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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 Social anxiety symptoms in autism spectrum disorder and social anxiety disorder: Considering the reliability of self-report instruments in adult cohorts / Kelsie A. BOULTON in Autism Research, 14-11 (November 2021)
[article]
Titre : Social anxiety symptoms in autism spectrum disorder and social anxiety disorder: Considering the reliability of self-report instruments in adult cohorts Type de document : Texte imprimé et/ou numérique Auteurs : Kelsie A. BOULTON, Auteur ; A. J. GUASTELLA, Auteur Article en page(s) : p.2383-2392 Langues : Anglais (eng) Mots-clés : Adult Anxiety Autism Spectrum Disorder/complications Fear Humans Phobia, Social Reproducibility of Results Self Report adults autism spectrum disorder rating scales reliability social anxiety social anxiety disorder Index. décimale : PER Périodiques Résumé : Adults with autism spectrum disorder (ASD) are at elevated risk for social anxiety disorder (SAD). Limited information exists on the reliability of social anxiety instruments with these adults and their performance when compared to individuals with SAD without ASD. This study examines psychometric properties of self-report social anxiety instruments in autistic adults without intellectual disability, compared to adults with SAD. Additionally, we compared instrument scores between a subgroup of autistic adults with a dual diagnosis of SAD (ASD?+?SAD) and adults with SAD only. Adults diagnosed with SAD (N = 316) or ASD (N = 102) were recruited from the Brain and Mind Centre in New South Wales, Australia. Sixty autistic participants also received a diagnosis of SAD (ASD?+?SAD). Participants completed the Liebowitz Social Anxiety Scale-self-report, the Social Interaction Anxiety Scale, the Social Phobia Scale, and the Brief Fear of Negative Evaluation Scale. All instruments showed excellent internal consistency in autistic adults. The instruments showed evidence of convergent validity, and the strength of relationships between measures were equivalent between ASD and SAD groups. For all instruments, performance of these instruments in autistic adults with a SAD diagnosis was very similar to performance in adults diagnosed with SAD but without ASD. Findings support the use of these instruments for identifying social anxiety symptoms in autistic adults without intellectual disability and have utility for mental health clinical services. LAY SUMMARY: Autistic adults often experience social anxiety. We examined the use of four social anxiety questionnaires in autistic adults, compared to adults with SAD. We found similar results between autistic adults and adults with SAD, suggesting that these questionnaires can be useful for measuring social anxiety symptoms in autistic adults. These findings have implications for clinical services, as they show that these instruments are reliable when used with autistic adults. En ligne : http://dx.doi.org/10.1002/aur.2572 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-11 (November 2021) . - p.2383-2392[article] Social anxiety symptoms in autism spectrum disorder and social anxiety disorder: Considering the reliability of self-report instruments in adult cohorts [Texte imprimé et/ou numérique] / Kelsie A. BOULTON, Auteur ; A. J. GUASTELLA, Auteur . - p.2383-2392.
Langues : Anglais (eng)
in Autism Research > 14-11 (November 2021) . - p.2383-2392
Mots-clés : Adult Anxiety Autism Spectrum Disorder/complications Fear Humans Phobia, Social Reproducibility of Results Self Report adults autism spectrum disorder rating scales reliability social anxiety social anxiety disorder Index. décimale : PER Périodiques Résumé : Adults with autism spectrum disorder (ASD) are at elevated risk for social anxiety disorder (SAD). Limited information exists on the reliability of social anxiety instruments with these adults and their performance when compared to individuals with SAD without ASD. This study examines psychometric properties of self-report social anxiety instruments in autistic adults without intellectual disability, compared to adults with SAD. Additionally, we compared instrument scores between a subgroup of autistic adults with a dual diagnosis of SAD (ASD?+?SAD) and adults with SAD only. Adults diagnosed with SAD (N = 316) or ASD (N = 102) were recruited from the Brain and Mind Centre in New South Wales, Australia. Sixty autistic participants also received a diagnosis of SAD (ASD?+?SAD). Participants completed the Liebowitz Social Anxiety Scale-self-report, the Social Interaction Anxiety Scale, the Social Phobia Scale, and the Brief Fear of Negative Evaluation Scale. All instruments showed excellent internal consistency in autistic adults. The instruments showed evidence of convergent validity, and the strength of relationships between measures were equivalent between ASD and SAD groups. For all instruments, performance of these instruments in autistic adults with a SAD diagnosis was very similar to performance in adults diagnosed with SAD but without ASD. Findings support the use of these instruments for identifying social anxiety symptoms in autistic adults without intellectual disability and have utility for mental health clinical services. LAY SUMMARY: Autistic adults often experience social anxiety. We examined the use of four social anxiety questionnaires in autistic adults, compared to adults with SAD. We found similar results between autistic adults and adults with SAD, suggesting that these questionnaires can be useful for measuring social anxiety symptoms in autistic adults. These findings have implications for clinical services, as they show that these instruments are reliable when used with autistic adults. En ligne : http://dx.doi.org/10.1002/aur.2572 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Child and Adult Factors Related to Quality of Life in Adults with Autism / Philippa MOSS in Journal of Autism and Developmental Disorders, 47-6 (June 2017)
