Dépouillements

Lagging skills contribute to challenging behaviors in children with autism spectrum disorder without intellectual disability / B. B. MADDOX in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.898-906 Titre : Lagging skills contribute to challenging behaviors in children with autism spectrum disorder without intellectual disability Type de document : Texte imprimé et/ou numérique Auteurs : B. B. MADDOX, Auteur ; P. CLEARY, Auteur ; E. S. KUSCHNER, Auteur ; J. S. MILLER, Auteur ; Anna Chelsea ARMOUR, Auteur ; L. GUY, Auteur ; L. KENWORTHY, Auteur ; Robert T. SCHULTZ, Auteur ; B. E. YERYS, Auteur Article en page(s) : p.898-906 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  challenging behaviors  cognitive-behavioral treatment  emotion regulation  executive function Index. décimale : PER Périodiques Résumé : Many children with autism spectrum disorder display challenging behaviors. These behaviors are not limited to those with cognitive and/or language impairments. The Collaborative and Proactive Solutions framework proposes that challenging behaviors result from an incompatibility between environmental demands and a child's "lagging skills." The primary Collaborative and Proactive Solutions lagging skills-executive function, emotion regulation, language, and social skills-are often areas of weakness for individuals with autism spectrum disorder. The purpose of this study was to evaluate whether these lagging skills are associated with challenging behaviors in youth with autism spectrum disorder without intellectual disability. Parents of 182 youth with autism spectrum disorder (6-15 years) completed measures of their children's challenging behaviors, executive function, language, emotion regulation, and social skills. We tested whether the Collaborative and Proactive Solutions lagging skills predicted challenging behaviors using multiple linear regression. The Collaborative and Proactive Solutions lagging skills explained significant variance in participants' challenging behaviors. The Depression (emotion regulation), Inhibit (executive function), and Sameness (executive function) scales emerged as significant predictors. Impairments in emotion regulation and executive function may contribute substantially to aggressive and oppositional behaviors in school-age youth with autism spectrum disorder without intellectual disability. Treatment for challenging behaviors in this group may consider targeting the incompatibility between environmental demands and a child's lagging skills. En ligne : http://dx.doi.org/10.1177/1362361317712651 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700 [article] Lagging skills contribute to challenging behaviors in children with autism spectrum disorder without intellectual disability [Texte imprimé et/ou numérique] / B. B. MADDOX, Auteur ; P. CLEARY, Auteur ; E. S. KUSCHNER, Auteur ; J. S. MILLER, Auteur ; Anna Chelsea ARMOUR, Auteur ; L. GUY, Auteur ; L. KENWORTHY, Auteur ; Robert T. SCHULTZ, Auteur ; B. E. YERYS, Auteur . - p.898-906. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.898-906 Mots-clés : autism spectrum disorder  challenging behaviors  cognitive-behavioral treatment  emotion regulation  executive function Index. décimale : PER Périodiques Résumé : Many children with autism spectrum disorder display challenging behaviors. These behaviors are not limited to those with cognitive and/or language impairments. The Collaborative and Proactive Solutions framework proposes that challenging behaviors result from an incompatibility between environmental demands and a child's "lagging skills." The primary Collaborative and Proactive Solutions lagging skills-executive function, emotion regulation, language, and social skills-are often areas of weakness for individuals with autism spectrum disorder. The purpose of this study was to evaluate whether these lagging skills are associated with challenging behaviors in youth with autism spectrum disorder without intellectual disability. Parents of 182 youth with autism spectrum disorder (6-15 years) completed measures of their children's challenging behaviors, executive function, language, emotion regulation, and social skills. We tested whether the Collaborative and Proactive Solutions lagging skills predicted challenging behaviors using multiple linear regression. The Collaborative and Proactive Solutions lagging skills explained significant variance in participants' challenging behaviors. The Depression (emotion regulation), Inhibit (executive function), and Sameness (executive function) scales emerged as significant predictors. Impairments in emotion regulation and executive function may contribute substantially to aggressive and oppositional behaviors in school-age youth with autism spectrum disorder without intellectual disability. Treatment for challenging behaviors in this group may consider targeting the incompatibility between environmental demands and a child's lagging skills. En ligne : http://dx.doi.org/10.1177/1362361317712651 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700

