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Fatigue as a biological setting event for severe problem behavior in autism spectrum disorder / Christopher E. SMITH in Research in Autism Spectrum Disorders, 23 (March 2016)
[article]
Titre : Fatigue as a biological setting event for severe problem behavior in autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Christopher E. SMITH, Auteur ; Edward G. CARR, Auteur ; Lauren J. MOSKOWITZ, Auteur Article en page(s) : p.131-144 Langues : Anglais (eng) Mots-clés : Positive behavior support Autism Assessment Intervention Fatigue Setting event Index. décimale : PER Périodiques Résumé : Abstract The relationship between biological setting events and problem behavior has thus far been described in only a limited number of empirical studies. We evaluated a three-step, multimethod procedure for the systematic assessment and treatment of fatigue as a biological setting event for problem behavior in three individuals with autism spectrum disorder and intellectual disability. The first step involved a descriptive analysis during which we identified individuals having a history of increased behavior problems when fatigued. The second step consisted of a functional analysis of each participant’s problem behavior in relation to two contextual factors: fatigue and task demands. The third step evaluated the utility of a multicomponent intervention package designed to address both the biological context (fatigue) and psychosocial context (task demands). Results indicated that problem behavior was most likely to occur when both task demands (discriminative stimuli) were presented and when the setting event (fatigue) was operative. Implementation of a multicomponent intervention was associated with a dramatic reduction in problem behavior for all three participants. Implications for future studies examining the utility of the three-step procedure for understanding other biological setting events are discussed. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282
in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.131-144[article] Fatigue as a biological setting event for severe problem behavior in autism spectrum disorder [Texte imprimé et/ou numérique] / Christopher E. SMITH, Auteur ; Edward G. CARR, Auteur ; Lauren J. MOSKOWITZ, Auteur . - p.131-144.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.131-144
Mots-clés : Positive behavior support Autism Assessment Intervention Fatigue Setting event Index. décimale : PER Périodiques Résumé : Abstract The relationship between biological setting events and problem behavior has thus far been described in only a limited number of empirical studies. We evaluated a three-step, multimethod procedure for the systematic assessment and treatment of fatigue as a biological setting event for problem behavior in three individuals with autism spectrum disorder and intellectual disability. The first step involved a descriptive analysis during which we identified individuals having a history of increased behavior problems when fatigued. The second step consisted of a functional analysis of each participant’s problem behavior in relation to two contextual factors: fatigue and task demands. The third step evaluated the utility of a multicomponent intervention package designed to address both the biological context (fatigue) and psychosocial context (task demands). Results indicated that problem behavior was most likely to occur when both task demands (discriminative stimuli) were presented and when the setting event (fatigue) was operative. Implementation of a multicomponent intervention was associated with a dramatic reduction in problem behavior for all three participants. Implications for future studies examining the utility of the three-step procedure for understanding other biological setting events are discussed. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282 Fatigue, Stress and Coping in Mothers of Children with an Autism Spectrum Disorder / Monique SEYMOUR in Journal of Autism and Developmental Disorders, 43-7 (July 2013)
[article]
