Adaptive and Behavioral Profiles in Down Syndrome and Co-Occurring Autism Spectrum Disorder: A Case-Control Study / Elisa FUCA ; Stefano VICARI ; Floriana COSTANZO in Autism Research, 18-2 (February 2025)  

Public ISBD [article]  inAutism Research > 18-2 (February 2025) . - p.362-369 Titre : Adaptive and Behavioral Profiles in Down Syndrome and Co-Occurring Autism Spectrum Disorder: A Case-Control Study : Autism Research Type de document : texte imprimé Auteurs : Elisa FUCA, Auteur ; Stefano VICARI, Auteur ; Floriana COSTANZO, Auteur Article en page(s) : p.362-369 Langues : Anglais (eng) Mots-clés : Aberrant Behavior Checklist diagnosis intellectual disability repetitive behaviors Index. décimale : PER Périodiques Résumé : ABSTRACT Down syndrome (DS) is the most frequent genetic cause of intellectual disability (ID). Individuals with DS exhibit an elevated risk of other neurodevelopmental disorders, including autism spectrum disorder (ASD). The primary objective of this study was to explore the clinical characteristics of co-occurring ASD in children and adolescents with DS using a case?control approach. We compared the adaptive and behavioral profiles of a group of participants with both DS and ASD (ASD group) with a group of participants with DS-only matched by age, sex, and IQ (CON group). Participants in the ASD group exhibited significantly lower adaptive skills than the CON group, despite the IQ-matching in the moderate/severe ID range. No group differences emerged on internalizing or externalizing behavioral symptoms, but participants in the ASD group exhibited significantly higher social withdrawal, stereotyped behavior, and restricted interests. These findings indicate that, although children with DS?with or without ASD?who have similar low cognitive functioning often exhibit common behavioral traits, paying close attention to the elevation of stereotyped behaviors or restricted interests can improve the detection of co-occurring ASD in this population, enabling more personalized interventions. Conversely, the presence of ritualistic behaviors or behaviors related to insistence on sameness may not be a strong indicator of underlying ASD in children with DS. Additionally, acknowledging that the presence of ASD contributes to adaptive behavior deficits beyond the impact of moderate-to-severe ID alone highlights the critical need for early interventions to enhance daily living skills in this population. En ligne : https://doi.org/10.1002/aur.3294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547 [article] Adaptive and Behavioral Profiles in Down Syndrome and Co-Occurring Autism Spectrum Disorder: A Case-Control Study : Autism Research [texte imprimé] / Elisa FUCA, Auteur ; Stefano VICARI, Auteur ; Floriana COSTANZO, Auteur . - p.362-369. Langues : Anglais (eng) in Autism Research > 18-2 (February 2025) . - p.362-369 Mots-clés : Aberrant Behavior Checklist diagnosis intellectual disability repetitive behaviors Index. décimale : PER Périodiques Résumé : ABSTRACT Down syndrome (DS) is the most frequent genetic cause of intellectual disability (ID). Individuals with DS exhibit an elevated risk of other neurodevelopmental disorders, including autism spectrum disorder (ASD). The primary objective of this study was to explore the clinical characteristics of co-occurring ASD in children and adolescents with DS using a case?control approach. We compared the adaptive and behavioral profiles of a group of participants with both DS and ASD (ASD group) with a group of participants with DS-only matched by age, sex, and IQ (CON group). Participants in the ASD group exhibited significantly lower adaptive skills than the CON group, despite the IQ-matching in the moderate/severe ID range. No group differences emerged on internalizing or externalizing behavioral symptoms, but participants in the ASD group exhibited significantly higher social withdrawal, stereotyped behavior, and restricted interests. These findings indicate that, although children with DS?with or without ASD?who have similar low cognitive functioning often exhibit common behavioral traits, paying close attention to the elevation of stereotyped behaviors or restricted interests can improve the detection of co-occurring ASD in this population, enabling more personalized interventions. Conversely, the presence of ritualistic behaviors or behaviors related to insistence on sameness may not be a strong indicator of underlying ASD in children with DS. Additionally, acknowledging that the presence of ASD contributes to adaptive behavior deficits beyond the impact of moderate-to-severe ID alone highlights the critical need for early interventions to enhance daily living skills in this population. En ligne : https://doi.org/10.1002/aur.3294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547

