17 recherche sur le mot-clé 'Autistic Disorder/diagnosis/psychology'

Mental health and social difficulties of late-diagnosed autistic children, across childhood and adolescence / Will MANDY in Journal of Child Psychology and Psychiatry, 63-11 (November 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1405-1414 Titre : Mental health and social difficulties of late-diagnosed autistic children, across childhood and adolescence Type de document : Texte imprimé et/ou numérique Auteurs : Will MANDY, Auteur ; Emily MIDOUHAS, Auteur ; Mariko HOSOZAWA, Auteur ; Noriko CABLE, Auteur ; Amanda SACKER, Auteur ; Eirini FLOURI, Auteur Article en page(s) : p.1405-1414 Langues : Anglais (eng) Mots-clés : Female  Child  Adolescent  Humans  Autistic Disorder/diagnosis/psychology  Cohort Studies  Mental Health  Attention Deficit Disorder with Hyperactivity  Educational Status  Autism Spectrum Disorder  Millennium Cohort Study  co-occurring mental health conditions  diagnosis  trajectories Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism can be diagnosed from 2 years of age, although most autistic people receive their diagnosis later than this after they have started education. Research is required to understand why some autistic children are diagnosed late, and the level and nature of unmet need prior to diagnosis for late-diagnosed children. METHODS: We examined trajectories of emotional, behavioural and social difficulties (EBSDs) across childhood and adolescence, comparing 'earlier-diagnosed' (diagnosed 7 years or younger) with 'late-diagnosed' (diagnosed between 8 and 14 years) autistic children. Data were from the Millennium Cohort Study, a population-based UK birth cohort. EBSDs were measured using the parent-report Strengths and Difficulties Questionnaire, at 3, 5, 7, 11 and 14 years. We used Growth Curve Modelling to investigate levels and rates of change in these difficulties, and to compare earlier- (n=146) and late-diagnosed (n=284) autistic children. RESULTS: Aged 5, earlier-diagnosed autistic children had more emotional (i.e., internalising), conduct, hyperactivity and social difficulties; although clinical difficulties in these areas were nevertheless common in late-diagnosed children. There was a faster annual increase in scores for all domains for late-diagnosed children, and by age 14 years, they had higher levels of EBSDs. These results persisted when we ran adjusted models, to account for the late-diagnosed group having higher rates of late-diagnosed attention deficit/hyperactivity disorder, higher IQ, a higher proportion of females and older and more educated mothers. CONCLUSIONS: Emotional, behavioural and social difficulties are associated with, and may influence, the timing of autism diagnosis. Late-diagnosed autistic children often have high levels of mental health and social difficulties prior to their autism diagnosis, and tend to develop even more severe problems as they enter adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.13587 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] Mental health and social difficulties of late-diagnosed autistic children, across childhood and adolescence [Texte imprimé et/ou numérique] / Will MANDY, Auteur ; Emily MIDOUHAS, Auteur ; Mariko HOSOZAWA, Auteur ; Noriko CABLE, Auteur ; Amanda SACKER, Auteur ; Eirini FLOURI, Auteur . - p.1405-1414. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1405-1414 Mots-clés : Female  Child  Adolescent  Humans  Autistic Disorder/diagnosis/psychology  Cohort Studies  Mental Health  Attention Deficit Disorder with Hyperactivity  Educational Status  Autism Spectrum Disorder  Millennium Cohort Study  co-occurring mental health conditions  diagnosis  trajectories Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism can be diagnosed from 2 years of age, although most autistic people receive their diagnosis later than this after they have started education. Research is required to understand why some autistic children are diagnosed late, and the level and nature of unmet need prior to diagnosis for late-diagnosed children. METHODS: We examined trajectories of emotional, behavioural and social difficulties (EBSDs) across childhood and adolescence, comparing 'earlier-diagnosed' (diagnosed 7 years or younger) with 'late-diagnosed' (diagnosed between 8 and 14 years) autistic children. Data were from the Millennium Cohort Study, a population-based UK birth cohort. EBSDs were measured using the parent-report Strengths and Difficulties Questionnaire, at 3, 5, 7, 11 and 14 years. We used Growth Curve Modelling to investigate levels and rates of change in these difficulties, and to compare earlier- (n=146) and late-diagnosed (n=284) autistic children. RESULTS: Aged 5, earlier-diagnosed autistic children had more emotional (i.e., internalising), conduct, hyperactivity and social difficulties; although clinical difficulties in these areas were nevertheless common in late-diagnosed children. There was a faster annual increase in scores for all domains for late-diagnosed children, and by age 14 years, they had higher levels of EBSDs. These results persisted when we ran adjusted models, to account for the late-diagnosed group having higher rates of late-diagnosed attention deficit/hyperactivity disorder, higher IQ, a higher proportion of females and older and more educated mothers. CONCLUSIONS: Emotional, behavioural and social difficulties are associated with, and may influence, the timing of autism diagnosis. Late-diagnosed autistic children often have high levels of mental health and social difficulties prior to their autism diagnosis, and tend to develop even more severe problems as they enter adolescence. En ligne : http://dx.doi.org/10.1111/jcpp.13587 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