Titre : Fatigue, Stress and Coping in Mothers of Children with an Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Monique SEYMOUR, Auteur ; Catherine WOOD, Auteur ; Rebecca GIALLO, Auteur ; Rachel JELLETT, Auteur Année de publication : 2013 Article en page(s) : p.1547-1554 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Fatigue Maladaptive coping Child problematic behaviours Maternal stress Index. décimale : PER Périodiques Résumé : Raising a child with an autism spectrum disorder (ASD) can be exhausting, which has the potential to impact on parental health and wellbeing. The current study investigated the influence of maternal fatigue and coping on the relationship between children’s problematic behaviours and maternal stress for 65 mothers of young children (aged 2–5 years) with ASDs. Results showed that maternal fatigue but not maladaptive coping mediated the relationship between problematic child behaviours and maternal stress. These findings suggest child behaviour difficulties may contribute to parental fatigue, which in turn may influence use of ineffective coping strategies and increased stress. The significance of fatigue on maternal wellbeing was highlighted as an important area for consideration in families of children with an ASD. En ligne : http://dx.doi.org/10.1007/s10803-012-1701-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=202
in Journal of Autism and Developmental Disorders > 43-7 (July 2013) . - p.1547-1554[article] Fatigue, Stress and Coping in Mothers of Children with an Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Monique SEYMOUR, Auteur ; Catherine WOOD, Auteur ; Rebecca GIALLO, Auteur ; Rachel JELLETT, Auteur . - 2013 . - p.1547-1554.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 43-7 (July 2013) . - p.1547-1554
Mots-clés : Autism spectrum disorder Fatigue Maladaptive coping Child problematic behaviours Maternal stress Index. décimale : PER Périodiques Résumé : Raising a child with an autism spectrum disorder (ASD) can be exhausting, which has the potential to impact on parental health and wellbeing. The current study investigated the influence of maternal fatigue and coping on the relationship between children’s problematic behaviours and maternal stress for 65 mothers of young children (aged 2–5 years) with ASDs. Results showed that maternal fatigue but not maladaptive coping mediated the relationship between problematic child behaviours and maternal stress. These findings suggest child behaviour difficulties may contribute to parental fatigue, which in turn may influence use of ineffective coping strategies and increased stress. The significance of fatigue on maternal wellbeing was highlighted as an important area for consideration in families of children with an ASD. En ligne : http://dx.doi.org/10.1007/s10803-012-1701-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=202 Fatigue, wellbeing and parental self-efficacy in mothers of children with an Autism Spectrum Disorder / Rebecca GIALLO in Autism, 17-4 (July 2013)
[article]
Titre : Fatigue, wellbeing and parental self-efficacy in mothers of children with an Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Rebecca GIALLO, Auteur ; Catherine E WOOD, Auteur ; Rachel JELLETT, Auteur ; Rachelle PORTER, Auteur Article en page(s) : p.465-480 Langues : Anglais (eng) Mots-clés : Mothers wellbeing fatigue parenting parental self-efficacy autism Index. décimale : PER Périodiques Résumé : Raising a child with an Autism Spectrum Disorder (ASD) presents significant challenges for parents that potentially have a impact on their health and wellbeing. The current study examined the extent to which parents experience fatigue and its relationship to other aspects of wellbeing and parenting. Fifty mothers of children with an ASD aged 2–5 years participated in the study. Compared with mothers of typically developing children, mothers of children with an ASD reported significantly higher fatigue, with overall scores in the moderate range. Factors associated with high levels of fatigue were poor maternal sleep quality, a high need for social support and poor quality of physical activity. Fatigue was also significantly related to other aspects of wellbeing, including stress, anxiety and depression, and lower parenting efficacy and satisfaction. The need for interventions to specifically target parental fatigue and its impact on families affected by ASDs both in the short and long term is clearly indicated. En ligne : http://dx.doi.org/10.1177/1362361311416830 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=206
in Autism > 17-4 (July 2013) . - p.465-480[article] Fatigue, wellbeing and parental self-efficacy in mothers of children with an Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Rebecca GIALLO, Auteur ; Catherine E WOOD, Auteur ; Rachel JELLETT, Auteur ; Rachelle PORTER, Auteur . - p.465-480.
