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Diagnosis and Management of Autism Spectrum Disorders in Russia: Clinical-Biological Approaches / N. V. SIMASHKOVA in Journal of Autism and Developmental Disorders, 49-9 (September 2019)
[article]
Titre : Diagnosis and Management of Autism Spectrum Disorders in Russia: Clinical-Biological Approaches Type de document : Texte imprimé et/ou numérique Auteurs : N. V. SIMASHKOVA, Auteur ; I. S. BOKSHA, Auteur ; T. P. KLYUSHNIK, Auteur ; L. P. IAKUPOVA, Auteur ; M. V. IVANOV, Auteur ; E. B. MUKAETOVA-LADINSKA, Auteur Article en page(s) : p.3906-3914 Langues : Anglais (eng) Mots-clés : Adults Autism spectrum disorders Biomarkers Children Diagnosis Management Prevalence Index. décimale : PER Périodiques Résumé : The study describes the latest recommended and adopted clinical and management practice for children and adults with autistic spectrum disorder (ASD) in Russia and discusses the most recent research work by Russian clinicians and neuroscientists in the field. The study also presents data from the first epidemiological studies on ASD prevalence and explores the latest recommendations for clinical-biological assessments for ASD diagnosis and management in Russia. The authors call for collaboration of experts in ASD field to exchange clinical and research ideas between professionals from Russia and Western European countries and expand our mutual knowledge about ASD. This should include clinical and neurobiological studies aiming to develop differential rational approaches for ASD individual management throughout lifespan of these affected individuals. En ligne : http://dx.doi.org/10.1007/s10803-019-04071-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405
in Journal of Autism and Developmental Disorders > 49-9 (September 2019) . - p.3906-3914[article] Diagnosis and Management of Autism Spectrum Disorders in Russia: Clinical-Biological Approaches [Texte imprimé et/ou numérique] / N. V. SIMASHKOVA, Auteur ; I. S. BOKSHA, Auteur ; T. P. KLYUSHNIK, Auteur ; L. P. IAKUPOVA, Auteur ; M. V. IVANOV, Auteur ; E. B. MUKAETOVA-LADINSKA, Auteur . - p.3906-3914.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-9 (September 2019) . - p.3906-3914
Mots-clés : Adults Autism spectrum disorders Biomarkers Children Diagnosis Management Prevalence Index. décimale : PER Périodiques Résumé : The study describes the latest recommended and adopted clinical and management practice for children and adults with autistic spectrum disorder (ASD) in Russia and discusses the most recent research work by Russian clinicians and neuroscientists in the field. The study also presents data from the first epidemiological studies on ASD prevalence and explores the latest recommendations for clinical-biological assessments for ASD diagnosis and management in Russia. The authors call for collaboration of experts in ASD field to exchange clinical and research ideas between professionals from Russia and Western European countries and expand our mutual knowledge about ASD. This should include clinical and neurobiological studies aiming to develop differential rational approaches for ASD individual management throughout lifespan of these affected individuals. En ligne : http://dx.doi.org/10.1007/s10803-019-04071-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405 Diagnosis as a new beginning not an end: A participatory photovoice study on navigating an autism diagnosis in adulthood / Monique BOTHA ; Lynsey MCDEVITT ; Karis N. KING ; Liz BISCOE ; Kirsty TUCKER ; Amy PEARSON in Autism, 28-8 (August 2024)
[article]
Titre : Diagnosis as a new beginning not an end: A participatory photovoice study on navigating an autism diagnosis in adulthood Type de document : Texte imprimé et/ou numérique Auteurs : Monique BOTHA, Auteur ; Lynsey MCDEVITT, Auteur ; Karis N. KING, Auteur ; Liz BISCOE, Auteur ; Kirsty TUCKER, Auteur ; Amy PEARSON, Auteur Article en page(s) : p.2014-2027 Langues : Anglais (eng) Mots-clés : adults diagnosis qualitative research Index. décimale : PER Périodiques Résumé : Autistic people diagnosed in adulthood often report that the experience can be life-changing, but there are issues with the diagnostic pathway. Few studies consider the views of people currently seeking diagnosis or contextualise the experience of diagnosis around developing an autistic identity. In this qualitative participatory study, we explored experiences of navigating an autism diagnosis in adulthood in the UK. We recruited six women (aged 21-46 years) who