Are Autistic and Alexithymic Traits Distinct? A Factor-Analytic and Network Approach / Hélio Clemente CUVE in Journal of Autism and Developmental Disorders, 52-5 (May 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2019-2034 Titre : Are Autistic and Alexithymic Traits Distinct? A Factor-Analytic and Network Approach Type de document : Texte imprimé et/ou numérique Auteurs : Hélio Clemente CUVE, Auteur ; Jennifer MURPHY, Auteur ; Hannah HOBSON, Auteur ; Eri ICHIJO, Auteur ; Caroline CATMUR, Auteur ; Geoffrey BIRD, Auteur Article en page(s) : p.2019-2034 Langues : Anglais (eng) Mots-clés : Affective Symptoms/diagnosis/psychology  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Humans  Phenotype  Alexithymia  Autism  Factor  Network  Separation Index. décimale : PER Périodiques Résumé : Despite the heterogeneity in autism, socioemotional difficulties are often framed as universal. Increasing evidence, however, suggests that socioemotional difficulties may be explained by alexithymia, a distinct yet frequently co-occurring condition. If, as some propose, autistic traits are responsible for socioemotional impairments, then alexithymia may itself be a symptom of autism. We aimed to determine whether alexithymia should be considered a product of autism or regarded as a separate condition. Using factor-analytic and network approaches, we provide evidence that alexithymic and autistic traits are distinct. We argue that: (1) models of socioemotional processing in autism should conceptualise difficulties as intrinsic to alexithymia; and (2) assessment of alexithymia is crucial for diagnosis and personalised interventions. En ligne : http://dx.doi.org/10.1007/s10803-021-05094-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Are Autistic and Alexithymic Traits Distinct? A Factor-Analytic and Network Approach [Texte imprimé et/ou numérique] / Hélio Clemente CUVE, Auteur ; Jennifer MURPHY, Auteur ; Hannah HOBSON, Auteur ; Eri ICHIJO, Auteur ; Caroline CATMUR, Auteur ; Geoffrey BIRD, Auteur . - p.2019-2034. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-5 (May 2022) . - p.2019-2034 Mots-clés : Affective Symptoms/diagnosis/psychology  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Humans  Phenotype  Alexithymia  Autism  Factor  Network  Separation Index. décimale : PER Périodiques Résumé : Despite the heterogeneity in autism, socioemotional difficulties are often framed as universal. Increasing evidence, however, suggests that socioemotional difficulties may be explained by alexithymia, a distinct yet frequently co-occurring condition. If, as some propose, autistic traits are responsible for socioemotional impairments, then alexithymia may itself be a symptom of autism. We aimed to determine whether alexithymia should be considered a product of autism or regarded as a separate condition. Using factor-analytic and network approaches, we provide evidence that alexithymic and autistic traits are distinct. We argue that: (1) models of socioemotional processing in autism should conceptualise difficulties as intrinsic to alexithymia; and (2) assessment of alexithymia is crucial for diagnosis and personalised interventions. En ligne : http://dx.doi.org/10.1007/s10803-021-05094-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Autism Through the Ages: A Mixed Methods Approach to Understanding How Age and Age of Diagnosis Affect Quality of Life / Gray ATHERTON in Journal of Autism and Developmental Disorders, 52-8 (August 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3639-3654 Titre : Autism Through the Ages: A Mixed Methods Approach to Understanding How Age and Age of Diagnosis Affect Quality of Life Type de document : Texte imprimé et/ou numérique Auteurs : Gray ATHERTON, Auteur ; Emma EDISBURY, Auteur ; Andrea PIOVESAN, Auteur ; Liam CROSS, Auteur Article en page(s) : p.3639-3654 Langues : Anglais (eng) Mots-clés : Adult  Age Factors  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Humans  Mental Health  Quality of Life/psychology  Adulthood  Autism  Autism quotient  Mixed methods  Quality of life Index. décimale : PER Périodiques Résumé : A significant proportion of autistic adults today were not diagnosed until later in life, a group referred to as the 'lost generation,' which may affect mental health. In Study 1 we explored quality of life and autistic trait levels in 420 autistic and TD adults, and in Study 2 we explored the experiences of 8 autistic adults diagnosed as adults. We found that autistic adults had lower quality of life outcomes and higher autistic trait levels which related to age of diagnosis, and qualitative findings indicated that while adults were empowered by their new diagnosis, they still require specialized supports. Our findings are discussed, emphasizing future directions and implications for the current care system in place for autistic adults. En ligne : http://dx.doi.org/10.1007/s10803-021-05235-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485 [article] Autism Through the Ages: A Mixed Methods Approach to Understanding How Age and Age of Diagnosis Affect Quality of Life [Texte imprimé et/ou numérique] / Gray ATHERTON, Auteur ; Emma EDISBURY, Auteur ; Andrea PIOVESAN, Auteur ; Liam CROSS, Auteur . - p.3639-3654. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3639-3654 Mots-clés : Adult  Age Factors  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Humans  Mental Health  Quality of Life/psychology  Adulthood  Autism  Autism quotient  Mixed methods  Quality of life Index. décimale : PER Périodiques Résumé : A significant proportion of autistic adults today were not diagnosed until later in life, a group referred to as the 'lost generation,' which may affect mental health. In Study 1 we explored quality of life and autistic trait levels in 420 autistic and TD adults, and in Study 2 we explored the experiences of 8 autistic adults diagnosed as adults. We found that autistic adults had lower quality of life outcomes and higher autistic trait levels which related to age of diagnosis, and qualitative findings indicated that while adults were empowered by their new diagnosis, they still require specialized supports. Our findings are discussed, emphasizing future directions and implications for the current care system in place for autistic adults. En ligne : http://dx.doi.org/10.1007/s10803-021-05235-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485

