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Faire une suggestionAutism spectrum disorder in sub-saharan africa: A comprehensive scoping review / Lauren FRANZ in Autism Research, 10-5 (May 2017)
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Titre : Autism spectrum disorder in sub-saharan africa: A comprehensive scoping review Type de document : texte imprimé Auteurs : Lauren FRANZ, Auteur ; Nola J. CHAMBERS, Auteur ; Megan VON ISENBURG, Auteur ; Petrus J. DE VRIES, Auteur Article en page(s) : p.723-749 Langues : Anglais (eng) Mots-clés : autism autism spectrum disorder low- and middle-income countries LMIC low resource environments Africa Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) is recognized as a global public health concern, yet almost everything we know about ASD comes from high-income countries. Here we performed a scoping review of all research on ASD ever published in sub-Saharan Africa (SSA) in order to identify ASD knowledge gaps in this part of the world. Fifty-three publications met inclusion criteria. Themes included the phenotype, genetics and risk factors for ASD in SSA, screening and diagnosis, professional knowledge, interventions for ASD, parental perceptions, and social-cognitive neuroscience. No epidemiological, early intervention, school-based or adult studies were identified. For each identified theme, we aimed to summarize results and make recommendations to fill the knowledge gaps. The quality of study methodologies was generally not high. Few studies used standardized diagnostic instruments, and intervention studies were typically small-scale. Overall, findings suggest a substantial need for large-scale clinical, training, and research programmes to improve the lives of people who live with ASD in SSA. However, SSA also has the potential to make unique and globally-significant contributions to the etiology and treatments of ASD through implementation, interventional, and comparative genomic science. En ligne : http://dx.doi.org/10.1002/aur.1766 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=307
in Autism Research > 10-5 (May 2017) . - p.723-749[article] Autism spectrum disorder in sub-saharan africa: A comprehensive scoping review [texte imprimé] / Lauren FRANZ, Auteur ; Nola J. CHAMBERS, Auteur ; Megan VON ISENBURG, Auteur ; Petrus J. DE VRIES, Auteur . - p.723-749.
Langues : Anglais (eng)
in Autism Research > 10-5 (May 2017) . - p.723-749
Mots-clés : autism autism spectrum disorder low- and middle-income countries LMIC low resource environments Africa Index. décimale : PER Périodiques Résumé : Autism spectrum disorder (ASD) is recognized as a global public health concern, yet almost everything we know about ASD comes from high-income countries. Here we performed a scoping review of all research on ASD ever published in sub-Saharan Africa (SSA) in order to identify ASD knowledge gaps in this part of the world. Fifty-three publications met inclusion criteria. Themes included the phenotype, genetics and risk factors for ASD in SSA, screening and diagnosis, professional knowledge, interventions for ASD, parental perceptions, and social-cognitive neuroscience. No epidemiological, early intervention, school-based or adult studies were identified. For each identified theme, we aimed to summarize results and make recommendations to fill the knowledge gaps. The quality of study methodologies was generally not high. Few studies used standardized diagnostic instruments, and intervention studies were typically small-scale. Overall, findings suggest a substantial need for large-scale clinical, training, and research programmes to improve the lives of people who live with ASD in SSA. However, SSA also has the potential to make unique and globally-significant contributions to the etiology and treatments of ASD through implementation, interventional, and comparative genomic science. En ligne : http://dx.doi.org/10.1002/aur.1766 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=307 Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa / Nola J. CHAMBERS ; David ROSENSTEIN ; Petro ERASMUS ; Petrus J. DE VRIES in Autism, 28-1 (January 2024)