Distribution of autistic traits and their association with sociodemographic characteristics in Japanese workers / T. SUZUKI in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.907-914 Titre : Distribution of autistic traits and their association with sociodemographic characteristics in Japanese workers Type de document : Texte imprimé et/ou numérique Auteurs : T. SUZUKI, Auteur ; K. MIYAKI, Auteur ; H. EGUCHI, Auteur ; A. TSUTSUMI, Auteur Article en page(s) : p.907-914 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  autistic trait  distribution  health-related behaviors  socioeconomic status Index. décimale : PER Périodiques Résumé : This study aimed to confirm whether autistic traits are normally distributed across a population and to describe their association with the sociodemographic characteristics of Japanese workers. The participants were 2075 workers aged 23-65 years from various parts of Japan. Autistic traits were measured using an abridged Japanese version of the Autism-Spectrum Quotient (AQ-Short). The AQ-Short comprises five subcomponents assessing a fascination for numbers and patterns (numbers/patterns), difficulties with imagination, a preference for routine, difficulties with social skills, and difficulties with switching attention. The five subcomponents of the autistic phenotype as well as the overall autistic phenotype itself were continuously distributed across the sample population of Japanese workers. Men had significantly higher AQ-Short scores than women. AQ-Short scores were not associated with age. Except for the numbers/patterns scores, workers of a lower socioeconomic status had significantly higher AQ-Short scores than their respective counterparts. For the numbers/patterns trait, workers of a higher socioeconomic status scored higher. Workers with low general physical activity had or tended to have higher scores for total and all subcomponent traits, except for the numbers/patterns trait. Generally, the autistic phenotype was more prevalent in workers of a low socioeconomic status, while a particular trait was prevalent among workers of a high socioeconomic status. En ligne : http://dx.doi.org/10.1177/1362361317716605 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700 [article] Distribution of autistic traits and their association with sociodemographic characteristics in Japanese workers [Texte imprimé et/ou numérique] / T. SUZUKI, Auteur ; K. MIYAKI, Auteur ; H. EGUCHI, Auteur ; A. TSUTSUMI, Auteur . - p.907-914. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.907-914 Mots-clés : autism spectrum disorder  autistic trait  distribution  health-related behaviors  socioeconomic status Index. décimale : PER Périodiques Résumé : This study aimed to confirm whether autistic traits are normally distributed across a population and to describe their association with the sociodemographic characteristics of Japanese workers. The participants were 2075 workers aged 23-65 years from various parts of Japan. Autistic traits were measured using an abridged Japanese version of the Autism-Spectrum Quotient (AQ-Short). The AQ-Short comprises five subcomponents assessing a fascination for numbers and patterns (numbers/patterns), difficulties with imagination, a preference for routine, difficulties with social skills, and difficulties with switching attention. The five subcomponents of the autistic phenotype as well as the overall autistic phenotype itself were continuously distributed across the sample population of Japanese workers. Men had significantly higher AQ-Short scores than women. AQ-Short scores were not associated with age. Except for the numbers/patterns scores, workers of a lower socioeconomic status had significantly higher AQ-Short scores than their respective counterparts. For the numbers/patterns trait, workers of a higher socioeconomic status scored higher. Workers with low general physical activity had or tended to have higher scores for total and all subcomponent traits, except for the numbers/patterns trait. Generally, the autistic phenotype was more prevalent in workers of a low socioeconomic status, while a particular trait was prevalent among workers of a high socioeconomic status. En ligne : http://dx.doi.org/10.1177/1362361317716605 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700

Imagining Autism: Feasibility of a drama-based intervention on the social, communicative and imaginative behaviour of children with autism / J. BEADLE-BROWN in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.915-927 Titre : Imagining Autism: Feasibility of a drama-based intervention on the social, communicative and imaginative behaviour of children with autism Type de document : Texte imprimé et/ou numérique Auteurs : J. BEADLE-BROWN, Auteur ; D. WILKINSON, Auteur ; L. RICHARDSON, Auteur ; N. SHAUGHNESSY, Auteur ; M. TRIMINGHAM, Auteur ; J. LEIGH, Auteur ; B. WHELTON, Auteur ; J. HIMMERICH, Auteur Article en page(s) : p.915-927 Langues : Anglais (eng) Mots-clés : autism  drama  feasibility  intervention  school Index. décimale : PER Périodiques Résumé : We report the feasibility of a novel, school-based intervention, coined 'Imagining Autism', in which children with autism engage with drama practitioners though participatory play and improvisation in a themed multi-sensory 'pod' resembling a portable, tent-like structure. A total of 22 children, aged 7-12 years, from three UK schools engaged in the 10-week programme. Measures of social interaction, communication and emotion recognition, along with parent and teacher ratings, were collected before and up to 12 months after the intervention. Feasibility was evaluated through four domains: (1) process (recruitment, retention, blinding, inter-rater reliability, willingness of children to engage), (2) resources (space, logistics), (3) management (dealing with unexpected changes, ease of assessment) and (4) scientific (data outcomes, statistical analyses). Overall, the children, parents and teachers showed high satisfaction with the intervention, the amount of missing data was relatively low, key assessments were implemented as planned and evidence of potential effect was demonstrated on several key outcome measures. Some difficulties were encountered with recruitment, test administration, parental response and the logistics of setting up the pod. Following several protocol revisions and the inclusion of a control group, future investigation would be justified to more thoroughly examine treatment effects. En ligne : http://dx.doi.org/10.1177/1362361317710797 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700 [article] Imagining Autism: Feasibility of a drama-based intervention on the social, communicative and imaginative behaviour of children with autism [Texte imprimé et/ou numérique] / J. BEADLE-BROWN, Auteur ; D. WILKINSON, Auteur ; L. RICHARDSON, Auteur ; N. SHAUGHNESSY, Auteur ; M. TRIMINGHAM, Auteur ; J. LEIGH, Auteur ; B. WHELTON, Auteur ; J. HIMMERICH, Auteur . - p.915-927. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.915-927 Mots-clés : autism  drama  feasibility  intervention  school Index. décimale : PER Périodiques Résumé : We report the feasibility of a novel, school-based intervention, coined 'Imagining Autism', in which children with autism engage with drama practitioners though participatory play and improvisation in a themed multi-sensory 'pod' resembling a portable, tent-like structure. A total of 22 children, aged 7-12 years, from three UK schools engaged in the 10-week programme. Measures of social interaction, communication and emotion recognition, along with parent and teacher ratings, were collected before and up to 12 months after the intervention. Feasibility was evaluated through four domains: (1) process (recruitment, retention, blinding, inter-rater reliability, willingness of children to engage), (2) resources (space, logistics), (3) management (dealing with unexpected changes, ease of assessment) and (4) scientific (data outcomes, statistical analyses). Overall, the children, parents and teachers showed high satisfaction with the intervention, the amount of missing data was relatively low, key assessments were implemented as planned and evidence of potential effect was demonstrated on several key outcome measures. Some difficulties were encountered with recruitment, test administration, parental response and the logistics of setting up the pod. Following several protocol revisions and the inclusion of a control group, future investigation would be justified to more thoroughly examine treatment effects. En ligne : http://dx.doi.org/10.1177/1362361317710797 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700

A qualitative study of the service experiences of women with autism spectrum disorder / A. TINT in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.928-937 Titre : A qualitative study of the service experiences of women with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : A. TINT, Auteur ; J. A. WEISS, Auteur Article en page(s) : p.928-937 Langues : Anglais (eng) Mots-clés : adults  autism spectrum disorder  females  masking  qualitative research  service use Index. décimale : PER Périodiques Résumé : It is recognized that the experiences of women with autism spectrum disorder are often underrepresented in the literature. In this study, 20 women with autism spectrum disorder participated in five focus groups with discussions centered on their service use, unmet service needs, and barriers to care. Overall, women emphasized high unmet service needs, particularly with respect to mental health concerns, residential supports, and vocational and employment services. Participants also perceived many service providers as disregarding or misunderstanding women's service needs. Findings of the current exploratory study are discussed in relation to areas of future research required to ensure effective care for this understudied population. En ligne : http://dx.doi.org/10.1177/1362361317702561 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700 [article] A qualitative study of the service experiences of women with autism spectrum disorder [Texte imprimé et/ou numérique] / A. TINT, Auteur ; J. A. WEISS, Auteur . - p.928-937. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.928-937 Mots-clés : adults  autism spectrum disorder  females  masking  qualitative research  service use Index. décimale : PER Périodiques Résumé : It is recognized that the experiences of women with autism spectrum disorder are often underrepresented in the literature. In this study, 20 women with autism spectrum disorder participated in five focus groups with discussions centered on their service use, unmet service needs, and barriers to care. Overall, women emphasized high unmet service needs, particularly with respect to mental health concerns, residential supports, and vocational and employment services. Participants also perceived many service providers as disregarding or misunderstanding women's service needs. Findings of the current exploratory study are discussed in relation to areas of future research required to ensure effective care for this understudied population. En ligne : http://dx.doi.org/10.1177/1362361317702561 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3700

Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services / Lauren BROOKMAN-FRAZEE in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.938-952 Titre : Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services Type de document : Texte imprimé et/ou numérique Auteurs : Lauren BROOKMAN-FRAZEE, Auteur ; N. STADNICK, Auteur ; C. CHLEBOWSKI, Auteur ; Mary BAKER-ERICZEN, Auteur ; W. GANGER, Auteur Article en page(s) : p.938-952 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  challenging behaviors  children's mental health services  comorbidity Index. décimale : PER Périodiques Résumé : Publicly funded mental health programs play a significant role in serving children with autism spectrum disorder. Understanding patterns of psychiatric comorbidity for this population within mental health settings is important to implement appropriately tailored interventions. This study (1) describes patterns of psychiatric comorbidity in children with autism spectrum disorder who present to mental health services with challenging behaviors and (2) identifies child characteristics associated with comorbid conditions. Data are drawn from baseline assessments from 201 children with autism spectrum disorder who participated in a community effectiveness trial across 29 publicly funded mental health programs. Non-autism spectrum disorder diagnoses were assessed using an adapted Mini-International Neuropsychiatric Interview, parent version. Approximately 92% of children met criteria for at least one non-autism spectrum disorder diagnosis (78% attention deficit hyperactivity disorder, 58% oppositional defiant disorder, 56% anxiety, 30% mood). Logistic regression indicated that child gender and clinical characteristics were differentially associated with meeting criteria for attention deficit hyperactivity disorder, oppositional defiant disorder, an anxiety, or a mood disorder. Exploratory analyses supported a link between challenging behaviors and mood disorder symptoms and revealed high prevalence of these symptoms in this autism spectrum disorder population. Findings provide direction for tailoring intervention to address a broad range of clinical issues for youth with autism spectrum disorder served in mental health settings. En ligne : http://dx.doi.org/10.1177/1362361317712650 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services [Texte imprimé et/ou numérique] / Lauren BROOKMAN-FRAZEE, Auteur ; N. STADNICK, Auteur ; C. CHLEBOWSKI, Auteur ; Mary BAKER-ERICZEN, Auteur ; W. GANGER, Auteur . - p.938-952. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.938-952 Mots-clés : autism spectrum disorder  challenging behaviors  children's mental health services  comorbidity Index. décimale : PER Périodiques Résumé : Publicly funded mental health programs play a significant role in serving children with autism spectrum disorder. Understanding patterns of psychiatric comorbidity for this population within mental health settings is important to implement appropriately tailored interventions. This study (1) describes patterns of psychiatric comorbidity in children with autism spectrum disorder who present to mental health services with challenging behaviors and (2) identifies child characteristics associated with comorbid conditions. Data are drawn from baseline assessments from 201 children with autism spectrum disorder who participated in a community effectiveness trial across 29 publicly funded mental health programs. Non-autism spectrum disorder diagnoses were assessed using an adapted Mini-International Neuropsychiatric Interview, parent version. Approximately 92% of children met criteria for at least one non-autism spectrum disorder diagnosis (78% attention deficit hyperactivity disorder, 58% oppositional defiant disorder, 56% anxiety, 30% mood). Logistic regression indicated that child gender and clinical characteristics were differentially associated with meeting criteria for attention deficit hyperactivity disorder, oppositional defiant disorder, an anxiety, or a mood disorder. Exploratory analyses supported a link between challenging behaviors and mood disorder symptoms and revealed high prevalence of these symptoms in this autism spectrum disorder population. Findings provide direction for tailoring intervention to address a broad range of clinical issues for youth with autism spectrum disorder served in mental health settings. En ligne : http://dx.doi.org/10.1177/1362361317712650 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

Development of a patient-centered conceptual model of the impact of living with autism spectrum disorder / F. MCDOUGALL in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.953-969 Titre : Development of a patient-centered conceptual model of the impact of living with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : F. MCDOUGALL, Auteur ; T. WILLGOSS, Auteur ; S. HWANG, Auteur ; Federico BOLOGNANI, Auteur ; L. MURTAGH, Auteur ; Evdokia ANAGNOSTOU, Auteur ; D. ROFAIL, Auteur Article en page(s) : p.953-969 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  conceptual model  qualitative research Index. décimale : PER Périodiques Résumé : The aim of this study was to generate a patient-centered conceptual model of the impact of living with autism spectrum disorder, which can be used to support the selection of outcome measures for clinical trials. Following an initial literature review to identify preliminary concepts and inform an interview guide, in-depth face-to-face interviews were conducted with adolescents and adults with autism spectrum disorder (IQ 70) (n = 10), as well as parents of children, adolescents, and adults with autism spectrum disorder (IQ 70) (n = 26). Data were analyzed using established qualitative research methods. The resultant conceptual model contains three interrelated domains reflecting core symptoms of autism spectrum disorder (communication deficits, socialization deficits, and restrictive, repetitive patterns of behavior), three domains reflecting associated symptoms of autism spectrum disorder (physical, cognitive, and emotional/behavioral), and three domains representing the impacts of living with autism spectrum disorder (impacts on activities of daily living, school/work, and social life). Interview respondents also cited social communication deficits as priority targets for new treatments. The conceptual model provides a patient-centered perspective of relevant concepts of autism spectrum disorder from the perspectives of people with autism spectrum disorder and their parents and offers a valuable tool for identifying valid patient-centered outcome measures for future clinical trials. En ligne : http://dx.doi.org/10.1177/1362361317718987 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Development of a patient-centered conceptual model of the impact of living with autism spectrum disorder [Texte imprimé et/ou numérique] / F. MCDOUGALL, Auteur ; T. WILLGOSS, Auteur ; S. HWANG, Auteur ; Federico BOLOGNANI, Auteur ; L. MURTAGH, Auteur ; Evdokia ANAGNOSTOU, Auteur ; D. ROFAIL, Auteur . - p.953-969. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.953-969 Mots-clés : autism spectrum disorder  conceptual model  qualitative research Index. décimale : PER Périodiques Résumé : The aim of this study was to generate a patient-centered conceptual model of the impact of living with autism spectrum disorder, which can be used to support the selection of outcome measures for clinical trials. Following an initial literature review to identify preliminary concepts and inform an interview guide, in-depth face-to-face interviews were conducted with adolescents and adults with autism spectrum disorder (IQ 70) (n = 10), as well as parents of children, adolescents, and adults with autism spectrum disorder (IQ 70) (n = 26). Data were analyzed using established qualitative research methods. The resultant conceptual model contains three interrelated domains reflecting core symptoms of autism spectrum disorder (communication deficits, socialization deficits, and restrictive, repetitive patterns of behavior), three domains reflecting associated symptoms of autism spectrum disorder (physical, cognitive, and emotional/behavioral), and three domains representing the impacts of living with autism spectrum disorder (impacts on activities of daily living, school/work, and social life). Interview respondents also cited social communication deficits as priority targets for new treatments. The conceptual model provides a patient-centered perspective of relevant concepts of autism spectrum disorder from the perspectives of people with autism spectrum disorder and their parents and offers a valuable tool for identifying valid patient-centered outcome measures for future clinical trials. En ligne : http://dx.doi.org/10.1177/1362361317718987 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

Gender identity and sexual orientation in autism spectrum disorder / R. GEORGE in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.970-982 Titre : Gender identity and sexual orientation in autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : R. GEORGE, Auteur ; M. A. STOKES, Auteur Article en page(s) : p.970-982 Langues : Anglais (eng) Mots-clés : and transgender  autism spectrum disorder  bisexual  gay  gender identity  gender-dysphoria  heterosexuality  homosexuality  lesbian  sexual orientation Index. décimale : PER Périodiques Résumé : Clinical impressions indicate that there is an overrepresentation of gender-dysphoria within the autism spectrum disorder. However, little is presently known about the demographics of gender-identity issues in autism spectrum disorder. Based upon what little is known, we hypothesized that there would be an increased prevalence of gender-dysphoria among those with autism spectrum disorder compared to a typically developing population. We surveyed gender-dysphoria with the Gender-Identity/Gender-Dysphoria Questionnaire among 90 males and 219 females with autism spectrum disorder and compared these rates to those of 103 males and 158 females without autism spectrum disorder. When compared to typically developing individuals, autistic individuals reported a higher number of gender-dysphoric traits. Rates of gender-dysphoria in the group with autism spectrum disorder were significantly higher than reported in the wider population. Mediation analysis found that the relationship between autistic traits and sexual orientation was mediated by gender-dysphoric traits. Results suggest that autism spectrum disorder presents a unique experience to the formation and consolidation of gender identity, and for some autistic individuals, their sexual orientation relates to their gender experience. It is important that clinicians working with autism spectrum disorder are aware of the gender-diversity in this population so that the necessary support for healthy socio-sexual functioning and mental well-being is provided. En ligne : http://dx.doi.org/10.1177/1362361317714587 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Gender identity and sexual orientation in autism spectrum disorder [Texte imprimé et/ou numérique] / R. GEORGE, Auteur ; M. A. STOKES, Auteur . - p.970-982. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.970-982 Mots-clés : and transgender  autism spectrum disorder  bisexual  gay  gender identity  gender-dysphoria  heterosexuality  homosexuality  lesbian  sexual orientation Index. décimale : PER Périodiques Résumé : Clinical impressions indicate that there is an overrepresentation of gender-dysphoria within the autism spectrum disorder. However, little is presently known about the demographics of gender-identity issues in autism spectrum disorder. Based upon what little is known, we hypothesized that there would be an increased prevalence of gender-dysphoria among those with autism spectrum disorder compared to a typically developing population. We surveyed gender-dysphoria with the Gender-Identity/Gender-Dysphoria Questionnaire among 90 males and 219 females with autism spectrum disorder and compared these rates to those of 103 males and 158 females without autism spectrum disorder. When compared to typically developing individuals, autistic individuals reported a higher number of gender-dysphoric traits. Rates of gender-dysphoria in the group with autism spectrum disorder were significantly higher than reported in the wider population. Mediation analysis found that the relationship between autistic traits and sexual orientation was mediated by gender-dysphoric traits. Results suggest that autism spectrum disorder presents a unique experience to the formation and consolidation of gender identity, and for some autistic individuals, their sexual orientation relates to their gender experience. It is important that clinicians working with autism spectrum disorder are aware of the gender-diversity in this population so that the necessary support for healthy socio-sexual functioning and mental well-being is provided. En ligne : http://dx.doi.org/10.1177/1362361317714587 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