were seeking diagnosis, who worked with the academic researchers across four sessions to develop the study, share their experiences and analyse the themes. In one session, they completed a semi-structured interview alongside photovoice, a community-based action method, to explain and reflect on their experiences. We used reflexive thematic analysis to identify patterns, with four key themes identified: (1) 'everything shattered', (2) 'being seen', (3) 'understanding not judgement, please'and (4) 'here?s a leaflet, off you go'. The themes reflected a desire for change and improved support for both diagnosis and developing autistic identity. Following photovoice methodology, together we identified actions to improve adult diagnosis, including involving autistic people in making improvements to the diagnostic criteria, for key professional and community groups to listen more to autistic people and for diagnostic support services to be flexible and appreciative of wider neurodivergence and intersectionality. Lay abstract Lots of people seek an autism diagnosis as an adult, and they often say that being diagnosed can be positively life-changing, but the experience of getting a diagnosis can be difficult. We often do not hear the views of people currently looking for a diagnosis, or talk to them about how diagnosis relates to their identity. In our study, we looked at experiences of people currently seeking an autism diagnosis in the UK. We used participatory methods, where six people seeking diagnosis were included as collaborators in the research. They took part in four different sessions, where they helped to shape the research, took part in interviews about their experiences and helped to analyse the patterns in all the interviews. We also used something called photovoice during the interviews, where they could use photos to show how they felt about navigating a diagnosis. We identified four common themes: (1) everyone had experienced some form of crisis before seeking diagnosis; (2) when they realised they were autistic, they felt seen; (3) the diagnostic process and criteria were not working, and they felt judged by clinicians and (4) there was limited support available after diagnosis. In another session, we identified actions that need to be taken which have implications for policy and practice, including improving the diagnostic process and criteria with autistic people, autistic people being listened to more by people like general practitioners and clinicians and diagnosis services needing to be more flexible and appreciate different aspects of someone?s identity and neurodivergence. En ligne : https://dx.doi.org/10.1177/13623613231220418 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533
in Autism > 28-8 (August 2024) . - p.2014-2027[article] Diagnosis as a new beginning not an end: A participatory photovoice study on navigating an autism diagnosis in adulthood [Texte imprimé et/ou numérique] / Monique BOTHA, Auteur ; Lynsey MCDEVITT, Auteur ; Karis N. KING, Auteur ; Liz BISCOE, Auteur ; Kirsty TUCKER, Auteur ; Amy PEARSON, Auteur . - p.2014-2027.
Langues : Anglais (eng)
in Autism > 28-8 (August 2024) . - p.2014-2027
Mots-clés : adults diagnosis qualitative research Index. décimale : PER Périodiques Résumé : Autistic people diagnosed in adulthood often report that the experience can be life-changing, but there are issues with the diagnostic pathway. Few studies consider the views of people currently seeking diagnosis or contextualise the experience of diagnosis around developing an autistic identity. In this qualitative participatory study, we explored experiences of navigating an autism diagnosis in adulthood in the UK. We recruited six women (aged 21-46 years) who were seeking diagnosis, who worked with the academic researchers across four sessions to develop the study, share their experiences and analyse the themes. In one session, they completed a semi-structured interview alongside photovoice, a community-based action method, to explain and reflect on their experiences. We used reflexive thematic analysis to identify patterns, with four key themes identified: (1) 'everything shattered', (2) 'being seen', (3) 'understanding not judgement, please'and (4) 'here?s a leaflet, off you go'. The themes reflected a desire for change and improved support for both diagnosis and developing autistic identity. Following photovoice methodology, together we identified actions to improve adult diagnosis, including involving autistic people in making