Clinical and individual features associated with maternal stress in young adolescents with autism spectrum disorder / Francesco SCIBELLI in Autism Research, 14-9 (September 2021)  

Public ISBD [article]  inAutism Research > 14-9 (September 2021) . - p.1935-1947 Titre : Clinical and individual features associated with maternal stress in young adolescents with autism spectrum disorder Type de document : texte imprimé Auteurs : Francesco SCIBELLI, Auteur ; Elisa FUCA, Auteur ; Silvia GUERRERA, Auteur ; Elisabetta LUPI, Auteur ; Paolo ALFIERI, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur Article en page(s) : p.1935-1947 Langues : Anglais (eng) Mots-clés : Adolescent  Autism Spectrum Disorder/complications  Child  Female  Humans  Mothers  Parenting  Parents  Problem Behavior  Stress, Psychological/complications  adolescence  autism symptoms  cognitive  emotional and behavioral problems  maternal stress  parent mediated therapy  socio-demographic features Index. décimale : PER Périodiques Résumé : Parents of people with autism spectrum disorder experience both negative stressful and positive events. Several clinical and socio-demographic features of children on the autism spectrum have been associated with parenting stress in their families. However, there have been few studies that focus on adolescents and the role of cognitive impairment has rarely been addressed. The main aim of the present research is to explore associations between autism symptoms, cognitive impairment, emotional and behavioral problems, socio-demographic features, and maternal stress in a sample of young adolescents with Autism Spectrum Disorder with and without cognitive impairment. Cognitive impairment and emotional and behavioral problems are associated with maternal stress, while autism symptoms seem to play a minor role. Maternal education and occupation are only associated with maternal stress in the group with cognitive impairment, while maternal age is stress-associated in the group of adolescents without cognitive impairment. Age-related implications for intervention and future research directions are discussed. LAY SUMMARY: Parents of individuals on the autism spectrum are exposed to both negative stressful and enriching experiences during their parenthood. While the influence of several child characteristics and socio-demographic features on parental stress during childhood has been widely explored in past studies, studies on teenagers are limited. The aim of the present research is to explore the influence of several characteristics on maternal stress levels in families with teenagers on the autism spectrum. We found that cognitive impairment and emotional and behavioral problems are associated with maternal stress, while autism symptoms seem to play a minor role. Socio-demographic features are not associated with maternal stress. Broadly speaking, the subjective perception of parental distress in both groups is less related to teenagers' characteristics then the perception of having a difficult interaction with the teenagers. We divided our participants into two groups (one group with cognitive impairment and the other group without). We found that mothers of teenagers with cognitive impairment are generally more stressed compared to the other group. Furthermore, we confirm that emotional and behavioral problems seem to play a major role in maternal stress (especially in the group without cognitive impairment), while autism symptoms seem to play a minor role. Furthermore, we found that maternal education/occupation and maternal age are associated with maternal stress in the group with and the group without cognitive impairment respectively. This research highlights the association between several variables and stress in mothers of adolescents on the spectrum. Results are discussed in the framework of previous findings highlighting the lack of adequate care and support services for families, especially for those of adolescents on the spectrum with cognitive impairment. En ligne : http://dx.doi.org/10.1002/aur.2539 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449 [article] Clinical and individual features associated with maternal stress in young adolescents with autism spectrum disorder [texte imprimé] / Francesco SCIBELLI, Auteur ; Elisa FUCA, Auteur ; Silvia GUERRERA, Auteur ; Elisabetta LUPI, Auteur ; Paolo ALFIERI, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur . - p.1935-1947. Langues : Anglais (eng) in Autism Research > 14-9 (September 2021) . - p.1935-1947 Mots-clés : Adolescent  Autism Spectrum Disorder/complications  Child  Female  Humans  Mothers  Parenting  Parents  Problem Behavior  Stress, Psychological/complications  adolescence  autism symptoms  cognitive  emotional and behavioral problems  maternal stress  parent mediated therapy  socio-demographic features Index. décimale : PER Périodiques Résumé : Parents of people with autism spectrum disorder experience both negative stressful and positive events. Several clinical and socio-demographic features of children on the autism spectrum have been associated with parenting stress in their families. However, there have been few studies that focus on adolescents and the role of cognitive impairment has rarely been addressed. The main aim of the present research is to explore associations between autism symptoms, cognitive impairment, emotional and behavioral problems, socio-demographic features, and maternal stress in a sample of young adolescents with Autism Spectrum Disorder with and without cognitive impairment. Cognitive impairment and emotional and behavioral problems are associated with maternal stress, while autism symptoms seem to play a minor role. Maternal education and occupation are only associated with maternal stress in the group with cognitive impairment, while maternal age is stress-associated in the group of adolescents without cognitive impairment. Age-related implications for intervention and future research directions are discussed. LAY SUMMARY: Parents of individuals on the autism spectrum are exposed to both negative stressful and enriching experiences during their parenthood. While the influence of several child characteristics and socio-demographic features on parental stress during childhood has been widely explored in past studies, studies on teenagers are limited. The aim of the present research is to explore the influence of several characteristics on maternal stress levels in families with teenagers on the autism spectrum. We found that cognitive impairment and emotional and behavioral problems are associated with maternal stress, while autism symptoms seem to play a minor role. Socio-demographic features are not associated with maternal stress. Broadly speaking, the subjective perception of parental distress in both groups is less related to teenagers' characteristics then the perception of having a difficult interaction with the teenagers. We divided our participants into two groups (one group with cognitive impairment and the other group without). We found that mothers of teenagers with cognitive impairment are generally more stressed compared to the other group. Furthermore, we confirm that emotional and behavioral problems seem to play a major role in maternal stress (especially in the group without cognitive impairment), while autism symptoms seem to play a minor role. Furthermore, we found that maternal education/occupation and maternal age are associated with maternal stress in the group with and the group without cognitive impairment respectively. This research highlights the association between several variables and stress in mothers of adolescents on the spectrum. Results are discussed in the framework of previous findings highlighting the lack of adequate care and support services for families, especially for those of adolescents on the spectrum with cognitive impairment. En ligne : http://dx.doi.org/10.1002/aur.2539 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449