[article]
Titre : Child and Adult Factors Related to Quality of Life in Adults with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Philippa MOSS, Auteur ; William MANDY, Auteur ; Patricia HOWLIN, Auteur Article en page(s) : p.1830-1837 Langues : Anglais (eng) Mots-clés : Autism Quality of Life Adult Adult outcome Index. décimale : PER Périodiques Résumé : The WHO Quality of Life-Brief questionnaire was used to assess quality of life (QoL) among 52 adults with autism (mean age 49 years) followed-up since childhood. Overall, assessments of QOL were more positive than measures of objective social outcome (jobs, independence, relationships etc.) but correlations between caregiver and self-reports were low. Informant ratings indicated few correlations between current QoL and any child or adult factors. On self-report ratings, QoL was significantly negatively correlated with severity of repetitive behaviours in childhood; higher QoL was positively associated with better adult social outcomes. However, only a minority of adults (n?=?22) could provide self-report data and findings highlight the need to develop valid measures for assessing the well-being of adults with autism. En ligne : http://dx.doi.org/10.1007/s10803-017-3105-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308
in Journal of Autism and Developmental Disorders > 47-6 (June 2017) . - p.1830-1837[article] Child and Adult Factors Related to Quality of Life in Adults with Autism [Texte imprimé et/ou numérique] / Philippa MOSS, Auteur ; William MANDY, Auteur ; Patricia HOWLIN, Auteur . - p.1830-1837.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 47-6 (June 2017) . - p.1830-1837
Mots-clés : Autism Quality of Life Adult Adult outcome Index. décimale : PER Périodiques Résumé : The WHO Quality of Life-Brief questionnaire was used to assess quality of life (QoL) among 52 adults with autism (mean age 49 years) followed-up since childhood. Overall, assessments of QOL were more positive than measures of objective social outcome (jobs, independence, relationships etc.) but correlations between caregiver and self-reports were low. Informant ratings indicated few correlations between current QoL and any child or adult factors. On self-report ratings, QoL was significantly negatively correlated with severity of repetitive behaviours in childhood; higher QoL was positively associated with better adult social outcomes. However, only a minority of adults (n?=?22) could provide self-report data and findings highlight the need to develop valid measures for assessing the well-being of adults with autism. En ligne : http://dx.doi.org/10.1007/s10803-017-3105-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308 National and State Trends in autistic Adult Supplemental Security Income Awardees: 2005-2019 / Kristy A. ANDERSON in Journal of Autism and Developmental Disorders, 52-8 (August 2022)
[article]
Titre : National and State Trends in autistic Adult Supplemental Security Income Awardees: 2005-2019 Type de document : Texte imprimé et/ou numérique Auteurs : Kristy A. ANDERSON, Auteur ; Jeffrey HEMMETER, Auteur ; David WITTENBURG, Auteur ; Julia BALLER, Auteur ; Anne M. ROUX, Auteur ; Jessica E. RAST, Auteur ; Paul T. SHATTUCK, Auteur Article en page(s) : p.3547-3559 Langues : Anglais (eng) Mots-clés : Adolescent Adult Autism Spectrum Disorder Autistic Disorder/epidemiology Humans Income Social Security United States/epidemiology United States Social Security Administration Young Adult Adults Autism Policy Poverty Supplemental Security Income (SSI) Index. décimale : PER Périodiques Résumé : This paper used Social Security Administration program data from 2005 to 2019 to examine national- and state-level changes in the number of new adult supplemental security income (SSI) awardees on the autism spectrum relative to awardees with intellectual disability and other mental health disorders. We identified three main findings: the number of autistic awards increased between 2005 and 2019 when awards for all other mental health disorders declined; roughly nine out of every 10 autistic adult awardees were between ages 18-25Â years; there was variation in the growth of autistic awards across states. These findings support the need to consider geographic and age differences in SSI program participation among autistic adults and determine the underlying causes. En ligne : http://dx.doi.org/10.1007/s10803-021-05215-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485
in Journal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3547-3559[article] National and State Trends in autistic Adult Supplemental Security Income Awardees: 2005-2019 [Texte imprimé et/ou numérique] / Kristy A. ANDERSON, Auteur ; Jeffrey HEMMETER, Auteur ; David WITTENBURG, Auteur ; Julia BALLER, Auteur ; Anne M. ROUX, Auteur ; Jessica E. RAST, Auteur ; Paul T. SHATTUCK, Auteur . - p.3547-3559.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-8 (August 2022) . - p.3547-3559
