Autistic traits in childhood and post-traumatic stress disorder as young adults: a cohort study / Alice M. G. QUINTON in Journal of Child Psychology and Psychiatry, 66-10 (October 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1514-1525 Titre : Autistic traits in childhood and post-traumatic stress disorder as young adults: a cohort study Type de document : texte imprimé Auteurs : Alice M. G. QUINTON, Auteur ; Freya RUMBALL, Auteur ; Angelica RONALD, Auteur ; Helen L. FISHER, Auteur ; Louise ARSENEAULT, Auteur ; Francesca HAPPE, Auteur ; Andrea DANESE, Auteur Article en page(s) : p.1514-1525 Langues : Anglais (eng) Mots-clés : Autism  autism spectrum  trauma  PTSD  psychopathology Index. décimale : PER Périodiques Résumé : Background Despite the higher prevalence of childhood traumatic experiences and post-traumatic stress disorder (PTSD) in autistic adults, research on trauma-related psychopathology and autistic traits in young people is lacking. This study examined if high autistic traits in childhood predispose individuals to traumatic experiences, the development of PTSD and general psychopathology, and greater functional impairment by age 18, in both the general population and a subsample of trauma-exposed young people. Methods Data were utilised from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative cohort of 2,232 same-sex twins born in 1994 1995 across England and Wales. Participants were a subset of children whose parents completed the Childhood Autism Spectrum Test (CAST), during assessments at ages 8, 9 and/or 12 years (N 1,504). We tested associations between autistic traits in childhood and age-18 reports of lifetime trauma exposure, lifetime PTSD diagnosis, general psychopathology (?p-factor?) and NEET status (?not in employment, education or training?). Analyses were conducted controlling for sex, family socioeconomic status (SES), intelligence quotient (IQ) and accounting for family clustering. Results Higher autistic traits in childhood were significantly associated with greater reports of lifetime trauma exposure (Odd Ratio [OR] 1.26, 95% Confidence Intervals [CI] 1.03; 1.54), lifetime PTSD diagnosis (OR 1.91, 95% CI 1.29; 2.82), general psychopathology (beta 3.22, 95% CI 1.84; 4.60) and NEET status (OR 1.48, 95% CI 1.05; 2.09) at age 18. Only the associations of autistic traits with PTSD and general psychopathology were robust to adjustment for potential confounders. Among trauma-exposed children, autistic traits were also significantly associated with lifetime PTSD diagnosis (OR 1.75, 95% CI 1.15; 2.68) and psychopathology (beta 3.36, 95% CI 0.68; 6.04) at age 18, but only the association with PTSD held when adjusted for confounders. Conclusions Our findings suggest a need to develop targeted assessments and evidence-based treatments for PTSD to meet the needs of children with high autistic traits. However, whether our findings extend to diagnosed autistic children requires further investigation. En ligne : https://doi.org/10.1111/jcpp.14163 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568 [article] Autistic traits in childhood and post-traumatic stress disorder as young adults: a cohort study [texte imprimé] / Alice M. G. QUINTON, Auteur ; Freya RUMBALL, Auteur ; Angelica RONALD, Auteur ; Helen L. FISHER, Auteur ; Louise ARSENEAULT, Auteur ; Francesca HAPPE, Auteur ; Andrea DANESE, Auteur . - p.1514-1525. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-10 (October 2025) . - p.1514-1525 Mots-clés : Autism  autism spectrum  trauma  PTSD  psychopathology Index. décimale : PER Périodiques Résumé : Background Despite the higher prevalence of childhood traumatic experiences and post-traumatic stress disorder (PTSD) in autistic adults, research on trauma-related psychopathology and autistic traits in young people is lacking. This study examined if high autistic traits in childhood predispose individuals to traumatic experiences, the development of PTSD and general psychopathology, and greater functional impairment by age 18, in both the general population and a subsample of trauma-exposed young people. Methods Data were utilised from the Environmental Risk (E-Risk) Longitudinal Twin Study, a nationally representative cohort of 2,232 same-sex twins born in 1994 1995 across England and Wales. Participants were a subset of children whose parents completed the Childhood Autism Spectrum Test (CAST), during assessments at ages 8, 9 and/or 12 years (N 1,504). We tested associations between autistic traits in childhood and age-18 reports of lifetime trauma exposure, lifetime PTSD diagnosis, general psychopathology (?p-factor?) and NEET status (?not in employment, education or training?). Analyses were conducted controlling for sex, family socioeconomic status (SES), intelligence quotient (IQ) and accounting for family clustering. Results Higher autistic traits in childhood were significantly associated with greater reports of lifetime trauma exposure (Odd Ratio [OR] 1.26, 95% Confidence Intervals [CI] 1.03; 1.54), lifetime PTSD diagnosis (OR 1.91, 95% CI 1.29; 2.82), general psychopathology (beta 3.22, 95% CI 1.84; 4.60) and NEET status (OR 1.48, 95% CI 1.05; 2.09) at age 18. Only the associations of autistic traits with PTSD and general psychopathology were robust to adjustment for potential confounders. Among trauma-exposed children, autistic traits were also significantly associated with lifetime PTSD diagnosis (OR 1.75, 95% CI 1.15; 2.68) and psychopathology (beta 3.36, 95% CI 0.68; 6.04) at age 18, but only the association with PTSD held when adjusted for confounders. Conclusions Our findings suggest a need to develop targeted assessments and evidence-based treatments for PTSD to meet the needs of children with high autistic traits. However, whether our findings extend to diagnosed autistic children requires further investigation. En ligne : https://doi.org/10.1111/jcpp.14163 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=568