Langues : Anglais (eng)
in Autism > 17-4 (July 2013) . - p.465-480
Mots-clés : Mothers wellbeing fatigue parenting parental self-efficacy autism Index. décimale : PER Périodiques Résumé : Raising a child with an Autism Spectrum Disorder (ASD) presents significant challenges for parents that potentially have a impact on their health and wellbeing. The current study examined the extent to which parents experience fatigue and its relationship to other aspects of wellbeing and parenting. Fifty mothers of children with an ASD aged 2–5 years participated in the study. Compared with mothers of typically developing children, mothers of children with an ASD reported significantly higher fatigue, with overall scores in the moderate range. Factors associated with high levels of fatigue were poor maternal sleep quality, a high need for social support and poor quality of physical activity. Fatigue was also significantly related to other aspects of wellbeing, including stress, anxiety and depression, and lower parenting efficacy and satisfaction. The need for interventions to specifically target parental fatigue and its impact on families affected by ASDs both in the short and long term is clearly indicated. En ligne : http://dx.doi.org/10.1177/1362361311416830 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=206 Associations between autistic and comorbid somatic problems of gastrointestinal disorders, food allergy, pain, and fatigue in adults / Tian XIE ; Harold SNIEDER ; Catharina A. HARTMAN in Autism, 28-12 (December 2024)
[article]
Titre : Associations between autistic and comorbid somatic problems of gastrointestinal disorders, food allergy, pain, and fatigue in adults Type de document : Texte imprimé et/ou numérique Auteurs : Tian XIE, Auteur ; Harold SNIEDER, Auteur ; Catharina A. HARTMAN, Auteur Article en page(s) : p.3105-3117 Langues : Anglais (eng) Mots-clés : autism fatigue food allergy irritable bowel syndrome pain Index. décimale : PER Périodiques Résumé : Autistic children often have comorbid somatic problems. However, in adulthood, this has been much less studied. We investigated the associations between autistic symptoms and irritable bowel syndrome, food allergy, pain, and fatigue in adulthood and examined sex and life-course differences herein. A total of 35,048 adults aged from 18 to 90 from the Lifelines Cohort Study reported autistic symptoms, irritable bowel syndrome, food allergy, pain, and fatigue. Associations between autistic and somatic problems were estimated by logistic and linear regression models. Higher autism scores were associated with more severe somatic problems with an odds ratio of 1.44 (95% confidence interval: (1.34, 1.55)) for irritable bowel syndrome, an odds ratio of 1.13 (95% confidence interval: (1.07, 1.20)) for food allergy, a regression coefficient (b) of 0.20 (95% confidence interval: (0.18, 0.22)) for pain and a regression coefficient (b) of 0.37 (95% confidence interval: (0.35, 0.39)) for fatigue. Associations were stronger in females than males for pain and fatigue. Associations declined with age for fatigue and food allergy and increased with age for irritable bowel syndrome and pain, in a subgroup with autism scores >98th percentile combined with symptom onset in childhood and high functional impairments. These findings are important for autistic adults and may aid in diagnosis, monitoring, and intervention. Lay Abstract What is already known about the topic? Autistic children frequently often have accompanying physical health problems. However, this has been much less studied in autistic men and women during adulthood. What does this article add? This is one of the first studies to investigate the associations between autistic and somatic problems in adults from the general population. Using a continuous measure of autistic symptom scores and a categorical definition of autism (referred to below as probable autism) which considered symptom severity, childhood age of onset, and functional impairment, we found that autistic problems and irritable bowel syndrome, food allergy, pain, and fatigue were associated in adults. Sex differences were present for pain and fatigue, for which the associations with autistic symptom scores were somewhat stronger in females than males. Regarding age differences, the associations with fatigue and having food allergy were more pronounced in younger adults. Conversely, older individuals had a higher risk of developing irritable bowel syndrome or experiencing pain if they met the criteria for probable autism. Implications for practice, research, or policy There is a need for providing routine programs of screening, assessment, and treatment of autism-related somatic problems and developing evidence-based interventions for autistic individuals. These could be tailored to the needs of specific autistic populations. For example, autistic females could be given extra attention about the potential presence of pain and fatigue, younger adults about the potential presence of food allergy and fatigue, and older adults concerning the potential presence of irritable bowel syndrome and pain. En ligne : https://dx.doi.org/10.1177/13623613241254619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543
in Autism > 28-12 (December 2024) . - p.3105-3117[article] Associations between autistic and comorbid somatic problems of gastrointestinal disorders, food allergy, pain, and fatigue in adults [Texte imprimé et/ou numérique] / Tian XIE, Auteur ; Harold SNIEDER, Auteur ; Catharina A. HARTMAN, Auteur . - p.3105-3117.