improvements to the diagnostic criteria, for key professional and community groups to listen more to autistic people and for diagnostic support services to be flexible and appreciative of wider neurodivergence and intersectionality. Lay abstract Lots of people seek an autism diagnosis as an adult, and they often say that being diagnosed can be positively life-changing, but the experience of getting a diagnosis can be difficult. We often do not hear the views of people currently looking for a diagnosis, or talk to them about how diagnosis relates to their identity. In our study, we looked at experiences of people currently seeking an autism diagnosis in the UK. We used participatory methods, where six people seeking diagnosis were included as collaborators in the research. They took part in four different sessions, where they helped to shape the research, took part in interviews about their experiences and helped to analyse the patterns in all the interviews. We also used something called photovoice during the interviews, where they could use photos to show how they felt about navigating a diagnosis. We identified four common themes: (1) everyone had experienced some form of crisis before seeking diagnosis; (2) when they realised they were autistic, they felt seen; (3) the diagnostic process and criteria were not working, and they felt judged by clinicians and (4) there was limited support available after diagnosis. In another session, we identified actions that need to be taken which have implications for policy and practice, including improving the diagnostic process and criteria with autistic people, autistic people being listened to more by people like general practitioners and clinicians and diagnosis services needing to be more flexible and appreciate different aspects of someone?s identity and neurodivergence. En ligne : https://dx.doi.org/10.1177/13623613231220418 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=533 Diagnosis lost: Differences between children who had and who currently have an autism spectrum disorder diagnosis / Stephen J BLUMBERG in Autism, 20-7 (October 2016)
[article]
Titre : Diagnosis lost: Differences between children who had and who currently have an autism spectrum disorder diagnosis Type de document : Texte imprimé et/ou numérique Auteurs : Stephen J BLUMBERG, Auteur ; Benjamin ZABLOTSKY, Auteur ; Rosa M AVILA, Auteur ; Lisa J COLPE, Auteur ; Beverly A PRINGLE, Auteur ; Michael D KOGAN, Auteur Article en page(s) : p.783-795 Langues : Anglais (eng) Mots-clés : autism spectrum disorder diagnosis epidemiology national surveys Index. décimale : PER Périodiques Résumé : Autism spectrum disorder diagnoses sometimes change due to misdiagnosis, maturation, or treatment. This study uses a probability-based national survey—the Survey of Pathways to Diagnosis and Services—to compare currently diagnosed (n?=?1420) and previously diagnosed (n?=?187) children aged 6–17?years based on retrospective parental reports of early concerns about their children’s development, responses to those concerns by doctors and other healthcare providers, the type of provider who made the first autism spectrum disorder diagnosis, and the autism spectrum disorder subtype diagnoses received (if any). Propensity score matching was used to control for differences between the groups on children’s current level of functioning and other current characteristics that may have been related to diagnosis loss. Approximately 13% of the children ever diagnosed with autism spectrum disorder were estimated to have lost the diagnosis, and parents of 74% of them believed it was changed due to new information. Previously diagnosed children were less likely to have parents with early concerns about verbal skills, nonverbal communication, learning, and unusual gestures or movements. They were also less likely to have been referred to and diagnosed by a specialist. Previously diagnosed children were less likely to have ever received a diagnosis of Asperger’s disorder or autistic disorder. En ligne : http://dx.doi.org/10.1177/1362361315607724 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=293
in Autism > 20-7 (October 2016) . - p.783-795[article] Diagnosis lost: Differences between children who had and who currently have an autism spectrum disorder diagnosis [Texte imprimé et/ou numérique] / Stephen J BLUMBERG, Auteur ; Benjamin ZABLOTSKY, Auteur ; Rosa M AVILA, Auteur ; Lisa J COLPE, Auteur ; Beverly A PRINGLE, Auteur ; Michael D KOGAN, Auteur . - p.783-795.