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Titre : Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa Type de document : texte imprimé Auteurs : Nola J. CHAMBERS, Auteur ; David ROSENSTEIN, Auteur ; Petro ERASMUS, Auteur ; Petrus J. DE VRIES, Auteur Article en page(s) : p.199?214 Mots-clés : acceptance and commitment therapy Africa caregiver mental health caregiver well-being dissemination and implementation research global mental health low- and middle-income countries Well-Beans for Caregivers World Health Organization Caregiver Skills Tr Index. décimale : PER Périodiques Résumé : Caring for children with developmental delays or disabilities places significant stress on caregivers, which is often exacerbated in low-resource settings. The World Health Organization developed a caregiver skills training for families of children with developmental delays or disabilities, which includes a three-session caregiver well-being module based on Acceptance and Commitment Therapy, that aims to help caregivers build psychological flexibility (i.e. the ability to focus on the present moment, make space for difficult thoughts and emotions and commit to value-driven actions that enrich their lives). We investigated whether this brief caregiver well-being programme was feasible, acceptable and contributed to positive outcomes for caregivers in a rural South African town. We adapted the intervention to the local context using a participatory approach. The ?Well-Beans for Caregivers? adaptation of the World Health Organization Caregiver Skills Training Caregiver Wellbeing module was then delivered by trained facilitators to a group of 10 caregivers in three weekly, 2-h sessions. Most caregivers were single and unemployed. Feedback from the facilitators, caregivers and trainee observers was obtained before, during and after the programme. Results suggested that this brief programme shows promise as a feasible and acceptable intervention, which may lead to improved caregiver well-being and mental health in communities in South Africa. Lay abstract Young children with developmental disabilities and delays who live in low- and middle-income countries are at significant risk of not reaching their full potential. We know that daily interactions with their caregivers (parents or other people taking care of them) play an important role in promoting their development. However, having a child with developmental disabilities can have a negative impact on carers? mental health and well-being, which in turn can influence their capacity to care for their children. To date, very little attention has been given to the caregivers? capacity to care. The World Health Organization developed a Caregiver Skills Training programme which includes a brief, three-session module that focuses on improving caregivers? well-being and mental health. This well-being programme is based on acceptance and commitment therapy. Acceptance and commitment therapy shows increasing evidence of helping people respond to their stressors, thoughts, feelings and experiences a little differently and commit to small changes that are in line with their personal values. Acceptance and commitment therapy has shown promise in improving feelings of well-being in caregivers of children with developmental disabilities. We adapted the World Health Organization Caregiver Skills Training Caregiver well-being module to suit the South African context. The resultant ?Well Beans for Caregivers? was then delivered to caregivers from a rural, low-resource setting in South Africa. We found the intervention easy to implement, highly acceptable to caregivers and showed promising impacts on caregivers? well-being and mental health. This intervention has the potential to be implemented widely and sustainably to build caregivers? capacity to care for their children. En ligne : https://dx.doi.org/10.1177/13623613221133182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519
in Autism > 28-1 (January 2024) . - p.199?214[article] Supporting caregivers of children with developmental disabilities: Findings from a brief caregiver well-being programme in South Africa [texte imprimé] / Nola J. CHAMBERS, Auteur ; David ROSENSTEIN, Auteur ; Petro ERASMUS, Auteur ; Petrus J. DE VRIES, Auteur . - p.199?214.
in Autism > 28-1 (January 2024) . - p.199?214
Mots-clés : acceptance and commitment therapy Africa caregiver mental health caregiver well-being dissemination and implementation research global mental health low- and middle-income countries Well-Beans for Caregivers World Health Organization Caregiver Skills Tr Index. décimale : PER Périodiques Résumé : Caring for children with developmental delays or disabilities places significant stress on caregivers, which is often exacerbated in low-resource settings. The World Health Organization developed a caregiver skills training for families of children with developmental delays or disabilities, which includes a three-session caregiver well-being module based on Acceptance and Commitment Therapy, that aims to help caregivers build psychological