Psychometric properties of questionnaires and diagnostic measures for autism spectrum disorders in adults: A systematic review / S. WIGHAM in Autism, 23-2 (February 2019)  

Public ISBD [article]  inAutism > 23-2 (February 2019) . - p.287-305 Titre : Psychometric properties of questionnaires and diagnostic measures for autism spectrum disorders in adults: A systematic review Type de document : Texte imprimé et/ou numérique Auteurs : S. WIGHAM, Auteur ; J. RODGERS, Auteur ; Tom BERNEY, Auteur ; A. LE COUTEUR, Auteur ; B. INGHAM, Auteur ; Jeremy R. PARR, Auteur Article en page(s) : p.287-305 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  diagnosis  review  screening Index. décimale : PER Périodiques Résumé : Accurately diagnosing autism spectrum disorders in adulthood can be challenging. Structured questionnaires and diagnostic measures are frequently used to assist case recognition and diagnosis. This study reviewed research evidence on structured questionnaires and diagnostic measures published since the National Institute for Health and Care Excellence evidence update. The Cochrane library, Medline, Embase and PsycINFO were searched. In all, 20 studies met inclusion criteria. Sensitivity and specificity of structured questionnaires were best for individuals with previously confirmed autism spectrum disorder diagnoses and reduced in participants referred for diagnostic assessments, with discrimination of autism spectrum disorder from mental health conditions especially limited. For adults with intellectual disability, diagnostic accuracy increased when a combination of structured questionnaires were used. Evidence suggests some utility of diagnostic measures in identifying autism spectrum disorder among clinic referrals, although specificity for diagnosis was relatively low. In mental health settings, the use of a single structured questionnaire is unlikely to accurately identify adults without autism spectrum disorder or differentiate autism spectrum disorder from mental health conditions. This is important as adults seeking an autism spectrum disorder diagnostic assessment are likely to have co-existing mental health conditions. Robust autism spectrum disorder assessment tools specifically for use in adult diagnostic health services in the presence of co-occurring mental health and neurodevelopmental disorders are a research priority. En ligne : http://dx.doi.org/10.1177/1362361317748245 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383 [article] Psychometric properties of questionnaires and diagnostic measures for autism spectrum disorders in adults: A systematic review [Texte imprimé et/ou numérique] / S. WIGHAM, Auteur ; J. RODGERS, Auteur ; Tom BERNEY, Auteur ; A. LE COUTEUR, Auteur ; B. INGHAM, Auteur ; Jeremy R. PARR, Auteur . - p.287-305. Langues : Anglais (eng) in Autism > 23-2 (February 2019) . - p.287-305 Mots-clés : autism spectrum disorders  diagnosis  review  screening Index. décimale : PER Périodiques Résumé : Accurately diagnosing autism spectrum disorders in adulthood can be challenging. Structured questionnaires and diagnostic measures are frequently used to assist case recognition and diagnosis. This study reviewed research evidence on structured questionnaires and diagnostic measures published since the National Institute for Health and Care Excellence evidence update. The Cochrane library, Medline, Embase and PsycINFO were searched. In all, 20 studies met inclusion criteria. Sensitivity and specificity of structured questionnaires were best for individuals with previously confirmed autism spectrum disorder diagnoses and reduced in participants referred for diagnostic assessments, with discrimination of autism spectrum disorder from mental health conditions especially limited. For adults with intellectual disability, diagnostic accuracy increased when a combination of structured questionnaires were used. Evidence suggests some utility of diagnostic measures in identifying autism spectrum disorder among clinic referrals, although specificity for diagnosis was relatively low. In mental health settings, the use of a single structured questionnaire is unlikely to accurately identify adults without autism spectrum disorder or differentiate autism spectrum disorder from mental health conditions. This is important as adults seeking an autism spectrum disorder diagnostic assessment are likely to have co-existing mental health conditions. Robust autism spectrum disorder assessment tools specifically for use in adult diagnostic health services in the presence of co-occurring mental health and neurodevelopmental disorders are a research priority. En ligne : http://dx.doi.org/10.1177/1362361317748245 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383

A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults / D. MASON in Journal of Autism and Developmental Disorders, 49-8 (August 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3387-3400 Titre : A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults Type de document : Texte imprimé et/ou numérique Auteurs : D. MASON, Auteur ; B. INGHAM, Auteur ; A. URBANOWICZ, Auteur ; C. MICHAEL, Auteur ; Heather BIRTLES, Auteur ; M. WOODBURY-SMITH, Auteur ; T. BROWN, Auteur ; I. JAMES, Auteur ; C. SCARLETT, Auteur ; C. NICOLAIDIS, Auteur ; Jeremy R. PARR, Auteur Article en page(s) : p.3387-3400 Langues : Anglais (eng) Mots-clés : Adult  Autism  Barriers  Healthcare access  Physical health  Sensory sensitivities Index. décimale : PER Périodiques Résumé : Autistic people are more likely to: be diagnosed with a range of physical health conditions (i.e. cardio-vascular disease); experience premature mortality (for most disease categories); and experience barriers to effectively accessing healthcare. This systematic review sought to identify studies that report on barriers and facilitators to physical healthcare access for autistic people. A total of 3111 records were screened and six studies were included: two quantitative, two qualitative, and two mixed-methodology studies. Patient-provider communication, sensory sensitivities, and executive functioning/planning issues emerged as important barriers to healthcare. Recommendations for clinicians and those planning services are discussed. En ligne : http://dx.doi.org/10.1007/s10803-019-04049-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 [article] A Systematic Review of What Barriers and Facilitators Prevent and Enable Physical Healthcare Services Access for Autistic Adults [Texte imprimé et/ou numérique] / D. MASON, Auteur ; B. INGHAM, Auteur ; A. URBANOWICZ, Auteur ; C. MICHAEL, Auteur ; Heather BIRTLES, Auteur ; M. WOODBURY-SMITH, Auteur ; T. BROWN, Auteur ; I. JAMES, Auteur ; C. SCARLETT, Auteur ; C. NICOLAIDIS, Auteur ; Jeremy R. PARR, Auteur . - p.3387-3400. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3387-3400 Mots-clés : Adult  Autism  Barriers  Healthcare access  Physical health  Sensory sensitivities Index. décimale : PER Périodiques Résumé : Autistic people are more likely to: be diagnosed with a range of physical health conditions (i.e. cardio-vascular disease); experience premature mortality (for most disease categories); and experience barriers to effectively accessing healthcare. This systematic review sought to identify studies that report on barriers and facilitators to physical healthcare access for autistic people. A total of 3111 records were screened and six studies were included: two quantitative, two qualitative, and two mixed-methodology studies. Patient-provider communication, sensory sensitivities, and executive functioning/planning issues emerged as important barriers to healthcare. Recommendations for clinicians and those planning services are discussed. En ligne : http://dx.doi.org/10.1007/s10803-019-04049-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403

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