Langues : Anglais (eng)
in Autism > 20-7 (October 2016) . - p.783-795
Mots-clés : autism spectrum disorder diagnosis epidemiology national surveys Index. décimale : PER Périodiques Résumé : Autism spectrum disorder diagnoses sometimes change due to misdiagnosis, maturation, or treatment. This study uses a probability-based national survey—the Survey of Pathways to Diagnosis and Services—to compare currently diagnosed (n?=?1420) and previously diagnosed (n?=?187) children aged 6–17?years based on retrospective parental reports of early concerns about their children’s development, responses to those concerns by doctors and other healthcare providers, the type of provider who made the first autism spectrum disorder diagnosis, and the autism spectrum disorder subtype diagnoses received (if any). Propensity score matching was used to control for differences between the groups on children’s current level of functioning and other current characteristics that may have been related to diagnosis loss. Approximately 13% of the children ever diagnosed with autism spectrum disorder were estimated to have lost the diagnosis, and parents of 74% of them believed it was changed due to new information. Previously diagnosed children were less likely to have parents with early concerns about verbal skills, nonverbal communication, learning, and unusual gestures or movements. They were also less likely to have been referred to and diagnosed by a specialist. Previously diagnosed children were less likely to have ever received a diagnosis of Asperger’s disorder or autistic disorder. En ligne : http://dx.doi.org/10.1177/1362361315607724 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=293
[article]
Titre : Diagnosis of autism in adulthood: A scoping review 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.1311-1327 Langues : Anglais (eng) Mots-clés : adults autism spectrum disorders carers diagnosis gender health services psychiatric comorbidity Index. décimale : PER Périodiques Résumé : More adults are getting assessed for possible autism. Here, we give an overview on what is already known about autism diagnosis in adulthood and find areas that need more research. We divided results from the studies we found into six topics of (1) rates of autism in different groups; (2) the process of getting an autism diagnosis in adulthood; (3) gender; (4) personality traits, abilities and behaviours of diagnosed adults; (5) mental and physical health conditions that occur together with autism; and (6) how adults think and feel about being assessed and diagnosed. We found that adults often have strong emotions after being diagnosed, the process of getting a diagnosis can be unclear and different for everyone, and not many support services are available for adults. More research on diagnosing adults with intellectual disability, differences between early and late-diagnosed adults, and support after diagnosis would be useful. En ligne : http://dx.doi.org/10.1177/1362361320903128 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428
in Autism > 24-6 (August 2020) . - p.1311-1327[article] Diagnosis of autism in adulthood: A scoping review [Texte imprimé et/ou numérique] / Yunhe HUANG, Auteur ; Samuel R. C. ARNOLD, Auteur ; Kitty-Rose FOLEY, Auteur ; Julian N. TROLLOR, Auteur . - p.1311-1327.
Langues : Anglais (eng)
in Autism > 24-6 (August 2020) . - p.1311-1327
Mots-clés : adults autism spectrum disorders carers diagnosis gender health services psychiatric comorbidity Index. décimale : PER Périodiques Résumé : More adults are getting assessed for possible autism. Here, we give an overview on what is already known about autism diagnosis in adulthood and find areas that need more research. We divided results from the studies we found into six topics of (1) rates of autism in different groups; (2) the process of getting an autism diagnosis in adulthood; (3) gender; (4) personality traits, abilities and behaviours of diagnosed adults; (5) mental and physical health conditions that occur together with autism; and (6) how adults think and feel about being assessed and diagnosed. We found that adults often have strong emotions after being diagnosed, the process of getting a diagnosis can be unclear and different for everyone, and not many support services are available for adults. More research on diagnosing adults with intellectual disability, differences between early and late-diagnosed adults, and support after diagnosis would be useful. En ligne : http://dx.doi.org/10.1177/1362361320903128 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428 Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice / Christina M. CORSELLO in Journal of Child Psychology and Psychiatry, 54-2 (February 2013)
[article]
Titre : Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice Type de document : Texte imprimé et/ou numérique Auteurs : Christina M. CORSELLO, Auteur ; Natacha AKSHOOMOFF, Auteur ; Aubyn C. STAHMER, Auteur Année de publication : 2013 Article en page(s) : p.178-185 Langues : Anglais (eng) Mots-clés : Autism diagnosis services research Index. décimale : PER Périodiques Résumé : Background: Longitudinal research studies have demonstrated that experienced clinicians using standardized assessment measures can make a reliable diagnosis of autism spectrum disorders (ASDs) in children under age 3. Limited data are available regarding the sensitivity and specificity of these measures in community settings. The aims of this study were to determine how well a standardized diagnostic observational measure (Autism Diagnostic Observation Schedule – ADOS) functions alone, and with a brief parent measure within a community setting when administered by community