flexibility (i.e. the ability to focus on the present moment, make space for difficult thoughts and emotions and commit to value-driven actions that enrich their lives). We investigated whether this brief caregiver well-being programme was feasible, acceptable and contributed to positive outcomes for caregivers in a rural South African town. We adapted the intervention to the local context using a participatory approach. The ?Well-Beans for Caregivers? adaptation of the World Health Organization Caregiver Skills Training Caregiver Wellbeing module was then delivered by trained facilitators to a group of 10 caregivers in three weekly, 2-h sessions. Most caregivers were single and unemployed. Feedback from the facilitators, caregivers and trainee observers was obtained before, during and after the programme. Results suggested that this brief programme shows promise as a feasible and acceptable intervention, which may lead to improved caregiver well-being and mental health in communities in South Africa. Lay abstract Young children with developmental disabilities and delays who live in low- and middle-income countries are at significant risk of not reaching their full potential. We know that daily interactions with their caregivers (parents or other people taking care of them) play an important role in promoting their development. However, having a child with developmental disabilities can have a negative impact on carers? mental health and well-being, which in turn can influence their capacity to care for their children. To date, very little attention has been given to the caregivers? capacity to care. The World Health Organization developed a Caregiver Skills Training programme which includes a brief, three-session module that focuses on improving caregivers? well-being and mental health. This well-being programme is based on acceptance and commitment therapy. Acceptance and commitment therapy shows increasing evidence of helping people respond to their stressors, thoughts, feelings and experiences a little differently and commit to small changes that are in line with their personal values. Acceptance and commitment therapy has shown promise in improving feelings of well-being in caregivers of children with developmental disabilities. We adapted the World Health Organization Caregiver Skills Training Caregiver well-being module to suit the South African context. The resultant ?Well Beans for Caregivers? was then delivered to caregivers from a rural, low-resource setting in South Africa. We found the intervention easy to implement, highly acceptable to caregivers and showed promising impacts on caregivers? well-being and mental health. This intervention has the potential to be implemented widely and sustainably to build caregivers? capacity to care for their children. En ligne : https://dx.doi.org/10.1177/13623613221133182 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 Community Perceptions of the Causes of Autism and Help-Seeking Responses: A Multi-Site Qualitative Study Across Northern Uganda / Jonathan VINCENT in Autism, 30-6 (June 2026)
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Titre : Community Perceptions of the Causes of Autism and Help-Seeking Responses: A Multi-Site Qualitative Study Across Northern Uganda Type de document : texte imprimé Auteurs : Jonathan VINCENT, Auteur ; Diana KAJJUMBA, Auteur ; Richard AMONE, Auteur ; Edward John ESTLIN, Auteur ; Kennedy Kosko OKELLO, Auteur ; Franceska AKELLO, Auteur ; James OKELLO, Auteur ; Richard IDRO, Auteur ; Catherine ABBO, Auteur ; Simple OUMA, Auteur Article en page(s) : p.1430-1442 Langues : Anglais (eng) Mots-clés : Africa autism causes disability qualitative research Uganda Index. décimale : PER Périodiques Résumé : Understanding the causes of autism in sub-Saharan Africa remains limited, contributing to stigma and delayed identification. This multi-site qualitative study examined community explanatory models of autism and related help-seeking practices in Northern Uganda. Data were generated through 25 semi-structured interviews and 4 focus group discussions (N = 64) across 1 urban and 2 rural districts in the Acholi sub-region. Participants included autistic young people, caregivers, health and education professionals, community, cultural and religious leaders, and government representatives. Data were analysed inductively. Four interrelated themes were identified: unknown causes, supernatural explanations, biopsychosocial attributions, and help-seeking pathways. Autism was frequently misunderstood and conflated with ‘mental illness’ or general learning difficulties. Supernatural