Preliminary efficacy of a daily living skills intervention for adolescents with high-functioning autism spectrum disorder / A. DUNCAN in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.983-994 Titre : Preliminary efficacy of a daily living skills intervention for adolescents with high-functioning autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : A. DUNCAN, Auteur ; L. A. RUBLE, Auteur ; J. MEINZEN-DERR, Auteur ; C. THOMAS, Auteur ; L. J. STARK, Auteur Article en page(s) : p.983-994 Langues : Anglais (eng) Mots-clés : adolescents  autism spectrum disorders  daily living skills  goal attainment scaling  interventions-psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Daily living skills deficits are strongly associated with poor adult outcomes for individuals with high-functioning autism spectrum disorder, and yet, there are no group interventions targeting daily living skills. Seven adolescents with autism spectrum disorder and their parents participated in a feasibility pilot of a 12-week manualized group treatment targeting specific daily living skills (i.e. morning routine, cooking, laundry, and money management). Outcomes included the Vineland Adaptive Behavior Scales, Second Edition (Vineland-II) age equivalence scores and four goal attainment scaling scores. Adolescents demonstrated significant improvement on two Vineland-II subdomains and on all goal attainment scaling scores at post-treatment and 6-month follow-up. The intervention has promise for improving critical daily living skills' deficits that affect independent living and employment. Limitations and implications for future studies are discussed. En ligne : http://dx.doi.org/10.1177/1362361317716606 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Preliminary efficacy of a daily living skills intervention for adolescents with high-functioning autism spectrum disorder [Texte imprimé et/ou numérique] / A. DUNCAN, Auteur ; L. A. RUBLE, Auteur ; J. MEINZEN-DERR, Auteur ; C. THOMAS, Auteur ; L. J. STARK, Auteur . - p.983-994. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.983-994 Mots-clés : adolescents  autism spectrum disorders  daily living skills  goal attainment scaling  interventions-psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Daily living skills deficits are strongly associated with poor adult outcomes for individuals with high-functioning autism spectrum disorder, and yet, there are no group interventions targeting daily living skills. Seven adolescents with autism spectrum disorder and their parents participated in a feasibility pilot of a 12-week manualized group treatment targeting specific daily living skills (i.e. morning routine, cooking, laundry, and money management). Outcomes included the Vineland Adaptive Behavior Scales, Second Edition (Vineland-II) age equivalence scores and four goal attainment scaling scores. Adolescents demonstrated significant improvement on two Vineland-II subdomains and on all goal attainment scaling scores at post-treatment and 6-month follow-up. The intervention has promise for improving critical daily living skills' deficits that affect independent living and employment. Limitations and implications for future studies are discussed. En ligne : http://dx.doi.org/10.1177/1362361317716606 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice / R. C. BIRCH in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.995-1004 Titre : Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice Type de document : Texte imprimé et/ou numérique Auteurs : R. C. BIRCH, Auteur ; K. R. FOLEY, Auteur ; A. POLLACK, Auteur ; H. BRITT, Auteur ; N. LENNOX, Auteur ; J. N. TROLLOR, Auteur Article en page(s) : p.995-1004 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  prescribing  psychological problems  psychotropic medication Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is associated with high rates of co-occurring health conditions. While elevated prescription rates of psychotropic medications have been reported in the United Kingdom and the United States, there is a paucity of research investigating clinical and prescribing practices in Australia. This study describes the problems managed and medications prescribed by general practitioners in Australia during encounters where an autism spectrum disorder was recorded. Information was collected from 2000 to 2014 as part of the Bettering the Evaluation and Care of Health programme. Encounters where patients were aged less than 25 years and autism spectrum disorder was recorded as one of the reasons for encounter and/or problems managed ( n = 579) were compared to all other Bettering the Evaluation and Care of Health programme encounters with patients aged less than 25 years ( n = 281,473). At 'autism spectrum disorder' encounters, there was a significantly higher management rate of psychological problems, and significantly lower management rates of skin, respiratory