Correction to: Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress / Bianca BERLOCO in Journal of Autism and Developmental Disorders, 53-4 (April 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-4 (April 2023) . - p.1733-1733 Titre : Correction to: Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress Type de document : texte imprimé Auteurs : Bianca BERLOCO, Auteur ; Silvia GUERRERA, Auteur ; Elisa FUCA, Auteur ; Deny MENGHINI, Auteur ; Giovanni VALERI, Auteur ; Lino NOBILI, Auteur ; Stefano VICARI, Auteur Article en page(s) : p.1733-1733 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-023-05955-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] Correction to: Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress [texte imprimé] / Bianca BERLOCO, Auteur ; Silvia GUERRERA, Auteur ; Elisa FUCA, Auteur ; Deny MENGHINI, Auteur ; Giovanni VALERI, Auteur ; Lino NOBILI, Auteur ; Stefano VICARI, Auteur . - p.1733-1733. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-4 (April 2023) . - p.1733-1733 Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-023-05955-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries / Dejan STEVANOVIĆ in Research in Autism Spectrum Disorders, 95 (July 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 95 (July 2022) . - 101984 Titre : Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries Type de document : texte imprimé Auteurs : Dejan STEVANOVIĆ, Auteur ; Diana L. ROBINS, Auteur ; Floriana COSTANZO, Auteur ; Elisa FUCA, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur ; Handan OZEK ERKURAN, Auteur ; Ferhat YAYLACI, Auteur ; Lilia ALBORES-GALLO, Auteur ; Gabriel GATICA-BAHAMONDE, Auteur ; Maia GABUNIA, Auteur ; Medea ZIRAKASHVILI, Auteur ; Tony CHARMAN, Auteur ; Sayyed Ali SAMADI, Auteur ; Teck-Hock TOH, Auteur ; Gayle WINDHAM, Auteur ; Laura A. BRENNAN, Auteur ; Tatjana ZORCEC, Auteur ; Alejandra AUZA, Auteur ; Maretha V. DE JONGE, Auteur ; Noordeen SHOQIRAT, Auteur ; Rajna KNEZ, Auteur Article en page(s) : 101984 Langues : Anglais (eng) Mots-clés : Toddlers  Autism  Screening  Culture  Equivalence Index. décimale : PER Périodiques Résumé : Background This study aimed to evaluate the endorsement rates of M-CHAT(-R) items by parents/caregivers of toddlers with autism spectrum disorder (ASD) synthesizing data from ten countries: Albania, Chile, Georgia, Macedonia, Malaysia, Mexico, Serbia, Turkey, United Kingdom, and the United States of America. Method Data were aggregated for toddlers aged 14 36 months who participated in previous studies or completed clinical screening. An item with < 30% of endorsements was classified as low endorsement, an item falling within the range of 30 60% as moderate endorsement, and an item with > 60% as high endorsement. Results All items had a low endorsement rate in at least one country and moderate to high in others. Of 20 items, 14 had a moderate to high endorsement rate in seven to nine countries. Of particular relevance are items with moderate to high endorsement rates in all countries excluding Malaysia, such as points to get help, points to show, brings things to show, follows a point, follows your gaze, and understands what is said. On the other hand, makes eye contact, responds to name, hearing concerns, and reciprocal smile were interpreted differently across the countries. Conclusions This study showed differences in parent/caregiver responding to M-CHAT(-R) items across ten countries, which may indicate cross-country variations in the recognition and evaluation of autistic symptoms in toddlers. Items related to joint attention, social engagement, and language comprehension were reported in a similar manner across countries and could be interpreted as universal autistic symptoms in toddlers. En ligne : https://doi.org/10.1016/j.rasd.2022.101984 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Cross-cultural similarities and differences in reporting autistic symptoms in toddlers: A study synthesizing M-CHAT(-R) data from ten countries [texte imprimé] / Dejan STEVANOVIĆ, Auteur ; Diana L. ROBINS, Auteur ; Floriana COSTANZO, Auteur ; Elisa FUCA, Auteur ; Giovanni VALERI, Auteur ; Stefano VICARI, Auteur ; Handan OZEK ERKURAN, Auteur ; Ferhat YAYLACI, Auteur ; Lilia ALBORES-GALLO, Auteur ; Gabriel GATICA-BAHAMONDE, Auteur ; Maia GABUNIA, Auteur ; Medea ZIRAKASHVILI, Auteur ; Tony CHARMAN, Auteur ; Sayyed Ali SAMADI, Auteur ; Teck-Hock TOH, Auteur ; Gayle WINDHAM, Auteur ; Laura A. BRENNAN, Auteur ; Tatjana ZORCEC, Auteur ; Alejandra AUZA, Auteur ; Maretha V. DE JONGE, Auteur ; Noordeen SHOQIRAT, Auteur ; Rajna KNEZ, Auteur . - 101984. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 95 (July 2022) . - 101984 Mots-clés : Toddlers  Autism  Screening  Culture  Equivalence Index. décimale : PER Périodiques Résumé : Background This study aimed to evaluate the endorsement rates of M-CHAT(-R) items by parents/caregivers of toddlers with autism spectrum disorder (ASD) synthesizing data from ten countries: Albania, Chile, Georgia, Macedonia, Malaysia, Mexico, Serbia, Turkey, United Kingdom, and the United States of America. Method Data were aggregated for toddlers aged 14 36 months who participated in previous studies or completed clinical screening. An item with < 30% of endorsements was classified as low endorsement, an item falling within the range of 30 60% as moderate endorsement, and an item with > 60% as high endorsement. Results All items had a low endorsement rate in at least one country and moderate to high in others. Of 20 items, 14 had a moderate to high endorsement rate in seven to nine countries. Of particular relevance are items with moderate to high endorsement rates in all countries excluding Malaysia, such as points to get help, points to show, brings things to show, follows a point, follows your gaze, and understands what is said. On the other hand, makes eye contact, responds to name, hearing concerns, and reciprocal smile were interpreted differently across the countries. Conclusions This study showed differences in parent/caregiver responding to M-CHAT(-R) items across ten countries, which may indicate cross-country variations in the recognition and evaluation of autistic symptoms in toddlers. Items related to joint attention, social engagement, and language comprehension were reported in a similar manner across countries and could be interpreted as universal autistic symptoms in toddlers. En ligne : https://doi.org/10.1016/j.rasd.2022.101984 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress / Silvia GUERRERA ; Elisa FUCA ; Menghini DENY ; Valeri GIOVANNI ; Nobili LINO ; Stefano VICARI in Journal of Autism and Developmental Disorders, 54-1 (January 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-1 (January 2024) . - p.46-55 Titre : Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress Type de document : texte imprimé Auteurs : Silvia GUERRERA, Auteur ; Elisa FUCA, Auteur ; Menghini DENY, Auteur ; Valeri GIOVANNI, Auteur ; Nobili LINO, Auteur ; Stefano VICARI, Auteur Article en page(s) : p.46-55 Index. décimale : PER Périodiques Résumé : Insomnia is one of the most common co-occurring disorders in children with autism spectrum disorder (ASD). The purpose of this cross-sectional cohort study of 270 children with ASD was to assess the prevalence of insomnia using the Pediatric Sleep Clinical Global Impression Scale and to correlate sleep problems with cognitive level, adaptive behavior, parental stress, behavioral and emotional problems, and severity of core symptoms. Our findings revealed that one-third of children had insomnia and were related to reduced adaptive behaviors and higher levels of parental stress and behavioral and emotional problems. Insomnia must be evaluated in children with ASD to define an appropriate intervention to potentially alleviate the severity of clinical correlates and parental burden. En ligne : https://doi.org/10.1007/s10803-022-05793-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Insomnia in Children with Autism Spectrum Disorder: A Cross-Sectional Study on Clinical Correlates and Parental Stress [texte imprimé] / Silvia GUERRERA, Auteur ; Elisa FUCA, Auteur ; Menghini DENY, Auteur ; Valeri GIOVANNI, Auteur ; Nobili LINO, Auteur ; Stefano VICARI, Auteur . - p.46-55. in Journal of Autism and Developmental Disorders > 54-1 (January 2024) . - p.46-55 Index. décimale : PER Périodiques Résumé : Insomnia is one of the most common co-occurring disorders in children with autism spectrum disorder (ASD). The purpose of this cross-sectional cohort study of 270 children with ASD was to assess the prevalence of insomnia using the Pediatric Sleep Clinical Global Impression Scale and to correlate sleep problems with cognitive level, adaptive behavior, parental stress, behavioral and emotional problems, and severity of core symptoms. Our findings revealed that one-third of children had insomnia and were related to reduced adaptive behaviors and higher levels of parental stress and behavioral and emotional problems. Insomnia must be evaluated in children with ASD to define an appropriate intervention to potentially alleviate the severity of clinical correlates and parental burden. En ligne : https://doi.org/10.1007/s10803-022-05793-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

Measurement invariance of the Childhood Autism Rating Scale (CARS) across six countries / Dejan STEVANOVIĆ in Autism Research, 14-12 (December 2021)  

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