Interdisciplinary Treatment for Pediatric Elimination Disorders / Christina LOW KAPALU

Public ISBD in Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder / Robert D. RIESKE Titre : Interdisciplinary Treatment for Pediatric Elimination Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Christina LOW KAPALU, Auteur ; Cy NADLER, Auteur ; Natalie BREI, Auteur ; Laura SLOSKY, Auteur Année de publication : 2019 Importance : p.151-172 Langues : Anglais (eng) Index. décimale : AUT-F AUT-F - L'Autisme - Soins Résumé : Elimination disorders are common childhood concerns that are often distressing for children and parents. These disorders occur at a higher rate in children with neurodevelopmental disorders including autism spectrum disorder (ASD) and can lead to significant functional impairment at home, school, and in the community. Enuresis, or developmentally inappropriate urination behaviors, can occur during the day, at night, or both. Encopresis, or fecal incontinence, is the passage of stool into inappropriate places such as one’s clothing or onto the floor. Biological and psychobehavioral underpinnings of elimination disorders will be addressed in this chapter. Gold standard interdisciplinary treatment of elimination disorders will be discussed and the evidence for this approach reviewed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=418 in Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder / Robert D. RIESKE Interdisciplinary Treatment for Pediatric Elimination Disorders [Texte imprimé et/ou numérique] / Christina LOW KAPALU, Auteur ; Cy NADLER, Auteur ; Natalie BREI, Auteur ; Laura SLOSKY, Auteur . - 2019 . - p.151-172. Langues : Anglais (eng) Index. décimale : AUT-F AUT-F - L'Autisme - Soins Résumé : Elimination disorders are common childhood concerns that are often distressing for children and parents. These disorders occur at a higher rate in children with neurodevelopmental disorders including autism spectrum disorder (ASD) and can lead to significant functional impairment at home, school, and in the community. Enuresis, or developmentally inappropriate urination behaviors, can occur during the day, at night, or both. Encopresis, or fecal incontinence, is the passage of stool into inappropriate places such as one’s clothing or onto the floor. Biological and psychobehavioral underpinnings of elimination disorders will be addressed in this chapter. Gold standard interdisciplinary treatment of elimination disorders will be discussed and the evidence for this approach reviewed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=418

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Interdisciplinary Treatment for Pediatric Feeding Disorders / Cy NADLER

Public ISBD in Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder / Robert D. RIESKE Titre : Interdisciplinary Treatment for Pediatric Feeding Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Cy NADLER, Auteur ; Laura SLOSKY, Auteur ; Christina LOW KAPALU, Auteur ; Brenda SITZMANN, Auteur Année de publication : 2019 Importance : p.131-150 Langues : Anglais (eng) Index. décimale : AUT-F AUT-F - L'Autisme - Soins Résumé : Feeding disorders are among the most common comorbid challenges for children with autism spectrum disorder (ASD) and can have serious implications for growth and development as well as daily living and social functioning. Interdisciplinary approaches to feeding problems unite the expertise of relevant medical, psychosocial, and allied health professions and have emerged as the most effective modality for treating these complex issues. This chapter provides an overview of feeding disorders in children with ASD, describes the members of the interdisciplinary teams formed to serve these children, and reviews the key assessment and intervention strategies used in this population. Finally, the evidence for interdisciplinary treatment approaches is assessed, along with a discussion of key co-occurring conditions. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=418 in Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder / Robert D. RIESKE Interdisciplinary Treatment for Pediatric Feeding Disorders [Texte imprimé et/ou numérique] / Cy NADLER, Auteur ; Laura SLOSKY, Auteur ; Christina LOW KAPALU, Auteur ; Brenda SITZMANN, Auteur . - 2019 . - p.131-150. Langues : Anglais (eng) Index. décimale : AUT-F AUT-F - L'Autisme - Soins Résumé : Feeding disorders are among the most common comorbid challenges for children with autism spectrum disorder (ASD) and can have serious implications for growth and development as well as daily living and social functioning. Interdisciplinary approaches to feeding problems unite the expertise of relevant medical, psychosocial, and allied health professions and have emerged as the most effective modality for treating these complex issues. This chapter provides an overview of feeding disorders in children with ASD, describes the members of the interdisciplinary teams formed to serve these children, and reviews the key assessment and intervention strategies used in this population. Finally, the evidence for interdisciplinary treatment approaches is assessed, along with a discussion of key co-occurring conditions. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=418

