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Detailed Assessment of Incontinence, Psychological Problems and Parental Stress in Children with Autism Spectrum Disorder / J. NIEMCZYK in Journal of Autism and Developmental Disorders, 49-5 (May 2019)
[article]
Titre : Detailed Assessment of Incontinence, Psychological Problems and Parental Stress in Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : J. NIEMCZYK, Auteur ; R. FISCHER, Auteur ; C. WAGNER, Auteur ; A. BURAU, Auteur ; T. LINK, Auteur ; Alexander VON GONTARD, Auteur Article en page(s) : p.1966-1975 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Enuresis Incontinence Parental psychopathology Parental stress Index. décimale : PER Périodiques Résumé : Incontinence, psychological symptoms, parental stress and psychopathology were examined in 51 children (43 boys, mean age = 9.7 years) presented in an outpatient clinic for autism spectrum disorders (ASD) and in 53 matched controls (43 boys, mean age = 10.2 years). All children were clinically assessed for ASD, incontinence and psychopathology according to current guidelines. ASD was confirmed in 37 children and excluded in 14. Enuresis (16.2%) and daytime urinary incontinence (16.2%), but not fecal incontinence (8.2%) were more common in ASD than in controls. Children with ASD showed significantly more comorbid psychiatric disorders. Parents of children with ASD experience more stress. Parental stress was predicted by parental psychopathology, role restriction and group (patient/control), but not by incontinence. En ligne : http://dx.doi.org/10.1007/s10803-019-03885-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.1966-1975[article] Detailed Assessment of Incontinence, Psychological Problems and Parental Stress in Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / J. NIEMCZYK, Auteur ; R. FISCHER, Auteur ; C. WAGNER, Auteur ; A. BURAU, Auteur ; T. LINK, Auteur ; Alexander VON GONTARD, Auteur . - p.1966-1975.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.1966-1975
Mots-clés : Autism spectrum disorder Enuresis Incontinence Parental psychopathology Parental stress Index. décimale : PER Périodiques Résumé : Incontinence, psychological symptoms, parental stress and psychopathology were examined in 51 children (43 boys, mean age = 9.7 years) presented in an outpatient clinic for autism spectrum disorders (ASD) and in 53 matched controls (43 boys, mean age = 10.2 years). All children were clinically assessed for ASD, incontinence and psychopathology according to current guidelines. ASD was confirmed in 37 children and excluded in 14. Enuresis (16.2%) and daytime urinary incontinence (16.2%), but not fecal incontinence (8.2%) were more common in ASD than in controls. Children with ASD showed significantly more comorbid psychiatric disorders. Parents of children with ASD experience more stress. Parental stress was predicted by parental psychopathology, role restriction and group (patient/control), but not by incontinence. En ligne : http://dx.doi.org/10.1007/s10803-019-03885-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393 A pilot investigation of an iOS-based app for toilet training children with autism spectrum disorder / D. W. MRUZEK in Autism, 23-2 (February 2019)
[article]
Titre : A pilot investigation of an iOS-based app for toilet training children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : D. W. MRUZEK, Auteur ; S. MCALEAVEY, Auteur ; W. A. LORING, Auteur ; Eric BUTTER, Auteur ; T. SMITH, Auteur ; E. MCDONNELL, Auteur ; L. LEVATO, Auteur ; Courtney A. APONTE, Auteur ; R. P. TRAVIS, Auteur ; R. E. AIELLO, Auteur ; C. M. TAYLOR, Auteur ; J. W. WILKINS, Auteur ; P. CORBETT-DICK, Auteur ; D. M. FINKELSTEIN, Auteur ; A. M. YORK, Auteur ; K. ZANIBBI, Auteur Article en page(s) : p.359-370 Langues : Anglais (eng) Mots-clés : autism spectrum disorder enuresis randomized controlled trial technology toilet training urine alarm Index. décimale : PER Périodiques Résumé : We developed an iOS-based app with a transmitter/disposable sensor and corresponding manualized intervention for children with autism spectrum disorder. The app signaled the onset of urination, time-stamped accidents for analysis, reminded parents to reinforce intervals of continence, provided a visual outlet for parents to communicate reinforcement, and afforded opportunity for timely feedback from clinicians. We compared this intervention with an intervention that uses standard behavioral treatment in a pilot randomized controlled trial of 33 children with autism spectrum disorder aged 3-6 years with urinary incontinence. Parents in both groups received initial training and four booster consultations over 3 months. Results support the feasibility of parent-mediated toilet training studies (e.g., 84% retention rate, 92% fidelity of parent-implemented intervention). Parents used the app and related technology with few difficulties or malfunctions. There were no statistically significant group differences for rate of urine accidents, toilet usage, or satisfaction at close of intervention or 3-month follow-up; however, the alarm group trended toward greater rate of skill acquisition with significantly less day-to-day intervention. Further development of alarm and related technology and future comparative studies with a greater number of participants are warranted. En ligne : http://dx.doi.org/10.1177/1362361317741741 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383
in Autism > 23-2 (February 2019) . - p.359-370[article] A pilot investigation of an iOS-based app for toilet training children with autism spectrum disorder [Texte imprimé et/ou numérique] / D. W. MRUZEK, Auteur ; S. MCALEAVEY, Auteur ; W. A. LORING, Auteur ; Eric BUTTER, Auteur ; T. SMITH, Auteur ; E. MCDONNELL, Auteur ; L. LEVATO, Auteur ; Courtney A. APONTE, Auteur ; R. P. TRAVIS, Auteur ; R. E. AIELLO, Auteur ; C. M. TAYLOR, Auteur ; J. W. WILKINS, Auteur ; P. CORBETT-DICK, Auteur ; D. M. FINKELSTEIN, Auteur ; A. M. YORK, Auteur ; K. ZANIBBI, Auteur . - p.359-370.
Langues : Anglais (eng)
in Autism > 23-2 (February 2019) . - p.359-370
Mots-clés : autism spectrum disorder enuresis randomized controlled trial technology toilet training urine alarm Index. décimale : PER Périodiques Résumé : We developed an iOS-based app with a transmitter/disposable sensor and corresponding manualized intervention for children with autism spectrum disorder. The app signaled the onset of urination, time-stamped accidents for analysis, reminded parents to reinforce intervals of continence, provided a visual outlet for parents to communicate reinforcement, and afforded opportunity for timely feedback from clinicians. We compared this intervention with an intervention that uses standard behavioral treatment in a pilot randomized controlled trial of 33 children with autism spectrum disorder aged 3-6 years with urinary incontinence. Parents in both groups received initial training and four booster consultations over 3 months. Results support the feasibility of parent-mediated toilet training studies (e.g., 84% retention rate, 92% fidelity of parent-implemented intervention). Parents used the app and related technology with few difficulties or malfunctions. There were no statistically significant group differences for rate of urine accidents, toilet usage, or satisfaction at close of intervention or 3-month follow-up; however, the alarm group trended toward greater rate of skill acquisition with significantly less day-to-day intervention. Further development of alarm and related technology and future comparative studies with a greater number of participants are warranted. En ligne : http://dx.doi.org/10.1177/1362361317741741 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=383