accounts, such as witchcraft, curses, and divine punishment, were prevalent and often gendered, with mothers disproportionately blamed. Biopsychosocial explanations included contraceptive use, obstetric complications, genetic factors, and post-conflict trauma. These causal beliefs shaped different help-seeking trajectories, typically prioritising religious and traditional interventions before biomedical care. Stigmatising interpretations were linked to social exclusion, neglect, physical abuse, and, in extreme cases, infanticide. Findings highlight the entanglement of cultural, spiritual, and biomedical models in a post-conflict, low-resource context. Interventions addressing misconceptions and maternal blame may reduce stigma, support earlier identification, and prevent avoidable harms.Lay Abstract This study looked at how people in Northern Uganda think about autism and what they believe causes it. Researchers spoke with 25 people through one-on-one interviews and 4 group discussions (with 8–10 people per group for a total of 39 people) in 3 districts of the Acholi region of Uganda, covering both urban and rural areas. The data were transcribed and interpreted to understand what seemed most important across all the participants from the interviews and focus groups. Four main themes were identified: (1) Unknown causes, (2) Supernatural causes, (3) Biopsychosocial causes, and (4) Help-seeking responses. Overall, the study found that autism is often poorly understood. Many participants linked it to supernatural explanations, such as witchcraft or punishment from God. Mothers were often blamed and seen as responsible for their child’s condition. People also pointed to wider influences, including modern medical interventions and the long-term effects of war and displacement, as possible causes. These beliefs led to traditional, religious, and modern medical help-seeking responses. Where families followed traditional responses, this could have serious consequences, including harm or even death for the child. This study highlights the importance of working with communities in culturally respectful ways to better understand their perspectives. This can lead to earlier recognition, reduced stigmatisation, better education, and stronger support. En ligne : https://dx.doi.org/10.1177/13623613261434571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=586
in Autism > 30-6 (June 2026) . - p.1430-1442[article] Community Perceptions of the Causes of Autism and Help-Seeking Responses: A Multi-Site Qualitative Study Across Northern Uganda [texte imprimé] / Jonathan VINCENT, Auteur ; Diana KAJJUMBA, Auteur ; Richard AMONE, Auteur ; Edward John ESTLIN, Auteur ; Kennedy Kosko OKELLO, Auteur ; Franceska AKELLO, Auteur ; James OKELLO, Auteur ; Richard IDRO, Auteur ; Catherine ABBO, Auteur ; Simple OUMA, Auteur . - p.1430-1442.
Langues : Anglais (eng)
in Autism > 30-6 (June 2026) . - p.1430-1442
Mots-clés : Africa autism causes disability qualitative research Uganda Index. décimale : PER Périodiques Résumé : Understanding the causes of autism in sub-Saharan Africa remains limited, contributing to stigma and delayed identification. This multi-site qualitative study examined community explanatory models of autism and related help-seeking practices in Northern Uganda. Data were generated through 25 semi-structured interviews and 4 focus group discussions (N = 64) across 1 urban and 2 rural districts in the Acholi sub-region. Participants included autistic young people, caregivers, health and education professionals, community, cultural and religious leaders, and government representatives. Data were analysed inductively. Four interrelated themes were identified: unknown causes, supernatural explanations, biopsychosocial attributions, and help-seeking pathways. Autism was frequently misunderstood and conflated with ‘mental illness’ or general learning difficulties. Supernatural accounts, such as witchcraft, curses, and divine punishment, were prevalent and often gendered, with mothers disproportionately blamed. Biopsychosocial explanations included contraceptive use, obstetric complications, genetic factors, and post-conflict trauma. These causal beliefs shaped different help-seeking trajectories, typically prioritising religious and traditional interventions before biomedical care. Stigmatising interpretations were linked to social exclusion, neglect, physical abuse, and, in extreme cases, infanticide. Findings highlight the entanglement of cultural, spiritual, and biomedical models in a post-conflict, low-resource context. Interventions addressing misconceptions