Choose your Own Adventure: Pathways to Adulthood Autism Diagnosis in Australia / Yunhe HUANG in Journal of Autism and Developmental Disorders, 52-7 (July 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2984-2996 Titre : Choose your Own Adventure: Pathways to Adulthood Autism Diagnosis in Australia Type de document : Texte imprimé et/ou numérique Auteurs : Yunhe HUANG, Auteur ; Samuel R. C. ARNOLD, Auteur ; Kitty-Rose FOLEY, Auteur ; Julian N. TROLLOR, Auteur Article en page(s) : p.2984-2996 Langues : Anglais (eng) Mots-clés : Adult  Australia  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Communication  Humans  Surveys and Questionnaires  Adults  Autism  Diagnosis  Mixed-methods Index. décimale : PER Périodiques Résumé : Pathways to diagnosis in adulthood are poorly understood. Even less is known about undiagnosed adults who believe they may be autistic. This mixed-methods online survey examined adults' journeys from initial concern to receiving the diagnosis. Quantitative findings showed the diagnostic process to be highly heterogeneous. Qualitative analysis identified desires for explanation and support as motives for seeking diagnosis. Cost and fear of not being taken seriously were major barriers, echoed by qualitative responses that described the process as confusing, expensive and time-consuming. While most participants were satisfied with the diagnosis, their emotional reactions were complex. Findings support the need for thoroughly implementing national guidelines, and for improved knowledge and communication in mainstream clinicians encountering clients with possible autism characteristics. En ligne : http://dx.doi.org/10.1007/s10803-021-05169-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477 [article] Choose your Own Adventure: Pathways to Adulthood Autism Diagnosis in Australia [Texte imprimé et/ou numérique] / Yunhe HUANG, Auteur ; Samuel R. C. ARNOLD, Auteur ; Kitty-Rose FOLEY, Auteur ; Julian N. TROLLOR, Auteur . - p.2984-2996. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2984-2996 Mots-clés : Adult  Australia  Autism Spectrum Disorder/diagnosis/psychology  Autistic Disorder/diagnosis/psychology  Communication  Humans  Surveys and Questionnaires  Adults  Autism  Diagnosis  Mixed-methods Index. décimale : PER Périodiques Résumé : Pathways to diagnosis in adulthood are poorly understood. Even less is known about undiagnosed adults who believe they may be autistic. This mixed-methods online survey examined adults' journeys from initial concern to receiving the diagnosis. Quantitative findings showed the diagnostic process to be highly heterogeneous. Qualitative analysis identified desires for explanation and support as motives for seeking diagnosis. Cost and fear of not being taken seriously were major barriers, echoed by qualitative responses that described the process as confusing, expensive and time-consuming. While most participants were satisfied with the diagnosis, their emotional reactions were complex. Findings support the need for thoroughly implementing national guidelines, and for improved knowledge and communication in mainstream clinicians encountering clients with possible autism characteristics. En ligne : http://dx.doi.org/10.1007/s10803-021-05169-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477

