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Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research / Nikita JADAV in Autism Research, 15-11 (November 2022)
[article]
Titre : Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research Type de document : Texte imprimé et/ou numérique Auteurs : Nikita JADAV, Auteur ; Vanessa H. BAL, Auteur Article en page(s) : p.2112-2125 Langues : Anglais (eng) Mots-clés : Adult Female Infant, Newborn Humans Adolescent Young Adult Middle Aged Aged Aged, 80 and over Autistic Disorder/complications/diagnosis/epidemiology Autism Spectrum Disorder/complications/diagnosis/epidemiology Mental Health Surveys and Questionnaires adults aging/ASD in adults clinical psychology co-morbid conditions Psychological Services and has received honoraria and/or consulting fees from Regeneron, Janssen and Simons Foundation for unrelated work. Index. décimale : PER Périodiques Résumé : Adult autism studies are increasingly comprised of later-diagnosed adults, yet little is known about how these adults compare to those diagnosed earlier in life. The present study examines medical and psychiatric conditions endorsed by autistic adults and documents differences between those diagnosed with ASD in childhood versus adulthood, as well as across age groups and sex at birth. 4657 legally independent adults (ages 18-85, M =Â 33.4 years) with professional ASD diagnoses who completed a medical questionnaire were drawn from the Simons Powering Autism Research Knowledge (SPARK) study. Chi square analyses, t-tests, and logistic regressions were used to compare medical and psychiatric conditions between age groups, sex at birth and adults diagnosed in childhood (before age 21) versus adulthood (at or after 21 years). Overall number of conditions endorsed as being diagnosed by a professional was high, with an average of 1.69 (SDÂ =Â 2.01) medical or developmental and 2.98 (SDÂ =Â 2.29) psychiatric conditions reported across the sample. Females were more likely to endorse psychiatric conditions (ORÂ =Â 1.68). Adult-diagnosed adults were more likely to endorse psychiatric conditions (ORÂ =Â 2.71) and reported more lifetime psychiatric diagnoses (MÂ =Â 3.15, SDÂ =Â 2.23) than their childhood-diagnosed counterparts (MÂ =Â 2.81, SDÂ =Â 2.33). These findings underscore the need for research to better understand and treat co-occurring psychiatric conditions in autistic adults and report and consider the age of diagnosis in adult autism samples. Moreover, results suggest it is imperative that mental health professionals receive autism training to promote accurate differential diagnosis and equitable access to mental health care for autistic adults with co-occurring psychiatric conditions. En ligne : http://dx.doi.org/10.1002/aur.2808 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488
in Autism Research > 15-11 (November 2022) . - p.2112-2125[article] Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research [Texte imprimé et/ou numérique] / Nikita JADAV, Auteur ; Vanessa H. BAL, Auteur . - p.2112-2125.
Langues : Anglais (eng)
in Autism Research > 15-11 (November 2022) . - p.2112-2125
Mots-clés : Adult Female Infant, Newborn Humans Adolescent Young Adult Middle Aged Aged Aged, 80 and over Autistic Disorder/complications/diagnosis/epidemiology Autism Spectrum Disorder/complications/diagnosis/epidemiology Mental Health Surveys and Questionnaires adults aging/ASD in adults clinical psychology co-morbid conditions Psychological Services and has received honoraria and/or consulting fees from Regeneron, Janssen and Simons Foundation for unrelated work. Index. décimale : PER Périodiques Résumé : Adult autism studies are increasingly comprised of later-diagnosed adults, yet little is known about how these adults compare to those diagnosed earlier in life. The present study examines medical and psychiatric conditions endorsed by autistic adults and documents differences between those diagnosed with ASD in childhood versus adulthood, as well as across age groups and sex at birth. 4657 legally independent adults (ages 18-85, M =Â 33.4 years) with professional ASD diagnoses who completed a medical questionnaire were drawn from the Simons Powering Autism Research Knowledge (SPARK) study. Chi square analyses, t-tests, and logistic regressions were used to compare medical and psychiatric conditions between age groups, sex at birth and adults diagnosed in childhood (before age 21) versus adulthood (at or after 21 years). Overall number of conditions endorsed as being diagnosed by a professional was high, with an average of 1.69 (SDÂ =Â 2.01) medical or developmental and 2.98 (SDÂ =Â 2.29) psychiatric conditions reported across the sample. Females were more likely to endorse psychiatric conditions (ORÂ =Â 1.68). Adult-diagnosed adults were more likely to endorse psychiatric conditions (ORÂ =Â 2.71) and reported more lifetime psychiatric diagnoses (MÂ =Â 3.15, SDÂ =Â 2.23) than their childhood-diagnosed counterparts (MÂ =Â 2.81, SDÂ =Â 2.33). These findings underscore the need for research to better understand and treat co-occurring psychiatric conditions in autistic adults and report and consider the age of diagnosis in adult autism samples. Moreover, results suggest it is imperative that mental health professionals receive autism training to promote accurate differential diagnosis and equitable access to mental health care for autistic adults with co-occurring psychiatric conditions. En ligne : http://dx.doi.org/10.1002/aur.2808 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 Early measurement of autism risk constructs in the general population: A new factor structure of the First Years Inventory (FYIv3.1) for ages 6-16 months / Grace T. BARANEK in Autism Research, 15-5 (May 2022)
[article]