Mots-clés : Adolescent Adult Autism Spectrum Disorder Autistic Disorder/epidemiology Humans Income Social Security United States/epidemiology United States Social Security Administration Young Adult Adults Autism Policy Poverty Supplemental Security Income (SSI) Index. décimale : PER Périodiques Résumé : This paper used Social Security Administration program data from 2005 to 2019 to examine national- and state-level changes in the number of new adult supplemental security income (SSI) awardees on the autism spectrum relative to awardees with intellectual disability and other mental health disorders. We identified three main findings: the number of autistic awards increased between 2005 and 2019 when awards for all other mental health disorders declined; roughly nine out of every 10 autistic adult awardees were between ages 18-25Â years; there was variation in the growth of autistic awards across states. These findings support the need to consider geographic and age differences in SSI program participation among autistic adults and determine the underlying causes. En ligne : http://dx.doi.org/10.1007/s10803-021-05215-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485 Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry / Johan NYRENIUS in Journal of Autism and Developmental Disorders, 52-9 (September 2022)
[article]
Titre : Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry Type de document : Texte imprimé et/ou numérique Auteurs : Johan NYRENIUS, Auteur ; Jonas EBERHARD, Auteur ; Mohammad GHAZIUDDIN, Auteur ; Christopher GILLBERG, Auteur ; Eva BILLSTEDT, Auteur Article en page(s) : p.3769-3779 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder/diagnosis/epidemiology/psychology Autistic Disorder/diagnosis Humans Outpatients Prevalence Psychiatry Adults Autism spectrum disorder Neurodevelopmental disorders Index. décimale : PER Périodiques Résumé : Relatively little has been published about the prevalence of autism in adults with psychiatric disorders. In this study, all new patients referred to an adult psychiatric outpatient clinic in Sweden between November 2019 and October 2020 (n=562) were screened for autism spectrum disorders using the Ritvo Autism and Asperger Diagnostic Scale Screen (RAADS-14). Out of the 304 (58%) responders, 197 who scored above the cut off (14) were invited to participate in an in-depth assessment. Twenty-six of the 48 that participated in the assessment met criteria for ASD and an additional eight had subthreshold ASD symptoms. We estimated the prevalence of ASD in this population to at least 18.9%, with another 5-10% having subthreshold symptoms. En ligne : http://dx.doi.org/10.1007/s10803-021-05411-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.3769-3779[article] Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry [Texte imprimé et/ou numérique] / Johan NYRENIUS, Auteur ; Jonas EBERHARD, Auteur ; Mohammad GHAZIUDDIN, Auteur ; Christopher GILLBERG, Auteur ; Eva BILLSTEDT, Auteur . - p.3769-3779.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-9 (September 2022) . - p.3769-3779
Mots-clés : Adult Autism Spectrum Disorder/diagnosis/epidemiology/psychology Autistic Disorder/diagnosis Humans Outpatients Prevalence Psychiatry Adults Autism spectrum disorder Neurodevelopmental disorders Index. décimale : PER Périodiques Résumé : Relatively little has been published about the prevalence of autism in adults with psychiatric disorders. In this study, all new patients referred to an adult psychiatric outpatient clinic in Sweden between November 2019 and October 2020 (n=562) were screened for autism spectrum disorders using the Ritvo Autism and Asperger Diagnostic Scale Screen (RAADS-14). Out of the 304 (58%) responders, 197 who scored above the cut off (14) were invited to participate in an in-depth assessment. Twenty-six of the 48 that participated in the assessment met criteria for ASD and an additional eight had subthreshold ASD symptoms. We estimated the prevalence of ASD in this population to at least 18.9%, with another 5-10% having subthreshold symptoms. En ligne : http://dx.doi.org/10.1007/s10803-021-05411-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=485 Real-World Experiences in Autistic Adult Diagnostic Services and Post-diagnostic Support and Alignment with Services Guidelines: Results from the ASDEU Study / M. L. SCATTONI in Journal of Autism and Developmental Disorders, 51-11 (November 2021)
PermalinkAdults with Autism: Changes in Understanding Since DSM-111 / P. HOWLIN in Journal of Autism and Developmental Disorders, 51-12 (December 2021)
PermalinkBrief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19 / Victoria ROSEN in Journal of Autism and Developmental Disorders, 52-12 (December 2022)
PermalinkCommentary: On intimate relationships, adult roles, interplay of family adversity and individual vulnerability, intergenerational transmission, and developmental selection - commentary on Vergunst et al. (2020) / W. MEEUS in Journal of Child Psychology and Psychiatry, 62-7 (July 2021)
PermalinkConsensus statements on optimal adult post-autism diagnosis support and services: Delphi process following a UK survey of autistic adults, relatives and clinicians / Sarah WIGHAM in Autism, 27-2 (February 2023)
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