Adverse Childhood Experiences in Autistic Children and Their Caregivers: Examining Intergenerational Continuity / Theresa M. ANDRZEJEWSKI in Journal of Autism and Developmental Disorders, 53-7 (July 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-7 (July 2023) . - p.2663-2679 Titre : Adverse Childhood Experiences in Autistic Children and Their Caregivers: Examining Intergenerational Continuity Type de document : texte imprimé Auteurs : Theresa M. ANDRZEJEWSKI, Auteur ; Elizabeth A. DELUCIA, Auteur ; Olivia SEMONES, Auteur ; Sanaa KHAN, Auteur ; Christina G. MCDONNELL, Auteur Article en page(s) : p.2663-2679 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Although there is an urgent need to develop trauma-informed services for autistic youth, little research has evaluated adverse childhood experiences (ACEs) in autistic youth from an intergenerational perspective. 242 caregivers of autistic (n 117) and non-autistic (n 125) youth reported on ACEs that they experienced in their own childhoods and ACEs experienced by their children, as well as measures of depression, stress, and child autistic traits and behavioral concerns. Autistic youth and their caregivers both experienced significantly higher rates of ACEs than the non-autistic dyads. Intergenerational continuity, the association between caregiver and child ACEs, was significantly stronger for autistic youth. ACEs showed differential patterns of associations with parent depressive symptoms and child autistic traits across groups. En ligne : https://doi.org/10.1007/s10803-022-05551-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508 [article] Adverse Childhood Experiences in Autistic Children and Their Caregivers: Examining Intergenerational Continuity [texte imprimé] / Theresa M. ANDRZEJEWSKI, Auteur ; Elizabeth A. DELUCIA, Auteur ; Olivia SEMONES, Auteur ; Sanaa KHAN, Auteur ; Christina G. MCDONNELL, Auteur . - p.2663-2679. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-7 (July 2023) . - p.2663-2679 Index. décimale : PER Périodiques Résumé : Although there is an urgent need to develop trauma-informed services for autistic youth, little research has evaluated adverse childhood experiences (ACEs) in autistic youth from an intergenerational perspective. 242 caregivers of autistic (n 117) and non-autistic (n 125) youth reported on ACEs that they experienced in their own childhoods and ACEs experienced by their children, as well as measures of depression, stress, and child autistic traits and behavioral concerns. Autistic youth and their caregivers both experienced significantly higher rates of ACEs than the non-autistic dyads. Intergenerational continuity, the association between caregiver and child ACEs, was significantly stronger for autistic youth. ACEs showed differential patterns of associations with parent depressive symptoms and child autistic traits across groups. En ligne : https://doi.org/10.1007/s10803-022-05551-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508