clinicians. Methods: Clinical records for 138 children between the ages of 24 and 36 months of age who were evaluated for possible ASD or social/language concerns at a hospital-based developmental evaluation clinic were examined. Evaluations were conducted by community-based clinical psychologists. Classification results obtained from standardized diagnostic measures were compared with case reviewer diagnosis, by reviewers blind to scores on diagnostic measures, using The Records-based Methodology for ASD Case Definition that was developed by the Metropolitan Atlanta Developmental Disabilities Surveillance Program. Results: When compared with case review diagnosis, the ADOS demonstrated strong sensitivity and specificity for both Autism versus Not Autism and ASD versus Nonspectrum (NS) diagnoses in this young sample. The Social Communication Questionnaire (SCQ), using the lower cutoff of ?12, had adequate sensitivity when differentiating Autism from Not Autism, but weak sensitivity when differentiating ASD from NS, missing about 80% of the children with pervasive developmental disorder – not otherwise specified. Using either the Modified Checklist for Autism in Toddlers or the SCQ in combination with the ADOS did not result in improved specificity over the ADOS alone and led to a drop in sensitivity when differentiating ASD from NS disorders. Conclusions: These results demonstrate that following best practice guidelines, the ADOS can be successfully incorporated into clinical practice with relatively good sensitivity and specificity, and worked well with a referred sample of 2-year-olds. A parent questionnaire did not lead to any improvement in diagnostic classification above the ADOS used in isolation. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02607.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=188
in Journal of Child Psychology and Psychiatry > 54-2 (February 2013) . - p.178-185[article] Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice [Texte imprimé et/ou numérique] / Christina M. CORSELLO, Auteur ; Natacha AKSHOOMOFF, Auteur ; Aubyn C. STAHMER, Auteur . - 2013 . - p.178-185.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 54-2 (February 2013) . - p.178-185
Mots-clés : Autism diagnosis services research Index. décimale : PER Périodiques Résumé : Background: Longitudinal research studies have demonstrated that experienced clinicians using standardized assessment measures can make a reliable diagnosis of autism spectrum disorders (ASDs) in children under age 3. Limited data are available regarding the sensitivity and specificity of these measures in community settings. The aims of this study were to determine how well a standardized diagnostic observational measure (Autism Diagnostic Observation Schedule – ADOS) functions alone, and with a brief parent measure within a community setting when administered by community clinicians. Methods: Clinical records for 138 children between the ages of 24 and 36 months of age who were evaluated for possible ASD or social/language concerns at a hospital-based developmental evaluation clinic were examined. Evaluations were conducted by community-based clinical psychologists. Classification results obtained from standardized diagnostic measures were compared with case reviewer diagnosis, by reviewers blind to scores on diagnostic measures, using The Records-based Methodology for ASD Case Definition that was developed by the Metropolitan Atlanta Developmental Disabilities Surveillance Program. Results: When compared with case review diagnosis, the ADOS demonstrated strong sensitivity and specificity for both Autism versus Not Autism and ASD versus Nonspectrum (NS) diagnoses in this young sample. The Social Communication Questionnaire (SCQ), using the lower cutoff of ?12, had adequate sensitivity when differentiating Autism from Not Autism, but weak sensitivity when differentiating ASD from NS, missing about 80% of the children with pervasive developmental disorder – not otherwise specified. Using either the Modified Checklist for Autism in Toddlers or the SCQ in combination with the ADOS did not result in improved specificity over the ADOS alone and led to a drop in sensitivity when differentiating ASD from NS disorders. Conclusions: These results demonstrate that following best practice guidelines, the ADOS can be successfully incorporated into clinical practice with relatively good sensitivity and specificity, and worked well with a referred sample of 2-year-olds. A parent questionnaire did not lead to any improvement in diagnostic classification above the ADOS used in isolation. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2012.02607.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=188 Factors associated with parental stress and satisfaction during the process of diagnosis of children with Autism Spectrum Disorders / Teresa AILING MOH in Research in Autism Spectrum Disorders, 6-1 (January-March 2012)
PermalinkAfter Early Autism Diagnosis: Changes in Intervention and Parent–Child Interaction / Katharine SUMA in Journal of Autism and Developmental Disorders, 46-8 (August 2016)
PermalinkAn investigation of adherence to best practice guidelines for autism diagnosis in New Zealand / L. J. TAYLOR in Autism, 25-7 (October 2021)
PermalinkAn investigation of adherence to best practice guidelines for autism diagnosis in New Zealand / Lauren J. TAYLOR in Autism, 26-7 (October 2022)
PermalinkAssessment and diagnosis of Developmental Language Disorder: The experiences of speech and language therapists / Sheila THOMAS in Autism & Developmental Language Impairments, 4 (January-December 2019)
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