National Prevalence and Correlates of Autism: A Lebanese Cross-Sectional Study / Dahlia SAAB in Autism - Open Access, 8-1 ([01/01/2018])  

Public ISBD [article]  inAutism - Open Access > 8-1 [01/01/2018] . - 7 p. Titre : National Prevalence and Correlates of Autism: A Lebanese Cross-Sectional Study Type de document : Texte imprimé et/ou numérique Auteurs : Dahlia SAAB, Auteur ; Monique CHAAYA, Auteur ; Rose-Mary BOUSTANY, Auteur Article en page(s) : 7 p. Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Prevalence  Epidemiology  Lebanon  Risk/protective factors Index. décimale : PER Périodiques Résumé : Background: There is a lack of data regarding autism prevalence and factors associated with it in Arab Countries, especially in Lebanon. A study conducted in Beirut and Mount Lebanon governorates estimated the prevalence of Autism Spectrum Disorder (ASD) at 1.53% of children 16-48 months attending nurseries. This study aims at obtaining a total national ASD estimate and find factors associated with the disorder. Methods: The methodology used to collect data at a national level consisted of administering the Modified Checklist for Autism in Toddlers (M-CHAT) for screening and a self-administered questionnaire for associated factors. The final sample included 1,373 children aged 16-48 months. Prevalence estimates and crude and adjusted Odds Ratios (ORs) with 95% confidence intervals (95% CI) were generated. Results: ASD national prevalence is 1.48%with 95% CI (0.84, 2.12), with a 1.13 male/female ratio according to the M-CHAT. In the multivariable analysis, having an employed mother in the last year was protective against ASD (OR (95% CI): 0.36(0.14, 0.93)). Presence of delivery complications was a risk factor (3.58 (1.26, 10.15)). First/second born and moral support during pregnancy were protective, whereas mother not having a university education and family history of mental illness were risk factors. These variables were not significant in the multivariable analysis, probably due to small numbers. Conclusion: This is the first study estimating ASD prevalence in the entire Lebanese population, a much needed step to know the magnitude of the disorder. More robust studies are needed to better understand this disorder and factors associated with it in Lebanon and the region that have distinct cultural/environmental characteristics. En ligne : https://dx.doi.org/10.4172/2165-7890.1000223 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=410 [article] National Prevalence and Correlates of Autism: A Lebanese Cross-Sectional Study [Texte imprimé et/ou numérique] / Dahlia SAAB, Auteur ; Monique CHAAYA, Auteur ; Rose-Mary BOUSTANY, Auteur . - 7 p. Langues : Anglais (eng) in Autism - Open Access > 8-1 [01/01/2018] . - 7 p. Mots-clés : Autism spectrum disorder  Prevalence  Epidemiology  Lebanon  Risk/protective factors Index. décimale : PER Périodiques Résumé : Background: There is a lack of data regarding autism prevalence and factors associated with it in Arab Countries, especially in Lebanon. A study conducted in Beirut and Mount Lebanon governorates estimated the prevalence of Autism Spectrum Disorder (ASD) at 1.53% of children 16-48 months attending nurseries. This study aims at obtaining a total national ASD estimate and find factors associated with the disorder. Methods: The methodology used to collect data at a national level consisted of administering the Modified Checklist for Autism in Toddlers (M-CHAT) for screening and a self-administered questionnaire for associated factors. The final sample included 1,373 children aged 16-48 months. Prevalence estimates and crude and adjusted Odds Ratios (ORs) with 95% confidence intervals (95% CI) were generated. Results: ASD national prevalence is 1.48%with 95% CI (0.84, 2.12), with a 1.13 male/female ratio according to the M-CHAT. In the multivariable analysis, having an employed mother in the last year was protective against ASD (OR (95% CI): 0.36(0.14, 0.93)). Presence of delivery complications was a risk factor (3.58 (1.26, 10.15)). First/second born and moral support during pregnancy were protective, whereas mother not having a university education and family history of mental illness were risk factors. These variables were not significant in the multivariable analysis, probably due to small numbers. Conclusion: This is the first study estimating ASD prevalence in the entire Lebanese population, a much needed step to know the magnitude of the disorder. More robust studies are needed to better understand this disorder and factors associated with it in Lebanon and the region that have distinct cultural/environmental characteristics. En ligne : https://dx.doi.org/10.4172/2165-7890.1000223 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=410