and maternal blame may reduce stigma, support earlier identification, and prevent avoidable harms.Lay Abstract This study looked at how people in Northern Uganda think about autism and what they believe causes it. Researchers spoke with 25 people through one-on-one interviews and 4 group discussions (with 8–10 people per group for a total of 39 people) in 3 districts of the Acholi region of Uganda, covering both urban and rural areas. The data were transcribed and interpreted to understand what seemed most important across all the participants from the interviews and focus groups. Four main themes were identified: (1) Unknown causes, (2) Supernatural causes, (3) Biopsychosocial causes, and (4) Help-seeking responses. Overall, the study found that autism is often poorly understood. Many participants linked it to supernatural explanations, such as witchcraft or punishment from God. Mothers were often blamed and seen as responsible for their child’s condition. People also pointed to wider influences, including modern medical interventions and the long-term effects of war and displacement, as possible causes. These beliefs led to traditional, religious, and modern medical help-seeking responses. Where families followed traditional responses, this could have serious consequences, including harm or even death for the child. This study highlights the importance of working with communities in culturally respectful ways to better understand their perspectives. This can lead to earlier recognition, reduced stigmatisation, better education, and stronger support. En ligne : https://dx.doi.org/10.1177/13623613261434571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=586 Ethiopian community health workers' beliefs and attitudes towards children with autism: Impact of a brief training intervention / Dejene TILAHUN in Autism, 23-1 (January 2019)
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Titre : Ethiopian community health workers' beliefs and attitudes towards children with autism: Impact of a brief training intervention Type de document : texte imprimé Auteurs : Dejene TILAHUN, Auteur ; Abebaw FEKADU, Auteur ; Bethlehem TEKOLA, Auteur ; Mesfin ARAYA, Auteur ; Ilona ROTH, Auteur ; Basiro DAVEY, Auteur ; Charlotte HANLON, Auteur ; Rosa A. HOEKSTRA, Auteur Article en page(s) : p.39-49 Langues : Anglais (eng) Mots-clés : attitude autism spectrum disorder community health workers developing countries developmental disabilities Ethiopia stigma mental-health low-income illness disorders africa guangzhou knowledge people staff Psychology Index. décimale : PER Périodiques Résumé : There is a severe shortage of services for children with autism in Ethiopia; access to services is further impeded by negative beliefs and stigmatising attitudes towards affected children and their families. To increase access to services, care provision is decentralised through task-shifted care by community health extension workers. This study aimed to examine the impact of a brief training (Health Education and Training; HEAT) for Ethiopian rural health extension workers and comprised three groups: (1) health extension workers who completed a basic mental health training module (HEAT group, N = 104); (2) health extension workers who received enhanced training, comprising basic HEAT as well as video-based training on developmental disorders and a mental health pocket guide (HEAT+ group, N = 97); and (3) health extension workers untrained in mental health (N = 108). All participants completed a questionnaire assessing beliefs and social distance towards children with autism. Both the HEAT and HEAT+ group showed fewer negative beliefs and decreased social distance towards children with autism compared to the untrained health extension worker group, with the HEAT+ group outperforming the HEAT group. However, HEAT+ trained health extension workers were less likely to have positive expectations about children with autism than untrained health extension workers. These findings have relevance for task-sharing and scale up of autism services in low-resource settings worldwide. En ligne : http://dx.doi.org/10.1177/1362361317730298 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379
in Autism > 23-1 (January 2019) . - p.39-49[article] Ethiopian community health workers' beliefs and attitudes towards children with autism: Impact of a brief training intervention [texte imprimé] / Dejene TILAHUN, Auteur ; Abebaw FEKADU, Auteur ; Bethlehem TEKOLA, Auteur ; Mesfin ARAYA, Auteur ; Ilona ROTH, Auteur ; Basiro DAVEY, Auteur ; Charlotte HANLON, Auteur ; Rosa A. HOEKSTRA, Auteur . - p.39-49.