Titre : Early measurement of autism risk constructs in the general population: A new factor structure of the First Years Inventory (FYIv3.1) for ages 6-16 months Type de document : Texte imprimé et/ou numérique Auteurs : Grace T. BARANEK, Auteur ; John SIDERIS, Auteur ; Yun-Ju CHEN, Auteur ; Elizabeth R. CRAIS, Auteur ; Lauren M. TURNER-BROWN, Auteur ; Linda R. WATSON, Auteur Article en page(s) : p.915-928 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/complications/diagnosis/epidemiology Autistic Disorder/complications/diagnosis/epidemiology Child Child, Preschool Communication Humans Infant Infant Behavior Parents autism spectrum disorder community sample developmental delay early identification infant development neurodevelopmental risk Index. décimale : PER Périodiques Résumé : Early detection of autism risk in the community is critical to increasing families' access to early intervention, yet few measures have been developed and tested for the general population of infants <16?months to tap a broader range of autism risk constructs. This study aimed to (a) examine the factor structure of the First Years Inventory, version 3.1 (FYIv3.1), with a sample of 6454 infants 6-16?months, and (b) determine the ability of the resulting factors to discriminate clinical outcome groups at 3?years of age. The FYIv3.1 is a parent-report tool designed to detect early behavioral risk signs that may be associated with a later diagnosis of ASD and related neurodevelopmental conditions. Factor analytic models were used to determine the number of constructs and inter-factor correlations. Findings supported a seven-factor structure: communication, imitation and play (CIP); social attention and affective engagement (SAE); sensory hyperresponsiveness (HYPER); sensory hyporesponsiveness (HYPO); self-regulation in daily routines (SREG); sensory interests, repetitions, and seeking behaviors (SIRS); motor coordination and milestones (MCM). Mean comparisons on these factors demonstrated significant discrimination of the three outcome groups at age 3?years including those classified as having an ASD diagnosis and/or high autism symptoms, those classified as having other developmental disorders/conditions/concerns, and those classified with no known conditions/concerns. These findings support the validity and multidimensionality of early ASD risk constructs, as well as the potential use of the FYIv3.1 for phenotypic subtyping in the general population, and early detection in a broader age range of 6-16?months in future clinical studies. LAY SUMMARY: The FYIv3.1 is a 69-item parent-report questionnaire about infant behaviors that may indicate an elevated likelihood for later neurodevelopmental conditions such as autism. Analyses of responses from 6454 parents of infants 6-16 months indicated that items could be grouped reliably into seven categories. Compared to children with or without other developmental conditions, children in the outcome group with autism spectrum disorder and/or high autism symptoms at age three showed more behavioral risk signs in social-communication, sensory, and motor domains during infancy. En ligne : http://dx.doi.org/10.1002/aur.2691 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473
in Autism Research > 15-5 (May 2022) . - p.915-928[article] Early measurement of autism risk constructs in the general population: A new factor structure of the First Years Inventory (FYIv3.1) for ages 6-16 months [Texte imprimé et/ou numérique] / Grace T. BARANEK, Auteur ; John SIDERIS, Auteur ; Yun-Ju CHEN, Auteur ; Elizabeth R. CRAIS, Auteur ; Lauren M. TURNER-BROWN, Auteur ; Linda R. WATSON, Auteur . - p.915-928.
Langues : Anglais (eng)
in Autism Research > 15-5 (May 2022) . - p.915-928
Mots-clés : Autism Spectrum Disorder/complications/diagnosis/epidemiology Autistic Disorder/complications/diagnosis/epidemiology Child Child, Preschool Communication Humans Infant Infant Behavior Parents autism spectrum disorder community sample developmental delay early identification infant development neurodevelopmental risk Index. décimale : PER Périodiques Résumé : Early detection of autism risk in the community is critical to increasing families' access to early intervention, yet few measures have been developed and tested for the general population of infants <16?months to tap a broader range of autism risk constructs. This study aimed to (a) examine the factor structure of the First Years Inventory, version 3.1 (FYIv3.1), with a sample of 6454 infants 6-16?months, and (b) determine the ability of the resulting factors to discriminate clinical outcome groups at 3?years of age. The FYIv3.1 is a parent-report tool designed to detect early behavioral risk signs that may be associated with a later diagnosis of ASD and related neurodevelopmental conditions. Factor analytic models were used to determine the number of constructs and inter-factor correlations. Findings supported a seven-factor structure: communication, imitation and play (CIP); social attention and affective engagement (SAE); sensory hyperresponsiveness (HYPER); sensory hyporesponsiveness (HYPO); self-regulation in daily routines (SREG); sensory interests, repetitions, and seeking behaviors (SIRS); motor coordination and milestones (MCM). Mean comparisons on these factors demonstrated significant discrimination of the three outcome groups at age 3?years including those classified as having an ASD diagnosis and/or high autism symptoms, those classified as having other developmental disorders/conditions/concerns, and those classified with no known conditions/concerns. These findings support the validity and multidimensionality of early ASD risk constructs, as well as the potential use of the FYIv3.1 for phenotypic subtyping in the general population, and early detection in a broader age range of 6-16?months in future clinical studies. LAY SUMMARY: The FYIv3.1 is a 69-item parent-report questionnaire about infant behaviors that may indicate an elevated likelihood for later neurodevelopmental conditions such as autism. Analyses of responses from 6454 parents of infants 6-16 months indicated that items could be grouped reliably into seven categories. Compared to children with or without other developmental conditions, children in the outcome group with autism spectrum disorder and/or high autism symptoms at age three showed more behavioral risk signs in social-communication, sensory, and motor domains during infancy. En ligne : http://dx.doi.org/10.1002/aur.2691 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473