Langues : Anglais (eng)
in Autism > 28-12 (December 2024) . - p.3105-3117
Mots-clés : autism fatigue food allergy irritable bowel syndrome pain Index. décimale : PER Périodiques Résumé : Autistic children often have comorbid somatic problems. However, in adulthood, this has been much less studied. We investigated the associations between autistic symptoms and irritable bowel syndrome, food allergy, pain, and fatigue in adulthood and examined sex and life-course differences herein. A total of 35,048 adults aged from 18 to 90 from the Lifelines Cohort Study reported autistic symptoms, irritable bowel syndrome, food allergy, pain, and fatigue. Associations between autistic and somatic problems were estimated by logistic and linear regression models. Higher autism scores were associated with more severe somatic problems with an odds ratio of 1.44 (95% confidence interval: (1.34, 1.55)) for irritable bowel syndrome, an odds ratio of 1.13 (95% confidence interval: (1.07, 1.20)) for food allergy, a regression coefficient (b) of 0.20 (95% confidence interval: (0.18, 0.22)) for pain and a regression coefficient (b) of 0.37 (95% confidence interval: (0.35, 0.39)) for fatigue. Associations were stronger in females than males for pain and fatigue. Associations declined with age for fatigue and food allergy and increased with age for irritable bowel syndrome and pain, in a subgroup with autism scores >98th percentile combined with symptom onset in childhood and high functional impairments. These findings are important for autistic adults and may aid in diagnosis, monitoring, and intervention. Lay Abstract What is already known about the topic? Autistic children frequently often have accompanying physical health problems. However, this has been much less studied in autistic men and women during adulthood. What does this article add? This is one of the first studies to investigate the associations between autistic and somatic problems in adults from the general population. Using a continuous measure of autistic symptom scores and a categorical definition of autism (referred to below as probable autism) which considered symptom severity, childhood age of onset, and functional impairment, we found that autistic problems and irritable bowel syndrome, food allergy, pain, and fatigue were associated in adults. Sex differences were present for pain and fatigue, for which the associations with autistic symptom scores were somewhat stronger in females than males. Regarding age differences, the associations with fatigue and having food allergy were more pronounced in younger adults. Conversely, older individuals had a higher risk of developing irritable bowel syndrome or experiencing pain if they met the criteria for probable autism. Implications for practice, research, or policy There is a need for providing routine programs of screening, assessment, and treatment of autism-related somatic problems and developing evidence-based interventions for autistic individuals. These could be tailored to the needs of specific autistic populations. For example, autistic females could be given extra attention about the potential presence of pain and fatigue, younger adults about the potential presence of food allergy and fatigue, and older adults concerning the potential presence of irritable bowel syndrome and pain. En ligne : https://dx.doi.org/10.1177/13623613241254619 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543 Stress vulnerability in adolescents with chronic fatigue syndrome: experimental study investigating heart rate variability and skin conductance responses / Katharine A. RIMES in Journal of Child Psychology and Psychiatry, 58-7 (July 2017)
[article]
Titre : Stress vulnerability in adolescents with chronic fatigue syndrome: experimental study investigating heart rate variability and skin conductance responses Type de document : Texte imprimé et/ou numérique Auteurs : Katharine A. RIMES, Auteur ; Kate LIEVESLEY, Auteur ; Trudie CHALDER, Auteur Article en page(s) : p.851-858 Langues : Anglais (eng) Mots-clés : Chronic fatigue syndrome myalgic encephalomyelitis adolescence autonomic nervous system fatigue stress Index. décimale : PER Périodiques Résumé : Background Stress vulnerability has been implicated in adolescent chronic fatigue syndrome (CFS), but has rarely been investigated directly. This study compared psychological and physiological responses to a laboratory social performance task in adolescents with CFS with chronic illness (asthma) and healthy control groups. Methods Adolescents with CFS (n = 60), adolescents with asthma (n = 31) and healthy adolescents (n = 78) completed questionnaires before and after a social performance task. Skin conductance responses (SCR; mean SCR and Max–Min) and heart rate variability (low frequency/high frequency; LF/HF and root mean square difference of successive RR intervals; RMSSD) was measured before, during and after the task. Results Baseline heart rate variability (HRV) (RMSSD) was significantly lower in the CFS and Asthma groups than the HC. During the speech, the CFS and Asthma groups had higher HRV (LF/HF) than the HC, adjusting for baseline LF/HF. Although the asthma group showed a subsequent reduction in HRV during recovery, the CFS group did not. Similarly, during recovery after the task, the CFS group showed a continued increase in skin conductance (Min–Max), unlike the Asthma and HC groups. Compared to control groups, adolescents with CFS expected to find the task more difficult, were more anxious beforehand and afterwards, rated it as more difficult, evaluated their performance more negatively and had lower observer ratings of performance. Parents of adolescents with CFS expected that their child would perform less well in the task than parents of control participants. Conclusions Adolescents with CFS showed autonomic nervous system responses that are consistent with chronic stress vulnerability, difficulty coping with acute stress and slower recovery after acute stress. Self-report measures also indicated greater trait, pre- and posttask anxiety in the CFS group. En ligne : http://dx.doi.org/10.1111/jcpp.12711 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316
in Journal of Child Psychology and Psychiatry > 58-7 (July 2017) . - p.851-858[article] Stress vulnerability in adolescents with chronic fatigue syndrome: experimental study investigating heart rate variability and skin conductance responses [Texte imprimé et/ou numérique] / Katharine A. RIMES, Auteur ; Kate LIEVESLEY, Auteur ; Trudie CHALDER, Auteur . - p.851-858.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 58-7 (July 2017) . - p.851-858
Mots-clés : Chronic fatigue syndrome myalgic encephalomyelitis adolescence autonomic nervous system fatigue stress Index. décimale : PER Périodiques Résumé : Background Stress vulnerability has been implicated in adolescent chronic fatigue syndrome (CFS), but has rarely been investigated directly. This study compared psychological and physiological responses to a laboratory social performance task in adolescents with CFS with chronic illness (asthma) and healthy control groups. Methods Adolescents with CFS (n = 60), adolescents with asthma (n = 31) and healthy adolescents (n = 78) completed questionnaires before and after a social performance task. Skin conductance responses (SCR; mean SCR and Max–Min) and heart rate variability (low frequency/high frequency; LF/HF and root mean square difference of successive RR intervals; RMSSD) was measured before, during and after the task. Results Baseline heart rate variability (HRV) (RMSSD) was significantly lower in the CFS and Asthma groups than the HC. During the speech, the CFS and Asthma groups had higher HRV (LF/HF) than the HC, adjusting for baseline LF/HF. Although the asthma group showed a subsequent reduction in HRV during recovery, the CFS group did not. Similarly, during recovery after the task, the CFS group showed a continued increase in skin conductance (Min–Max), unlike the Asthma and HC groups. Compared to control groups, adolescents with CFS expected to find the task more difficult, were more anxious beforehand and afterwards, rated it as more difficult, evaluated their performance more negatively and had lower observer ratings of performance. Parents of adolescents with CFS expected that their child would perform less well in the task than parents of control participants. Conclusions Adolescents with CFS showed autonomic nervous system responses that are consistent with chronic stress vulnerability, difficulty coping with acute stress and slower recovery after acute stress. Self-report measures also indicated greater trait, pre- and posttask anxiety in the CFS group. En ligne : http://dx.doi.org/10.1111/jcpp.12711 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=316 TCC léger et fatigue: exemple d'une prise en charge d'une adolescente de 15 ans / Catia BENI in Approche Neuropsychologique des Apprentissages chez l'Enfant - A.N.A.E., 174 (Novembre 2021)
PermalinkAutism and chronic ill health: an observational study of symptoms and diagnoses of central sensitivity syndromes in autistic adults / S. GRANT in Molecular Autism, 13 (2022)
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