Langues : Anglais (eng)
in Autism > 23-1 (January 2019) . - p.39-49
Mots-clés : attitude autism spectrum disorder community health workers developing countries developmental disabilities Ethiopia stigma mental-health low-income illness disorders africa guangzhou knowledge people staff Psychology Index. décimale : PER Périodiques Résumé : There is a severe shortage of services for children with autism in Ethiopia; access to services is further impeded by negative beliefs and stigmatising attitudes towards affected children and their families. To increase access to services, care provision is decentralised through task-shifted care by community health extension workers. This study aimed to examine the impact of a brief training (Health Education and Training; HEAT) for Ethiopian rural health extension workers and comprised three groups: (1) health extension workers who completed a basic mental health training module (HEAT group, N = 104); (2) health extension workers who received enhanced training, comprising basic HEAT as well as video-based training on developmental disorders and a mental health pocket guide (HEAT+ group, N = 97); and (3) health extension workers untrained in mental health (N = 108). All participants completed a questionnaire assessing beliefs and social distance towards children with autism. Both the HEAT and HEAT+ group showed fewer negative beliefs and decreased social distance towards children with autism compared to the untrained health extension worker group, with the HEAT+ group outperforming the HEAT group. However, HEAT+ trained health extension workers were less likely to have positive expectations about children with autism than untrained health extension workers. These findings have relevance for task-sharing and scale up of autism services in low-resource settings worldwide. En ligne : http://dx.doi.org/10.1177/1362361317730298 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=379 Is there a need for a focused health care service for children with autistic spectrum disorders? A keyhole look at this problem in Tripoli, Libya / Adel M. ZEGLAM in Autism, 16-4 (July 2012)
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Titre : Is there a need for a focused health care service for children with autistic spectrum disorders? A keyhole look at this problem in Tripoli, Libya Type de document : texte imprimé Auteurs : Adel M. ZEGLAM, Auteur ; Ameena MAOUNA, Auteur Année de publication : 2012 Article en page(s) : p.337-339 Langues : Anglais (eng) Mots-clés : Tripoli Libya Arab countries Africa behavior Index. décimale : PER Périodiques Résumé : Background Autism is a global disorder, but relatively little is known about its presentation and occurrence in many developing countries, including Libya.AimsTo estimate the prevalence of autistic spectrum disorders in children referred to Al-Khadra hospital (KH).To increase the awareness among pediatrician and primary health care providers of the importance of considering autism in children presenting with speech and language disorders.Methods Prospective hospital-based study of all children referred to a neurodevelopment clinic between 2005 and 2009 with the diagnosis of either speech and language difficulties or behavioral difficulties.Results A total of 38,508 children were seen in the pediatric outpatient clinics of KH, Tripoli, between 2005 and 2009. Of these, 180 children were referred to the neurodevelopment clinic with history of delayed speech and language and or behavioral difficulties. A diagnosis of autism was made in 128 children, which gives a prevalence of approximately 1 in 300.Conclusion The prevalence of autism in Libya is probably similar to that seen in the USA and the UK. No data were available for comparison from either Arab or other developing countries. Autism is an important differential diagnosis of any language disorder ‘and behavioral difficulties’. En ligne : http://dx.doi.org/10.1177/1362361310393535 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178
in Autism > 16-4 (July 2012) . - p.337-339[article] Is there a need for a focused health care service for children with autistic spectrum disorders? A keyhole look at this problem in Tripoli, Libya [texte imprimé] / Adel M. ZEGLAM, Auteur ; Ameena MAOUNA, Auteur . - 2012 . - p.337-339.
Langues : Anglais (eng)
in Autism > 16-4 (July 2012) . - p.337-339
Mots-clés : Tripoli Libya Arab countries Africa behavior Index. décimale : PER Périodiques Résumé : Background Autism is a global disorder, but relatively little is known about its presentation and occurrence in many developing countries, including Libya.AimsTo estimate the prevalence of autistic spectrum disorders in children referred to Al-Khadra hospital (KH).To increase the awareness among pediatrician and primary health care providers of the importance of considering autism in children presenting with speech and language disorders.Methods Prospective hospital-based study of all children referred to a neurodevelopment clinic between 2005 and 2009 with the diagnosis of either speech and language difficulties or behavioral difficulties.Results A total of 38,508 children were seen in the pediatric outpatient clinics of KH, Tripoli, between 2005 and 2009. Of these, 180 children were referred to the neurodevelopment clinic with history of delayed speech and language and or behavioral difficulties. A diagnosis of autism was made in 128 children, which gives a prevalence of approximately 1 in 300.Conclusion The prevalence of autism in Libya is probably similar to that seen in the USA and the UK. No data were available for comparison from either Arab or other developing countries. Autism is an important differential diagnosis of any language disorder ‘and behavioral difficulties’. En ligne : http://dx.doi.org/10.1177/1362361310393535 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178 Sex differences in age of diagnosis of autism spectrum disorder: Preliminary evidence from Uganda / Emmanuel BONNEY in Autism Research, 15-1 (January 2022)
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PermalinkThe Digital Divide in Technologies for Autism: Feasibility Considerations for Low- and Middle-Income Countries / Aubrey J. KUMM in Journal of Autism and Developmental Disorders, 52-5 (May 2022)
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