"Why does someone need to have a crisis before anyone will do anything?": Perspectives of Autism Intensive Support Team staff / Freya RUMBALL ; Francesca HAPPE ; Alice M. G. QUINTON ; Debbie SPAIN in Research in Autism, 123 (May 2025)  

Public ISBD [article]  inResearch in Autism > 123 (May 2025) . - 202545 Titre : "Why does someone need to have a crisis before anyone will do anything?": Perspectives of Autism Intensive Support Team staff Type de document : texte imprimé Auteurs : Freya RUMBALL, Auteur ; Francesca HAPPE, Auteur ; Alice M. G. QUINTON, Auteur ; Debbie SPAIN, Auteur Article en page(s) : 202545 Langues : Anglais (eng) Mots-clés : Autism  Intensive support  Health professionals  Transforming care agenda  Hospital admission Index. décimale : PER Périodiques Résumé : Background Autistic adults have a heightened risk of developing mental health conditions, but limited access to autism-informed community support, which is an internationally recognised issue. Consequently, the risk of crisis and hospitalisation is increased. Intensive Support Teams (ISTs) were created as part of the NHS Transforming Care Agenda (TCA) to work directly with autistic people and/or people with an intellectual disability and their families or indirectly with other professionals to prevent hospitalisation. Little is known about the functions of ISTs for autistic people, a pertinent issue given the rising number admitted to mental health hospitals in England. The present qualitative study aimed to explore the perspectives of multidisciplinary professionals working within ISTs for autistic adults in England to provide insight into team functions and barriers or facilitators to reducing hospitalisation. Methods Using convenience sampling, eight multidisciplinary professionals from four NHS England Trusts completed a brief demographic survey and individual semi-structured interviews conducted online. Data were transcribed verbatim and thematically analysed (Braun and Clarke, 2006). Results Four overarching themes and eleven subthemes were identified: (1) Developing new autism-informed approaches to care, (2) Policy in practice, (3) Gaps in mental health provision, and (4) Transforming care. Conclusion The present findings highlight factors which enable ISTs to reduce hospital admissions of autistic adults, for example, utilising a collaborative and flexible approach. It also highlights the systemic issues which hinder the function of the IST, including a lack of autism-informed community support and a lack of resources. Suggestions of changes to the IST and wider mental health system may support international incentives to reduce reliance on mental health hospitals and to improve mental health support in the community for autistic adults. Further research conducted with autistic people and their families, and staff working in/with ISTs is now needed to clarify inconsistencies in IST eligibility criteria and better understand facilitators for change. En ligne : https://doi.org/10.1016/j.reia.2025.202545 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555 [article] "Why does someone need to have a crisis before anyone will do anything?": Perspectives of Autism Intensive Support Team staff [texte imprimé] / Freya RUMBALL, Auteur ; Francesca HAPPE, Auteur ; Alice M. G. QUINTON, Auteur ; Debbie SPAIN, Auteur . - 202545. Langues : Anglais (eng) in Research in Autism > 123 (May 2025) . - 202545 Mots-clés : Autism  Intensive support  Health professionals  Transforming care agenda  Hospital admission Index. décimale : PER Périodiques Résumé : Background Autistic adults have a heightened risk of developing mental health conditions, but limited access to autism-informed community support, which is an internationally recognised issue. Consequently, the risk of crisis and hospitalisation is increased. Intensive Support Teams (ISTs) were created as part of the NHS Transforming Care Agenda (TCA) to work directly with autistic people and/or people with an intellectual disability and their families or indirectly with other professionals to prevent hospitalisation. Little is known about the functions of ISTs for autistic people, a pertinent issue given the rising number admitted to mental health hospitals in England. The present qualitative study aimed to explore the perspectives of multidisciplinary professionals working within ISTs for autistic adults in England to provide insight into team functions and barriers or facilitators to reducing hospitalisation. Methods Using convenience sampling, eight multidisciplinary professionals from four NHS England Trusts completed a brief demographic survey and individual semi-structured interviews conducted online. Data were transcribed verbatim and thematically analysed (Braun and Clarke, 2006). Results Four overarching themes and eleven subthemes were identified: (1) Developing new autism-informed approaches to care, (2) Policy in practice, (3) Gaps in mental health provision, and (4) Transforming care. Conclusion The present findings highlight factors which enable ISTs to reduce hospital admissions of autistic adults, for example, utilising a collaborative and flexible approach. It also highlights the systemic issues which hinder the function of the IST, including a lack of autism-informed community support and a lack of resources. Suggestions of changes to the IST and wider mental health system may support international incentives to reduce reliance on mental health hospitals and to improve mental health support in the community for autistic adults. Further research conducted with autistic people and their families, and staff working in/with ISTs is now needed to clarify inconsistencies in IST eligibility criteria and better understand facilitators for change. En ligne : https://doi.org/10.1016/j.reia.2025.202545 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=555

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