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Racial and ethnic disparities in the co-occurrence of intellectual disability and autism: Impact of incorporating measures of adaptive functioning / Sarah M. FURNIER in Autism Research, 17-3 (March 2024)  

Public ISBD [article]  inAutism Research > 17-3 (March 2024) . - p.650-667 Titre : Racial and ethnic disparities in the co-occurrence of intellectual disability and autism: Impact of incorporating measures of adaptive functioning Type de document : Texte imprimé et/ou numérique Auteurs : Sarah M. FURNIER, Auteur ; Ronald GANGNON, Auteur ; Julie L. DANIELS, Auteur ; Susan ELLIS WEISMER, Auteur ; Cy NADLER, Auteur ; Karen PAZOL, Auteur ; Nuri M. REYES, Auteur ; Steven ROSENBERG, Auteur ; Eric RUBENSTEIN, Auteur ; Lisa D. WIGGINS, Auteur ; Marshalyn YEARGIN-ALLSOPP, Auteur ; Maureen S. DURKIN, Auteur Article en page(s) : p.650-667 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract Intellectual disability (ID) commonly co-occurs in children with autism. Although diagnostic criteria for ID require impairments in both cognitive and adaptive functioning, most population-based estimates of the frequency of co-occurring ID in children with autism-including studies of racial and ethnic disparities in co-occurring autism and ID-base the definition of ID solely on cognitive scores. The goal of this analysis was to examine the effect of including both cognitive and adaptive behavior criteria on estimates of co-occurring ID in a well-characterized sample of 2- to 5-year-old children with autism. Participants included 3264 children with research or community diagnoses of autism enrolled in the population-based Study to Explore Early Development (SEED) phases 1-3. Based only on Mullen Scales of Early Learning (MSEL) composite cognitive scores, 62.9% (95% confidence interval [CI]: 61.1, 64.7%) of children with autism were estimated to have co-occurring ID. After incorporating Vineland Adaptive Behavior Scales, Second Edition (VABS-II) composite or domains criteria, co-occurring ID estimates were reduced to 38.0% (95% CI: 36.2, 39.8%) and 45.0% (95% CI: 43.1, 46.9%), respectively. The increased odds of meeting ID criteria observed for non-Hispanic (NH) Black and Hispanic children relative to NH White children when only MSEL criteria were used were substantially reduced, though not eliminated, after incorporating VABS-II criteria and adjusting for selected socioeconomic variables. This study provides evidence for the importance of considering adaptive behavior as well as socioeconomic disadvantage when describing racial and ethnic disparities in co-occurring ID in epidemiologic studies of autism. En ligne : https://doi.org/10.1002/aur.3107 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=525 [article] Racial and ethnic disparities in the co-occurrence of intellectual disability and autism: Impact of incorporating measures of adaptive functioning [Texte imprimé et/ou numérique] / Sarah M. FURNIER, Auteur ; Ronald GANGNON, Auteur ; Julie L. DANIELS, Auteur ; Susan ELLIS WEISMER, Auteur ; Cy NADLER, Auteur ; Karen PAZOL, Auteur ; Nuri M. REYES, Auteur ; Steven ROSENBERG, Auteur ; Eric RUBENSTEIN, Auteur ; Lisa D. WIGGINS, Auteur ; Marshalyn YEARGIN-ALLSOPP, Auteur ; Maureen S. DURKIN, Auteur . - p.650-667. Langues : Anglais (eng) in Autism Research > 17-3 (March 2024) . - p.650-667 Index. décimale : PER Périodiques Résumé : Abstract Intellectual disability (ID) commonly co-occurs in children with autism. Although diagnostic criteria for ID require impairments in both cognitive and adaptive functioning, most population-based estimates of the frequency of co-occurring ID in children with autism-including studies of racial and ethnic disparities in co-occurring autism and ID-base the definition of ID solely on cognitive scores. The goal of this analysis was to examine the effect of including both cognitive and adaptive behavior criteria on estimates of co-occurring ID in a well-characterized sample of 2- to 5-year-old children with autism. Participants included 3264 children with research or community diagnoses of autism enrolled in the population-based Study to Explore Early Development (SEED) phases 1-3. Based only on Mullen Scales of Early Learning (MSEL) composite cognitive scores, 62.9% (95% confidence interval [CI]: 61.1, 64.7%) of children with autism were estimated to have co-occurring ID. After incorporating Vineland Adaptive Behavior Scales, Second Edition (VABS-II) composite or domains criteria, co-occurring ID estimates were reduced to 38.0% (95% CI: 36.2, 39.8%) and 45.0% (95% CI: 43.1, 46.9%), respectively. The increased odds of meeting ID criteria observed for non-Hispanic (NH) Black and Hispanic children relative to NH White children when only MSEL criteria were used were substantially reduced, though not eliminated, after incorporating VABS-II criteria and adjusting for selected socioeconomic variables. This study provides evidence for the importance of considering adaptive behavior as well as socioeconomic disadvantage when describing racial and ethnic disparities in co-occurring ID in epidemiologic studies of autism. En ligne : https://doi.org/10.1002/aur.3107 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=525

