorders, 52-2 (February 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.540-552 Titre : Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics Type de document : Texte imprimé et/ou numérique Auteurs : J. HOFER, Auteur ; F. HOFFMANN, Auteur ; M. DÖRKS, Auteur ; I. KAMP-BECKER, Auteur ; C. KÜPPER, Auteur ; L. POUSTKA, Auteur ; S. ROEPKE, Auteur ; V. ROESSNER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; C. J. BACHMANN, Auteur Article en page(s) : p.540-552 Langues : Anglais (eng) Mots-clés : Ambulatory Care Facilities  Autism Spectrum Disorder/epidemiology/therapy  Female  Germany/epidemiology  Health Care Costs  Humans  Male  Mental Health Services  Adolescents  Adults  Children  Costs  Germany  Health services Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ? En ligne : http://dx.doi.org/10.1007/s10803-021-04955-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] Health Services Use and Costs in Individuals with Autism Spectrum Disorder in Germany: Results from a Survey in ASD Outpatient Clinics [Texte imprimé et/ou numérique] / J. HOFER, Auteur ; F. HOFFMANN, Auteur ; M. DÖRKS, Auteur ; I. KAMP-BECKER, Auteur ; C. KÜPPER, Auteur ; L. POUSTKA, Auteur ; S. ROEPKE, Auteur ; V. ROESSNER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; C. J. BACHMANN, Auteur . - p.540-552. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-2 (February 2022) . - p.540-552 Mots-clés : Ambulatory Care Facilities  Autism Spectrum Disorder/epidemiology/therapy  Female  Germany/epidemiology  Health Care Costs  Humans  Male  Mental Health Services  Adolescents  Adults  Children  Costs  Germany  Health services Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ? En ligne : http://dx.doi.org/10.1007/s10803-021-04955-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

How Do Adults with Autism Spectrum Disorder Participate in the Labor Market? A German Multi-center Survey / T. MASLAHATI in Journal of Autism and Developmental Disorders, 52-3 (March 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-3 (March 2022) . - p.1066-1076 Titre : How Do Adults with Autism Spectrum Disorder Participate in the Labor Market? A German Multi-center Survey Type de document : Texte imprimé et/ou numérique Auteurs : T. MASLAHATI, Auteur ; C. J. BACHMANN, Auteur ; J. HOFER, Auteur ; C. KÜPPER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; L. POUSTKA, Auteur ; V. ROESSNER, Auteur ; I. KAMP-BECKER, Auteur ; F. HOFFMANN, Auteur ; S. ROEPKE, Auteur Article en page(s) : p.1066-1076 Langues : Anglais (eng) Mots-clés : Adult  Autism Spectrum Disorder/epidemiology  Cross-Sectional Studies  Employment  Germany  Humans  Occupations  Surveys and Questionnaires  Autism  Autism Spectrum Disorder  Education  Labor Market Index. décimale : PER Périodiques Résumé : International studies show disadvantages for adults with autism spectrum disorder (ASD) in the labor market. Data about their participation in the German labor market are scarce. The aim of this study was to examine the integration of adults with ASD in the German labor market in terms of education, employment and type of occupation by means of a cross-sectional-study, using a postal questionnaire. Findings show above average levels of education for adults with ASD compared to the general population of Germany and simultaneously, below average rates of employment and high rates of financial dependency. That indicates a poor integration of adults with ASD in the German labor market and emphasizes the need for vocational support policies for adults with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05008-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] How Do Adults with Autism Spectrum Disorder Participate in the Labor Market? A German Multi-center Survey [Texte imprimé et/ou numérique] / T. MASLAHATI, Auteur ; C. J. BACHMANN, Auteur ; J. HOFER, Auteur ; C. KÜPPER, Auteur ; S. STROTH, Auteur ; N. WOLFF, Auteur ; L. POUSTKA, Auteur ; V. ROESSNER, Auteur ; I. KAMP-BECKER, Auteur ; F. HOFFMANN, Auteur ; S. ROEPKE, Auteur . - p.1066-1076. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-3 (March 2022) . - p.1066-1076 Mots-clés : Adult  Autism Spectrum Disorder/epidemiology  Cross-Sectional Studies  Employment  Germany  Humans  Occupations  Surveys and Questionnaires  Autism  Autism Spectrum Disorder  Education  Labor Market Index. décimale : PER Périodiques Résumé : International studies show disadvantages for adults with autism spectrum disorder (ASD) in the labor market. Data about their participation in the German labor market are scarce. The aim of this study was to examine the integration of adults with ASD in the German labor market in terms of education, employment and type of occupation by means of a cross-sectional-study, using a postal questionnaire. Findings show above average levels of education for adults with ASD compared to the general population of Germany and simultaneously, below average rates of employment and high rates of financial dependency. That indicates a poor integration of adults with ASD in the German labor market and emphasizes the need for vocational support policies for adults with ASD. En ligne : http://dx.doi.org/10.1007/s10803-021-05008-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