Enhanced interest in letters and numbers in autistic children / Alexia OSTROLENK in Molecular Autism, 15 (2024)  

Public ISBD [article]  inMolecular Autism > 15 (2024) . - 26p. Titre : Enhanced interest in letters and numbers in autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Alexia OSTROLENK, Auteur ; David GAGNON, Auteur ; Mélanie BOISVERT, Auteur ; Océane LEMIRE, Auteur ; Sophie-Catherine DICK, Auteur ; Marie-Pier CÔTÉ, Auteur ; Laurent MOTTRON, Auteur Article en page(s) : 26p. Langues : Anglais (eng) Mots-clés : Humans  Male  Female  Autistic Disorder/diagnosis/psychology  Child, Preschool  Child  Reading  Surveys and Questionnaires  Autism  Hyperlexia  Interests  Language development  Reading Index. décimale : PER Périodiques Résumé : BACKGROUND: An intense and precocious interest in written material, together with a discrepancy between decoding and reading comprehension skills are defining criteria for hyperlexia, which is found in up to 20% of autistic individuals. It may represent the extreme end of a broader interest in written material in autism. This study examines the magnitude and nature of the interest in written material in a large population of autistic and non-autistic children. METHODS: All 701 children (391 autistic, 310 non-autistic) under the age of 7 referred to an autism assessment clinic over a span of 4 years were included. Ordinal logistic regressions assessed the association between diagnosis and the level of interest in letters and numbers. A nested sample of parents of 138 autistic, 99 non-autistic clinical, and 76 typically developing (TD) children completed a detailed questionnaire. Cox proportional hazards models analyzed the age of emergence of these interests. Linear regressions evaluated the association between diagnosis and interest level. The frequency of each behaviour showing interest and competence with letters and numbers were compared. RESULTS: In the two studies, 22 to 37% of autistic children had an intense or exclusive interest in letters. The odds of having a greater interest in letters was 2.78 times higher for autistic children than for non-autistic clinical children of the same age, and 3.49 times higher for the interest in numbers, even if 76% of autistic children were minimally or non-verbal. The age of emergence of these interests did not differ between autistic and TD children and did not depend on their level of oral language. Non-autistic children showed more interest in letters within a social context. LIMITATIONS: The study holds limitations inherent to the use of a phone questionnaire with caregivers and missing sociodemographic information. CONCLUSIONS: The emergence of the interest of autistic children toward written language is contemporaneous to the moment in their development where they display a strong deficit in oral language. Together with recent demonstrations of non-social development of oral language in some autistic children, precocious and intense interest in written material suggests that language acquisition in autism may follow an alternative developmental pathway. En ligne : https://dx.doi.org/10.1186/s13229-024-00606-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=538 [article] Enhanced interest in letters and numbers in autistic children [Texte imprimé et/ou numérique] / Alexia OSTROLENK, Auteur ; David GAGNON, Auteur ; Mélanie BOISVERT, Auteur ; Océane LEMIRE, Auteur ; Sophie-Catherine DICK, Auteur ; Marie-Pier CÔTÉ, Auteur ; Laurent MOTTRON, Auteur . - 26p. Langues : Anglais (eng) in Molecular Autism > 15 (2024) . - 26p. Mots-clés : Humans  Male  Female  Autistic Disorder/diagnosis/psychology  Child, Preschool  Child  Reading  Surveys and Questionnaires  Autism  Hyperlexia  Interests  Language development  Reading Index. décimale : PER Périodiques Résumé : BACKGROUND: An