Using adaptive behavior scores to convey level of functioning in children with autism spectrum disorder: Evidence from the Study to Explore Early Development / Sarah M. FURNIER in Autism, 28-5 (May 2024)  

Public ISBD [article]  inAutism > 28-5 (May 2024) . - p.1135-1149 Titre : Using adaptive behavior scores to convey level of functioning in children with autism spectrum disorder: Evidence from the Study to Explore Early Development Type de document : Texte imprimé et/ou numérique Auteurs : Sarah M. FURNIER, Auteur ; Susan ELLIS WEISMER, Auteur ; Eric RUBENSTEIN, Auteur ; Ronald GANGNON, Auteur ; Steven ROSENBERG, Auteur ; Cy NADLER, Auteur ; Lisa D. WIGGINS, Auteur ; Maureen S. DURKIN, Auteur Article en page(s) : p.1135-1149 Langues : Anglais (eng) Mots-clés : adaptive behavior  adaptive functioning  autism spectrum disorders  cognitive development  epidemiology  intelligence quotient Index. décimale : PER Périodiques Résumé : We examined relationships between measures of adaptive behavior, cognitive ability, and autism symptom severity in 1458 preschool-aged children with autism from the Study to Explore Early Development. While publications commonly describe autistic children as "low-" or "high-functioning" based on cognitive ability, relying solely on cognitive scores may obscure meaningful variation in functioning. We found significant heterogeneity in adaptive behavior scores of children with cognitive scores both above and below the threshold of two or more standard deviations below the population mean specified in the diagnostic criteria for intellectual disability (ID). Although cognitive and adaptive behavior scores were strongly associated in our sample, considerable variation in overall adaptive behavior and more than half in socialization and motor skills was unaccounted for by cognitive ability, autism symptom severity, and other covariates. Among children who could be designated "low-functioning" based on cognitive scores, 39.7% had composite adaptive behavior scores indicating no significant delays, while among those who might be designated "high-functioning," 9.0% had significant delays in overall adaptive behavior and 22.2% in socialization. These results suggest adaptive behavior scores capture variations in the autism phenotype not accounted for by other measures we considered. Lay Abstract Autistic people are often described as "low-" or "high-functioning" based on their scores on cognitive tests. These terms are common in publications and in everyday communication. However, recent research and feedback from the autistic community suggests that relying on cognitive ability alone to describe functioning may miss meaningful differences in the abilities of autistic children and adults and in the kinds of support they may need. Additional methods are needed to describe "functioning" in autistic children. We examined whether scores from a test measuring adaptive behaviors would provide information on the functional abilities of children with autism that is different from cognitive ability and autism symptom severity. Adaptive behaviors include age-appropriate skills that allow people to function in their everyday lives and social interactions. We found that a large amount of the variation in adaptive behavior scores was not explained by cognitive development, autism symptom severity, and behavioral and emotional problems. In addition, there was a wide range of adaptive ability levels in children with autism in our study, including in those with low, average, or high cognitive scores. Our results suggest that adaptive behavior scores could provide useful information about the strengths and support needs of autistic children above and beyond measures of cognitive ability and autism symptom severity. Adaptive behavior scores provide important information on the needs of autistic people. En ligne : https://dx.doi.org/10.1177/13623613231193194 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=527 [article] Using adaptive behavior scores to convey level of functioning in children with autism spectrum disorder: Evidence from the Study to Explore Early Development [Texte imprimé et/ou numérique] / Sarah M. FURNIER, Auteur ; Susan ELLIS WEISMER, Auteur ; Eric RUBENSTEIN, Auteur ; Ronald GANGNON, Auteur ; Steven ROSENBERG, Auteur ; Cy NADLER, Auteur ; Lisa D. WIGGINS, Auteur ; Maureen S. DURKIN, Auteur . - p.1135-1149. Langues : Anglais (eng) in Autism > 28-5 (May 2024) . - p.1135-1149 Mots-clés : adaptive behavior  adaptive functioning  autism spectrum disorders  cognitive development  epidemiology  intelligence quotient Index. décimale : PER Périodiques Résumé : We examined relationships between measures of adaptive behavior, cognitive ability, and autism symptom severity in 1458 preschool-aged children with autism from the Study to Explore Early Development. While publications commonly describe autistic children as "low-" or "high-functioning" based on cognitive ability, relying solely on cognitive scores may obscure meaningful variation in functioning. We found significant heterogeneity in adaptive behavior scores of children with cognitive scores both above and below the threshold of two or more standard deviations below the population mean specified in the diagnostic criteria for intellectual disability (ID). Although cognitive and adaptive behavior scores were strongly associated in our sample, considerable variation in overall adaptive behavior and more than half in socialization and motor skills was unaccounted for by cognitive ability, autism symptom severity, and other covariates. Among children who could be designated "low-functioning" based on cognitive scores, 39.7% had composite adaptive behavior scores indicating no significant delays, while among those who might be designated "high-functioning," 9.0% had significant delays in overall adaptive behavior and 22.2% in socialization. These results suggest adaptive behavior scores capture variations in the autism phenotype not accounted for by other measures we considered. Lay Abstract Autistic people are often described as "low-" or "high-functioning" based on their scores on cognitive tests. These terms are common in publications and in everyday communication. However, recent research and feedback from the autistic community suggests that relying on cognitive ability alone to describe functioning may miss meaningful differences in the abilities of autistic children and adults and in the kinds of support they may need. Additional methods are needed to describe "functioning" in autistic children. We examined whether scores from a test measuring adaptive behaviors would provide information on the functional abilities of children with autism that is different from cognitive ability and autism symptom severity. Adaptive behaviors include age-appropriate skills that allow people to function in their everyday lives and social interactions. We found that a large amount of the variation in adaptive behavior scores was not explained by cognitive development, autism symptom severity, and behavioral and emotional problems. In addition, there was a wide range of adaptive ability levels in children with autism in our study, including in those with low, average, or high cognitive scores. Our results suggest that adaptive behavior scores could provide useful information about the strengths and support needs of autistic children above and beyond measures of cognitive ability and autism symptom severity. Adaptive behavior scores provide important information on the needs of autistic people. En ligne : https://dx.doi.org/10.1177/13623613231193194 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=527

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