The cost of love: financial consequences of insecure attachment in antisocial youth / C. J. BACHMANN in Journal of Child Psychology and Psychiatry, 60-12 (December 2019)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 60-12 (December 2019) . - p.1343-1350 Titre : The cost of love: financial consequences of insecure attachment in antisocial youth Type de document : Texte imprimé et/ou numérique Auteurs : C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; A. SCOTT, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur Article en page(s) : p.1343-1350 Langues : Anglais (eng) Mots-clés : Antisocial behaviour  attachment  caregiving quality  economic cost  parenting  youth Index. décimale : PER Périodiques Résumé : BACKGROUND: Knowing that your parent or caregiver will be there for you in times of emotional need and distress is a core aspect of the human experience of feeling loved and being securely attached. In contrast, an insecure attachment pattern is found in many antisocial youth and is related to less sensitive caregiving. Such youth are often distrustful of adults and authority figures, and are at high risk of poor outcomes. As they become adults, they require extensive health, social and economic support, costing society ten times more than their well-adjusted peers. However, it is not known whether insecure attachment itself is associated with higher costs in at-risk youth, independently of potential confounders, nor whether cost differences are already beginning to emerge early in adolescence. METHODS: Sample: A total of 174 young people followed up aged 9-17 years (mean 12.1, SD 1.8): 85 recruited with moderate antisocial behaviour (80th percentile) from a school screen aged 4-6 years; 89 clinically referred with very high antisocial behaviour (98th percentile) aged 3-7 years. MEASURES: Costs by detailed health economic and service-use interview; attachment security to mother and father from interview; diagnostic interviews for oppositional and conduct problems; self-reported delinquent behaviour. RESULTS: Costs were greater for youth insecurely attached to their mothers (secure pound6,743, insecure pound10,199, p = .001) and more so to fathers (secure pound1,353, insecure pound13,978, p < .001). These differences remained significant (mother p = .019, father p < .001) after adjusting for confounders, notably family income and education, intelligence and antisocial behaviour severity. CONCLUSIONS: Attachment insecurity is a significant predictor of public cost in at-risk youth, even after accounting for covariates. Since adolescent attachment security is influenced by caregiving quality earlier in childhood, these findings add support to the public health case for early parenting interventions to improve child outcomes and reduce the financial burden on society. En ligne : http://dx.doi.org/10.1111/jcpp.13103 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412 [article] The cost of love: financial consequences of insecure attachment in antisocial youth [Texte imprimé et/ou numérique] / C. J. BACHMANN, Auteur ; Jennifer BEECHAM, Auteur ; T. G. O'CONNOR, Auteur ; A. SCOTT, Auteur ; Jackie BRISKMAN, Auteur ; S. SCOTT, Auteur . - p.1343-1350. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 60-12 (December 2019) . - p.1343-1350 Mots-clés : Antisocial behaviour  attachment  caregiving quality  economic cost  parenting  youth Index. décimale : PER Périodiques Résumé : BACKGROUND: Knowing that your parent or caregiver will be there for you in times of emotional need and distress is a core aspect of the human experience of feeling loved and being securely attached. In contrast, an insecure attachment pattern is found in many antisocial youth and is related to less sensitive caregiving. Such youth are often distrustful of adults and authority figures, and are at high risk of poor outcomes. As they become adults, they require extensive health, social and economic support, costing society ten times more than their well-adjusted peers. However, it is not known whether insecure attachment itself is associated with higher costs in at-risk youth, independently of potential confounders, nor whether cost differences are already beginning to emerge early in adolescence. METHODS: Sample: A total of 174 young people followed up aged 9-17 years (mean 12.1, SD 1.8): 85 recruited with moderate antisocial behaviour (80th percentile) from a school screen aged 4-6 years; 89 clinically referred with very high antisocial behaviour (98th percentile) aged 3-7 years. MEASURES: Costs by detailed health economic and service-use interview; attachment security to mother and father from interview; diagnostic interviews for oppositional and conduct problems; self-reported delinquent behaviour. RESULTS: Costs were greater for youth insecurely attached to their mothers (secure pound6,743, insecure pound10,199, p = .001) and more so to fathers (secure pound1,353, insecure pound13,978, p < .001). These differences remained significant (mother p = .019, father p < .001) after adjusting for confounders, notably family income and education, intelligence and antisocial behaviour severity. CONCLUSIONS: Attachment insecurity is a significant predictor of public cost in at-risk youth, even after accounting for covariates. Since adolescent attachment security is influenced by caregiving quality earlier in childhood, these findings add support to the public health case for early parenting interventions to improve child outcomes and reduce the financial burden on society. En ligne : http://dx.doi.org/10.1111/jcpp.13103 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412

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