Autistic Adults Experience Higher PTSD Symptoms Relating to Motor Vehicle Accidents than Non-Autistic Adults / Robert A. KAYA ; Theresa M. ANDRZEJEWSKI ; Saily Gomez BATISTA in Journal of Autism and Developmental Disorders, 55-6 (June 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-6 (June 2025) . - p.2173-2178 Titre : Autistic Adults Experience Higher PTSD Symptoms Relating to Motor Vehicle Accidents than Non-Autistic Adults Type de document : texte imprimé Auteurs : Robert A. KAYA, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Saily Gomez BATISTA, Auteur Article en page(s) : p.2173-2178 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Purpose: Autistic adults experience high rates of traumatic events and PTSD. However, little work has evaluated motor vehicle accident (MVA) related trauma symptoms. The goal of this brief report was to provide pilot data characterizing MVA-related peritraumatic reactions, trauma symptoms, and rates of PTSD diagnosis and mental health service use among Autistic compared to non-autistic adults. Method: Participants were 637 adults in the United States (276 Autistic, 361 non-autistic) who completed an online survey assessing MVA experiences. Participants provided information about peritraumatic reactions to the accident, and whether they were diagnosed with PTSD or sought mental health services relating to the MVA. Participants also completed the Posttraumatic Symptom Checklist for DSM-5 (PCL-5) in relation to the worst MVA experienced. Results: 48.7% of Autistic adults had experienced an MVA relative to 64.5% of non-autistic adults. Of those who experienced an MVA, Autistic adults reported higher peritraumatic dissociative reactions, and higher MVA-related total, negative mood/cognition, and hypervigilance PTSD symptoms than non-autistic adults, when adjusting for covariates. Autistic adults were significantly more likely to have sought mental health treatment relating to the MVA (11.9% compared to 0.9% of non-autistic adults), and to have received a PTSD diagnosis relating to the MVA (5.9% compared to 0.4% of non-autistic adults). Conclusion: Autistic adults reported higher levels of trauma-related sequalae in response to MVAs than non-autistic adults. Future research should examine MVA-related trauma in more diverse samples, and develop assessment and support strategies to better identify, prevent, and reduce trauma-related symptoms post MVAs for Autistic people. En ligne : https://doi.org/10.1007/s10803-024-06687-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556 [article] Autistic Adults Experience Higher PTSD Symptoms Relating to Motor Vehicle Accidents than Non-Autistic Adults [texte imprimé] / Robert A. KAYA, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Saily Gomez BATISTA, Auteur . - p.2173-2178. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-6 (June 2025) . - p.2173-2178 Index. décimale : PER Périodiques Résumé : Purpose: Autistic adults experience high rates of traumatic events and PTSD. However, little work has evaluated motor vehicle accident (MVA) related trauma symptoms. The goal of this brief report was to provide pilot data characterizing MVA-related peritraumatic reactions, trauma symptoms, and rates of PTSD diagnosis and mental health service use among Autistic compared to non-autistic adults. Method: Participants were 637 adults in the United States (276 Autistic, 361 non-autistic) who completed an online survey assessing MVA experiences. Participants provided information about peritraumatic reactions to the accident, and whether they were diagnosed with PTSD or sought mental health services relating to the MVA. Participants also completed the Posttraumatic Symptom Checklist for DSM-5 (PCL-5) in relation to the worst MVA experienced. Results: 48.7% of Autistic adults had experienced an MVA relative to 64.5% of non-autistic adults. Of those who experienced an MVA, Autistic adults reported higher peritraumatic dissociative reactions, and higher MVA-related total, negative mood/cognition, and hypervigilance PTSD symptoms than non-autistic adults, when adjusting for covariates. Autistic adults were significantly more likely to have sought mental health treatment relating to the MVA (11.9% compared to 0.9% of non-autistic adults), and to have received a PTSD diagnosis relating to the MVA (5.9% compared to 0.4% of non-autistic adults). Conclusion: Autistic adults reported higher levels of trauma-related sequalae in response to MVAs than non-autistic adults. Future research should examine MVA-related trauma in more diverse samples, and develop assessment and support strategies to better identify, prevent, and reduce trauma-related symptoms post MVAs for Autistic people. En ligne : https://doi.org/10.1007/s10803-024-06687-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556

Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample / Elizabeth A. DELUCIA in Journal of Autism and Developmental Disorders, 54-5 (May 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.2060-2068 Titre : Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample Type de document : texte imprimé Auteurs : Elizabeth A. DELUCIA, Auteur ; Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Angela SCARPA, Auteur ; Christina G. MCDONNELL, Auteur Article en page(s) : p.2060-2068 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Although augmentative and alternative communication (AAC) strategies are often used by autistic youth, little is known about the use of AAC in inpatient psychiatric settings. This study evaluated how demographic and clinical factors (e.g., language level, IQ) related to AAC use in a well-characterized sample of 527 autistic youth (78.7% male, mean age 12.94) who participated in the Autism Inpatient Collection. AAC use was common, with 42.5% of caregivers reporting at least one form of AAC. White children were more likely to use AAC than non-white children at the bivariate level. In regression analyses, young children were more likely to use AAC than older children. These results suggest the importance of provider training and improved equitable access to AAC. En ligne : https://doi.org/10.1007/s10803-022-05650-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530 [article] Frequency and correlates of augmentative and alternative communication use in an autistic inpatient sample [texte imprimé] / Elizabeth A. DELUCIA, Auteur ; Tyler C. MCFAYDEN, Auteur ; Megan FOK, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Angela SCARPA, Auteur ; Christina G. MCDONNELL, Auteur . - p.2060-2068. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-5 (May 2024) . - p.2060-2068 Index. décimale : PER Périodiques Résumé : Although augmentative and alternative communication (AAC) strategies are often used by autistic youth, little is known about the use of AAC in inpatient psychiatric settings. This study evaluated how demographic and clinical factors (e.g., language level, IQ) related to AAC use in a well-characterized sample of 527 autistic youth (78.7% male, mean age 12.94) who participated in the Autism Inpatient Collection. AAC use was common, with 42.5% of caregivers reporting at least one form of AAC. White children were more likely to use AAC than non-white children at the bivariate level. In regression analyses, young children were more likely to use AAC than older children. These results suggest the importance of provider training and improved equitable access to AAC. En ligne : https://doi.org/10.1007/s10803-022-05650-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=530

Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection / Christina G. MCDONNELL in Autism Research, 15-4 (April 2022)  

Public ISBD [article]  inAutism Research > 15-4 (April 2022) . - p.665-676 Titre : Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection Type de document : texte imprimé Auteurs : Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur Article en page(s) : p.665-676 Langues : Anglais (eng) Mots-clés : Adolescent  Autism Spectrum Disorder  Autistic Disorder  Child  Child Abuse/psychology  Female  Historical Trauma  Hospitalization  Humans  Inpatients  Male  Parents  Stress Disorders, Post-Traumatic/epidemiology  autism  child abuse  intergenerational trauma  traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94 years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 [article] Intergenerational trauma: Parental PTSD and parent-reported child abuse subtypes differentially relate to admission characteristics in the autism inpatient collection [texte imprimé] / Christina G. MCDONNELL, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Janey DIKE, Auteur . - p.665-676. Langues : Anglais (eng) in Autism Research > 15-4 (April 2022) . - p.665-676 Mots-clés : Adolescent  Autism Spectrum Disorder  Autistic Disorder  Child  Child Abuse/psychology  Female  Historical Trauma  Hospitalization  Humans  Inpatients  Male  Parents  Stress Disorders, Post-Traumatic/epidemiology  autism  child abuse  intergenerational trauma  traumatic stress Index. décimale : PER Périodiques Résumé : Autistic youth experience high rates of maltreatment. Little research has considered how distinct abuse dimensions differentially relate to meaningful outcomes, nor taken an intergenerational approach to consider how caregiver trauma and child maltreatment are related. This study sought to identify how parent-reported child abuse subtypes and parent posttraumatic stress disorder (PTSD) relate to each other and to admission characteristics upon inpatient service entry. Autistic youth (N = 527; 79% White, 21.3% girls, mean age = 12.94 years) participated in the autism inpatient collection. Parents reported on child abuse subtypes (physical, sexual, emotional) and their own PTSD, child behavior and emergency services, and parenting stress. Youth of parents with PTSD were nearly three times more likely to have parent-reported physical and emotional abuse. Autistic girls were more likely to experience parent-reported sexual abuse and a higher number of subtypes. Lower income related to higher rates of parent-reported child emotional abuse and parent PTSD. Emotional abuse associated with child behavior whereas both child physical and emotional abuse related to emergency services. Reported parent PTSD associated with child behavior and parental distress. When considered jointly, parent PTSD and number of parent-reported child abuse subtypes differentially related to child behavior and interacted to predict psychiatric hospitalizations. Intergenerational continuity of trauma is important to consider among autistic youth, and both parent-reported child abuse and parent PTSD relate to admission characteristics. Critical limitations include reliance on binary parent reports of child abuse and parent PTSD and the low representation of youth of minoritized identities. Implications for trauma-informed care are discussed. LAY SUMMARY: Autistic youth whose parents had reported posttraumatic stress disorder (PTSD) were nearly three times more likely to have experienced parent-reported physical and emotional abuse. Parent-reported child emotional abuse uniquely related to child behavioral concerns whereas both physical and emotional abuse related to higher emergency services. Parent PTSD also related to admission characteristics, showing that intergenerational continuity of trauma is critical to consider for understanding child maltreatment among autistic youth. En ligne : https://dx.doi.org/10.1002/aur.2669 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473

Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children / Megan FOK in Research in Autism Spectrum Disorders, 108 (October 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 108 (October 2023) . - p.102249 Titre : Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children Type de document : texte imprimé Auteurs : Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Christina G. MCDONNELL, Auteur ; Angela SCARPA, Auteur Article en page(s) : p.102249 Mots-clés : CBCL  Measurement invariance  Non-speaking  Partially verbal  Language  Emotional behavioral concerns Index. décimale : PER Périodiques Résumé : Background The Child Behavior Checklist (CBCL) is commonly used to screen for emotional and behavioral concerns (EBC) in autistic children; however, few studies have tested the measurement invariance across language groups. Method The current study conducted a multi-group confirmatory factor analysis to examine the factorial invariance of the broadband internalizing and externalizing factor structure between 311 speaking and 1778 non-speaking/partially verbal (NSPV) autistic children using the Simons Simplex Collection (N = 2089), which represents a specific phenotypic presentation of autism. Results The two-factor structure achieved configural and metric but not scalar invariance, suggesting that, while the CBCL appears useful as a measure of EBC in autistic youth within language groups in our sample, the Internalizing and Externalizing domain scores might not be comparable between language groups due to measurement bias. Conclusions While EBC in autistic children can be measured using the CBCL, comparisons between NSPV and speaking children should be approached with caution. Measures that demonstrate invariance across language groups are a critical research priority in understanding how EBC manifest across ability levels, particularly in the development of appropriate mental health interventions. Considerations for practical implications of scalar non-invariance are discussed. En ligne : https://doi.org/10.1016/j.rasd.2023.102249 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514 [article] Measurement invariance of Child Behavior Checklist internalizing and externalizing factors between non-speaking/partially verbal and speaking autistic children [texte imprimé] / Megan FOK, Auteur ; Elizabeth A. DELUCIA, Auteur ; Theresa M. ANDRZEJEWSKI, Auteur ; Christina G. MCDONNELL, Auteur ; Angela SCARPA, Auteur . - p.102249. in Research in Autism Spectrum Disorders > 108 (October 2023) . - p.102249 Mots-clés : CBCL  Measurement invariance  Non-speaking  Partially verbal  Language  Emotional behavioral concerns Index. décimale : PER Périodiques Résumé : Background The Child Behavior Checklist (CBCL) is commonly used to screen for emotional and behavioral concerns (EBC) in autistic children; however, few studies have tested the measurement invariance across language groups. Method The current study conducted a multi-group confirmatory factor analysis to examine the factorial invariance of the broadband internalizing and externalizing factor structure between 311 speaking and 1778 non-speaking/partially verbal (NSPV) autistic children using the Simons Simplex Collection (N = 2089), which represents a specific phenotypic presentation of autism. Results The two-factor structure achieved configural and metric but not scalar invariance, suggesting that, while the CBCL appears useful as a measure of EBC in autistic youth within language groups in our sample, the Internalizing and Externalizing domain scores might not be comparable between language groups due to measurement bias. Conclusions While EBC in autistic children can be measured using the CBCL, comparisons between NSPV and speaking children should be approached with caution. Measures that demonstrate invariance across language groups are a critical research priority in understanding how EBC manifest across ability levels, particularly in the development of appropriate mental health interventions. Considerations for practical implications of scalar non-invariance are discussed. En ligne : https://doi.org/10.1016/j.rasd.2023.102249 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=514

A Pilot Study of Self-Regulation and Behavior Problems in Preschoolers with ASD: Parent Broader Autism Phenotype Traits Relate to Child Emotion Regulation and Inhibitory Control / Elizabeth A. DELUCIA in Journal of Autism and Developmental Disorders, 52-10 (October 2022)  

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