Predictors of psychological risk and resilience among Syrian refugee children / Cassandra M. POPHAM in Journal of Child Psychology and Psychiatry, 64-1 (January 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.91-99 Titre : Predictors of psychological risk and resilience among Syrian refugee children Type de document : Texte imprimé et/ou numérique Auteurs : Cassandra M. POPHAM, Auteur ; Fiona S. MCEWEN, Auteur ; Elie KARAM, Auteur ; John FAYYAD, Auteur ; Georges KARAM, Auteur ; Dahlia SAAB, Auteur ; Patricia MOGHAMES, Auteur ; Michael PLUESS, Auteur Article en page(s) : p.91-99 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Objectives War-exposed refugee children are at elevated risk for mental health problems, but a notable proportion appear resilient. We aimed to investigate the proportion of Syrian refugee children who can be considered resilient, and applied a novel approach to identify factors predicting individual differences in mental health outcomes following war exposure. Methods The sample included 1,528 war-exposed Syrian refugee children and their primary caregiver living in refugee settlements in Lebanon. Children were classed as having low symptoms (LS) if they scored below clinically validated cut-offs for post-traumatic stress disorder (PTSD), depression and externalising behaviour problems. Children scoring above any cut-off were classified as having high symptoms (HS). Each LS child was matched with one HS who reported similar war exposure, to test what differentiates children with similar exposures but different outcomes. Results 19.3% of the children met our resilience criteria and were considered LS. At the individual level, protective traits (e.g. self-esteem; OR=1.51, 95% CI [1.25, 1.81]) predicted LS classification, while environmental sensitivity (OR=0.69, 95% CI [0.59, 0.82]), poorer general health (OR=0.71, 95% CI [0.58, 0.87]) and specific coping strategies (e.g. avoidance; OR=0.90, 95% CI [0.85, 0.96]) predicted HS classification. Social/environmental predictors included perceived social support (OR=1.23, 95% CI [1.02, 1.49]), loneliness and social isolation (OR=0.85, 95% CI [0.80, 0.90]), child maltreatment (OR=0.96, 95% CI [0.94, 0.97]), and caregiver mental and general health (e.g. caregiver depression; OR=0.94, 95% CI [0.92, 0.97]). Conclusions Future research should take multiple dimensions of functioning into account when defining risk for mental health problems and consider the identified predictors as potential targets for interventions. En ligne : https://doi.org/10.1111/jcpp.13670 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] Predictors of psychological risk and resilience among Syrian refugee children [Texte imprimé et/ou numérique] / Cassandra M. POPHAM, Auteur ; Fiona S. MCEWEN, Auteur ; Elie KARAM, Auteur ; John FAYYAD, Auteur ; Georges KARAM, Auteur ; Dahlia SAAB, Auteur ; Patricia MOGHAMES, Auteur ; Michael PLUESS, Auteur . - p.91-99. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-1 (January 2023) . - p.91-99 Index. décimale : PER Périodiques Résumé : Objectives War-exposed refugee children are at elevated risk for mental health problems, but a notable proportion appear resilient. We aimed to investigate the proportion of Syrian refugee children who can be considered resilient, and applied a novel approach to identify factors predicting individual differences in mental health outcomes following war exposure. Methods The sample included 1,528 war-exposed Syrian refugee children and their primary caregiver living in refugee settlements in Lebanon. Children were classed as having low symptoms (LS) if they scored below clinically validated cut-offs for post-traumatic stress disorder (PTSD), depression and externalising behaviour problems. Children scoring above any cut-off were classified as having high symptoms (HS). Each LS child was matched with one HS who reported