intense and precocious interest in written material, together with a discrepancy between decoding and reading comprehension skills are defining criteria for hyperlexia, which is found in up to 20% of autistic individuals. It may represent the extreme end of a broader interest in written material in autism. This study examines the magnitude and nature of the interest in written material in a large population of autistic and non-autistic children. METHODS: All 701 children (391 autistic, 310 non-autistic) under the age of 7 referred to an autism assessment clinic over a span of 4 years were included. Ordinal logistic regressions assessed the association between diagnosis and the level of interest in letters and numbers. A nested sample of parents of 138 autistic, 99 non-autistic clinical, and 76 typically developing (TD) children completed a detailed questionnaire. Cox proportional hazards models analyzed the age of emergence of these interests. Linear regressions evaluated the association between diagnosis and interest level. The frequency of each behaviour showing interest and competence with letters and numbers were compared. RESULTS: In the two studies, 22 to 37% of autistic children had an intense or exclusive interest in letters. The odds of having a greater interest in letters was 2.78 times higher for autistic children than for non-autistic clinical children of the same age, and 3.49 times higher for the interest in numbers, even if 76% of autistic children were minimally or non-verbal. The age of emergence of these interests did not differ between autistic and TD children and did not depend on their level of oral language. Non-autistic children showed more interest in letters within a social context. LIMITATIONS: The study holds limitations inherent to the use of a phone questionnaire with caregivers and missing sociodemographic information. CONCLUSIONS: The emergence of the interest of autistic children toward written language is contemporaneous to the moment in their development where they display a strong deficit in oral language. Together with recent demonstrations of non-social development of oral language in some autistic children, precocious and intense interest in written material suggests that language acquisition in autism may follow an alternative developmental pathway. En ligne : https://dx.doi.org/10.1186/s13229-024-00606-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=538

Obsessional thinking and autistic traits are each uniquely associated with greater traits of gender dysphoria in clinical and nonclinical adult samples / Dheeraj RAI ; Punit SHAH ; Chris ASHWIN in Molecular Autism, 16 (2025)  

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A survey of autistic adults, relatives and clinical teams in the United Kingdom: And Delphi process consensus statements on optimal autism diagnostic assessment for adults / Sarah WIGHAM in Autism, 26-8 (November 2022)  

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"What does 'often' even mean?" Revising and validating the Comprehensive Autistic Trait Inventory in partnership with autistic people / Outi TUOMAINEN ; Nathan WEBER ; Frank FAHR ; Bodie KARLEK ; Marie MAROSKE ; Meike MISIA ; Nathan CARUANA in Molecular Autism, 16 (2025)  

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Levels of Self-representation and Their Sociocognitive Correlates in Late-Diagnosed Autistic Adults / R. L. MOSELEY in Journal of Autism and Developmental Disorders, 52-7 (July 2022)  

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Suicidal Thoughts and Behaviours Among Autistic Adults Presenting to the Psychiatric Emergency Department: An Exploratory Chart Review / Patrick JACHYRA in Journal of Autism and Developmental Disorders, 52-5 (May 2022)  

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