and general/unspecified problems, than at 'non-autism spectrum disorder' encounters. The rate of psychological medication prescription was significantly higher at 'autism spectrum disorder' encounters than at 'non-autism spectrum disorder' encounters. The most common medications prescribed at 'autism spectrum disorder' encounters were antipsychotics and antidepressants. Primary healthcare providers need adequate support and training to identify and manage physical and mental health concerns among individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317714588 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Problems managed and medications prescribed during encounters with people with autism spectrum disorder in Australian general practice [Texte imprimé et/ou numérique] / R. C. BIRCH, Auteur ; K. R. FOLEY, Auteur ; A. POLLACK, Auteur ; H. BRITT, Auteur ; N. LENNOX, Auteur ; J. N. TROLLOR, Auteur . - p.995-1004. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.995-1004 Mots-clés : autism spectrum disorder  prescribing  psychological problems  psychotropic medication Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is associated with high rates of co-occurring health conditions. While elevated prescription rates of psychotropic medications have been reported in the United Kingdom and the United States, there is a paucity of research investigating clinical and prescribing practices in Australia. This study describes the problems managed and medications prescribed by general practitioners in Australia during encounters where an autism spectrum disorder was recorded. Information was collected from 2000 to 2014 as part of the Bettering the Evaluation and Care of Health programme. Encounters where patients were aged less than 25 years and autism spectrum disorder was recorded as one of the reasons for encounter and/or problems managed ( n = 579) were compared to all other Bettering the Evaluation and Care of Health programme encounters with patients aged less than 25 years ( n = 281,473). At 'autism spectrum disorder' encounters, there was a significantly higher management rate of psychological problems, and significantly lower management rates of skin, respiratory and general/unspecified problems, than at 'non-autism spectrum disorder' encounters. The rate of psychological medication prescription was significantly higher at 'autism spectrum disorder' encounters than at 'non-autism spectrum disorder' encounters. The most common medications prescribed at 'autism spectrum disorder' encounters were antipsychotics and antidepressants. Primary healthcare providers need adequate support and training to identify and manage physical and mental health concerns among individuals with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317714588 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

The importance of context in early autism intervention: A qualitative South African study / J. GULER in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.1005-1017 Titre : The importance of context in early autism intervention: A qualitative South African study Type de document : Texte imprimé et/ou numérique Auteurs : J. GULER, Auteur ; P. J. DE VRIES, Auteur ; N. SERIS, Auteur ; N. SHABALALA, Auteur ; L. FRANZ, Auteur Article en page(s) : p.1005-1017 Langues : Anglais (eng) Mots-clés : South Africa  autism spectrum disorder  caregivers  contextual factors  early intervention  focus group  low- and middle-income country  qualitative methods Index. décimale : PER Périodiques Résumé : The majority of individuals with autism spectrum disorder live in low- and middle-income countries and receive little or no services from health or social care systems. The development and validation of autism spectrum disorder interventions has almost exclusively occurred in high-income countries, leaving many unanswered questions regarding what contextual factors would need to be considered to ensure the effectiveness of interventions in low- and middle-income countries. This study qualitatively explored contextual factors relevant to the adaptation of a caregiver-mediated early autism spectrum disorder intervention in a low-resource South African setting. We conducted four focus groups and four in-depth interviews with 28 caregivers of young children with autism spectrum disorder and used thematic analysis to identify key themes. Eight contextual factors including culture, language, location of treatment, cost of treatment, type of service provider, support, parenting practices, and stigma emerged as important. Caregivers reported a preference for an affordable, in-home, individualized early autism spectrum disorder intervention, where they have an active voice in shaping treatment goals. Distrust of community-based health workers and challenges associated with autism spectrum disorder-related stigma were identified. Recommendations that integrate caregiver preferences with the development of a low-cost and scalable caregiver-mediated early autism spectrum disorder intervention are included. En ligne : http://dx.doi.org/10.1177/1362361317716604 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] The importance of context in early autism intervention: A qualitative South African study [Texte imprimé et/ou numérique] / J. GULER, Auteur ; P. J. DE VRIES, Auteur ; N. SERIS, Auteur ; N. SHABALALA, Auteur ; L. FRANZ, Auteur . - p.1005-1017. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.1005-1017 Mots-clés : South Africa  autism spectrum disorder  caregivers  contextual factors  early intervention  focus group  low- and middle-income country  qualitative methods Index. décimale : PER Périodiques Résumé : The majority of individuals with autism spectrum disorder live in low- and middle-income countries and receive little or no services from health or social care systems. The development and validation of autism spectrum disorder interventions has almost exclusively occurred in high-income countries, leaving many unanswered questions regarding what contextual factors would need to be considered to ensure the effectiveness of interventions in low- and middle-income countries. This study qualitatively explored contextual factors relevant to the adaptation of a caregiver-mediated early autism spectrum disorder intervention in a low-resource South African setting. We conducted four focus groups and four in-depth interviews with 28 caregivers of young children with autism spectrum disorder and used thematic analysis to identify key themes. Eight contextual factors including culture, language, location of treatment, cost of treatment, type of service provider, support, parenting practices, and stigma emerged as important. Caregivers reported a preference for an affordable, in-home, individualized early autism spectrum disorder intervention, where they have an active voice in shaping treatment goals. Distrust of community-based health workers and challenges associated with autism spectrum disorder-related stigma were identified. Recommendations that integrate caregiver preferences with the development of a low-cost and scalable caregiver-mediated early autism spectrum disorder intervention are included. En ligne : http://dx.doi.org/10.1177/1362361317716604 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701

Sustainability of an early detection program for autism spectrum disorder over the course of 8 years / M. K. PIJL in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.1018-1024 Titre : Sustainability of an early detection program for autism spectrum disorder over the course of 8 years Type de document : Texte imprimé et/ou numérique Auteurs : M. K. PIJL, Auteur ; Jan K. BUITELAAR, Auteur ; M. W. DE KORTE, Auteur ; Nanda N. ROMMELSE, Auteur ; I. J. OOSTERLING, Auteur Article en page(s) : p.1018-1024 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  early detection  implementation  long term  screening Index. décimale : PER Périodiques Résumé : The importance of early detection of autism spectrum disorder followed by early intervention is increasingly recognized. This quasi-experimental study evaluated the long-term effects of a program for the early detection of autism spectrum disorder (consisting of training of professionals and use of a referral protocol and screening instrument), to determine whether the positive effects on the age at referral were sustained after the program ended while controlling for overall changes in the number of referrals. Before, during, and after the program, the proportion of children referred before 3 years (versus 3-6 years) of age was calculated for children subsequently diagnosed with autism spectrum disorder ( N = 513) or another, non-autism spectrum disorder, condition ( N = 722). The odds of being referred before 3 years of age was higher in children with autism spectrum disorder than in children with another condition during the program than before (3.1, 95% confidence interval: 1.2-7.6) or after (1.7, 95% confidence interval: 1.0-3.0) the program but was not different before versus after the program. Thus, although the program led to earlier referral of children with autism spectrum disorder, after correction for other referrals, the effect was not sustained after the program ended. This study highlights the importance of continued investment in the early detection of autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317717977 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701 [article] Sustainability of an early detection program for autism spectrum disorder over the course of 8 years [Texte imprimé et/ou numérique] / M. K. PIJL, Auteur ; Jan K. BUITELAAR, Auteur ; M. W. DE KORTE, Auteur ; Nanda N. ROMMELSE, Auteur ; I. J. OOSTERLING, Auteur . - p.1018-1024. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.1018-1024 Mots-clés : autism spectrum disorder  early detection  implementation  long term  screening Index. décimale : PER Périodiques Résumé : The importance of early detection of autism spectrum disorder followed by early intervention is increasingly recognized. This quasi-experimental study evaluated the long-term effects of a program for the early detection of autism spectrum disorder (consisting of training of professionals and use of a referral protocol and screening instrument), to determine whether the positive effects on the age at referral were sustained after the program ended while controlling for overall changes in the number of referrals. Before, during, and after the program, the proportion of children referred before 3 years (versus 3-6 years) of age was calculated for children subsequently diagnosed with autism spectrum disorder ( N = 513) or another, non-autism spectrum disorder, condition ( N = 722). The odds of being referred before 3 years of age was higher in children with autism spectrum disorder than in children with another condition during the program than before (3.1, 95% confidence interval: 1.2-7.6) or after (1.7, 95% confidence interval: 1.0-3.0) the program but was not different before versus after the program. Thus, although the program led to earlier referral of children with autism spectrum disorder, after correction for other referrals, the effect was not sustained after the program ended. This study highlights the importance of continued investment in the early detection of autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317717977 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=3701