similar war exposure, to test what differentiates children with similar exposures but different outcomes. Results 19.3% of the children met our resilience criteria and were considered LS. At the individual level, protective traits (e.g. self-esteem; OR=1.51, 95% CI [1.25, 1.81]) predicted LS classification, while environmental sensitivity (OR=0.69, 95% CI [0.59, 0.82]), poorer general health (OR=0.71, 95% CI [0.58, 0.87]) and specific coping strategies (e.g. avoidance; OR=0.90, 95% CI [0.85, 0.96]) predicted HS classification. Social/environmental predictors included perceived social support (OR=1.23, 95% CI [1.02, 1.49]), loneliness and social isolation (OR=0.85, 95% CI [0.80, 0.90]), child maltreatment (OR=0.96, 95% CI [0.94, 0.97]), and caregiver mental and general health (e.g. caregiver depression; OR=0.94, 95% CI [0.92, 0.97]). Conclusions Future research should take multiple dimensions of functioning into account when defining risk for mental health problems and consider the identified predictors as potential targets for interventions. En ligne : https://doi.org/10.1111/jcpp.13670 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

Prevalence of Autism Spectrum Disorder in Nurseries in Lebanon: A Cross Sectional Study / Monique CHAAYA in Journal of Autism and Developmental Disorders, 46-2 (February 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-2 (February 2016) . - p.514-522 Titre : Prevalence of Autism Spectrum Disorder in Nurseries in Lebanon: A Cross Sectional Study Type de document : Texte imprimé et/ou numérique Auteurs : Monique CHAAYA, Auteur ; Dahlia SAAB, Auteur ; Fadi T. MAALOUF, Auteur ; Rose-Mary BOUSTANY, Auteur Année de publication : 2016 Article en page(s) : p.514-522 Langues : Anglais (eng) Mots-clés : Prevalence  Autism spectrum disorder (ASD)  Toddlers  Nurseries  Beirut  Mount Lebanon Index. décimale : PER Périodiques Résumé : In Lebanon, no estimate for autism prevalence exists. This cross-sectional study examines the prevalence of Autism spectrum disorder (ASD) in toddlers in nurseries in Beirut and Mount-Lebanon. The final sample included 998 toddlers (16–48 months) from 177 nurseries. We sent parents the Modified Checklist for Autism in Toddlers (M-CHAT) for screening, and a self-administered questionnaire (associated factors). We imputed missing M-CHAT data with successful answers. Since there were no follow-up interviews for the M-CHAT, we used the positive predictive value (0.058) from a large study for prevalence estimates. ASD prevalence was 1 in 66 children (comparable to US). Ratios were: male/female: 1.05; Beirut/Mount-Lebanon: 1.2. Using a more representative sample and ascertaining results are needed for better prevalence estimates in Lebanon. En ligne : http://dx.doi.org/10.1007/s10803-015-2590-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=280 [article] Prevalence of Autism Spectrum Disorder in Nurseries in Lebanon: A Cross Sectional Study [Texte imprimé et/ou numérique] / Monique CHAAYA, Auteur ; Dahlia SAAB, Auteur ; Fadi T. MAALOUF, Auteur ; Rose-Mary BOUSTANY, Auteur . - 2016 . - p.514-522. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-2 (February 2016) . - p.514-522 Mots-clés : Prevalence  Autism spectrum disorder (ASD)  Toddlers  Nurseries  Beirut  Mount Lebanon Index. décimale : PER Périodiques Résumé : In Lebanon, no estimate for autism prevalence exists. This cross-sectional study examines the prevalence of Autism spectrum disorder (ASD) in toddlers in nurseries in Beirut and Mount-Lebanon. The final sample included 998 toddlers (16–48 months) from 177 nurseries. We sent parents the Modified Checklist for Autism in Toddlers (M-CHAT) for screening, and a self-administered questionnaire (associated factors). We imputed missing M-CHAT data with successful answers. Since there were no follow-up interviews for the M-CHAT, we used the positive predictive value (0.058) from a large study for prevalence estimates. ASD prevalence was 1 in 66 children (comparable to US). Ratios were: male/female: 1.05; Beirut/Mount-Lebanon: 1.2. Using a more representative sample and ascertaining results are needed for better prevalence estimates in Lebanon. En ligne : http://dx.doi.org/10.1007/s10803-015-2590-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=280

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