Motor stereotypies in autism spectrum disorder: Clinical randomized study and classification proposal / ClAudia MELO in Autism, 27-2 (February 2023)  

Public ISBD [article]  inAutism > 27-2 (February 2023) . - p.456-471 Titre : Motor stereotypies in autism spectrum disorder: Clinical randomized study and classification proposal Type de document : Texte imprimé et/ou numérique Auteurs : ClAudia MELO, Auteur ; Tiago Pinto RIBEIRO, Auteur ; Catarina PRIOR, Auteur ; Camila GESTA, Auteur ; Vânia MARTINS, Auteur ; Guiomar OLIVEIRA, Auteur ; Teresa TEMUDO, Auteur Article en page(s) : p.456-471 Langues : Anglais (eng) Mots-clés : autism  epidemiologic determinants  intellectual disability  prevalence  stereotypies Index. décimale : PER Périodiques Résumé : Motor stereotypies are frequently reported in individuals with autism spectrum disorder, but determinants of stereotypies remain poorly understood. In this study, a randomized sample of children with diagnosis of autism spectrum disorder was investigated to identify the prevalence and determinants of stereotypies. A total of 134 children who carried the diagnosis of autism spectrum disorder were included (aged 2.3 “17.6 years; 79.1% male). Stereotypies were classified during a standardized protocol with video recording. The prevalence of stereotypies was 56.7%. Among 1198 captured stereotypies, hand/arm stereotypies were the most frequent. Thirty-five morphology patterns were identified, the most frequent being hand flapping, tapping, and jumping. In univariate analysis, an association was found between stereotypies and younger age (odds ratio=0.74), developmental delay, or intellectual disability (odds ratio=5.25), being nonverbal (odds ratio=0.06), epilepsy (odds ratio=3.89), Autism Diagnostic Interview “Revised-A score (odds ratio=1.17), Autism Diagnostic Interview “Revised-C score (odds ratio=1.25), and Autism Diagnostic Observation Schedule “2 score (odds ratio=1.65). After multivariate analysis, only younger age, being nonverbal, and Autism Diagnostic Interview “Revised-A and Autism Diagnostic Observation Schedule “2 scores remained as determinants of stereotypies. The prevalence of stereotypies in autism spectrum disorder was close to the values obtained in a previous meta-analysis and seems to represent a valid value. The combination of younger age, being nonverbal, and autism severity seems to increase the odds of stereotypies. En ligne : http://dx.doi.org/10.1177/13623613221105479 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493 [article] Motor stereotypies in autism spectrum disorder: Clinical randomized study and classification proposal [Texte imprimé et/ou numérique] / ClAudia MELO, Auteur ; Tiago Pinto RIBEIRO, Auteur ; Catarina PRIOR, Auteur ; Camila GESTA, Auteur ; Vânia MARTINS, Auteur ; Guiomar OLIVEIRA, Auteur ; Teresa TEMUDO, Auteur . - p.456-471. Langues : Anglais (eng) in Autism > 27-2 (February 2023) . - p.456-471 Mots-clés : autism  epidemiologic determinants  intellectual disability  prevalence  stereotypies Index. décimale : PER Périodiques Résumé : Motor stereotypies are frequently reported in individuals with autism spectrum disorder, but determinants of stereotypies remain poorly understood. In this study, a randomized sample of children with diagnosis of autism spectrum disorder was investigated to identify the prevalence and determinants of stereotypies. A total of 134 children who carried the diagnosis of autism spectrum disorder were included (aged 2.3 “17.6 years; 79.1% male). Stereotypies were classified during a standardized protocol with video recording. The prevalence of stereotypies was 56.7%. Among 1198 captured stereotypies, hand/arm stereotypies were the most frequent. Thirty-five morphology patterns were identified, the most frequent being hand flapping, tapping, and jumping. In univariate analysis, an association was found between stereotypies and younger age (odds ratio=0.74), developmental delay, or intellectual disability (odds ratio=5.25), being nonverbal (odds ratio=0.06), epilepsy (odds ratio=3.89), Autism Diagnostic Interview “Revised-A score (odds ratio=1.17), Autism Diagnostic Interview “Revised-C score (odds ratio=1.25), and Autism Diagnostic Observation Schedule “2 score (odds ratio=1.65). After multivariate analysis, only younger age, being nonverbal, and Autism Diagnostic Interview “Revised-A and Autism Diagnostic Observation Schedule “2 scores remained as determinants of stereotypies. The prevalence of stereotypies in autism spectrum disorder was close to the values obtained in a previous meta-analysis and seems to represent a valid value. The combination of younger age, being nonverbal, and autism severity seems to increase the odds of stereotypies. En ligne : http://dx.doi.org/10.1177/13623613221105479 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=493

Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal / Inês GENÉSIO in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Titre : Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal Type de document : Texte imprimé et/ou numérique Auteurs : Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur Article en page(s) : p.102219 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal [Texte imprimé et/ou numérique] / Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur . - p.102219. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

---

1 (1 - 2 / 2)