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Faire une suggestionComorbidity rates of autism spectrum disorder and functional neurological disorders: A systematic review, meta-analysis of proportions and qualitative synthesis / Mark L. VICKERS ; Rebecca Sue MENHINNITT ; Yoon Kwon CHOI ; Eva MALACOVA ; Lars ERIKSSON ; Agesilaus W. CHURCHILL ; Belinda ODDY ; Kym BOON ; Christopher RANDALL ; Anastasia BRAUN ; Jennifer TAGGART ; Rodney MARSH ; Paul PUN in Autism, 29-2 (February 2025)
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[article]
Titre : Comorbidity rates of autism spectrum disorder and functional neurological disorders: A systematic review, meta-analysis of proportions and qualitative synthesis : Autism Type de document : texte imprimé Auteurs : Mark L. VICKERS, Auteur ; Rebecca Sue MENHINNITT, Auteur ; Yoon Kwon CHOI, Auteur ; Eva MALACOVA, Auteur ; Lars ERIKSSON, Auteur ; Agesilaus W. CHURCHILL, Auteur ; Belinda ODDY, Auteur ; Kym BOON, Auteur ; Christopher RANDALL, Auteur ; Anastasia BRAUN, Auteur ; Jennifer TAGGART, Auteur ; Rodney MARSH, Auteur ; Paul PUN, Auteur Article en page(s) : p.344-354 Langues : Anglais (eng) Mots-clés : adolescents autism spectrum disorders brain function diagnosis medical comorbidity psychiatric comorbidity psychological theories of autism qualitative research risk factor epidemiology school-age children Index. décimale : PER Périodiques Résumé : This study evaluated the comorbidity rates of autism spectrum disorder (ASD) with functional neurological disorders (FNDs). A systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A subset of data was suitable for meta-analysis of proportions. Studies which assessed either the prevalence of ASD in patients with FNDs, or the prevalence of FNDs in patients with ASD were considered. Critical appraisal was conducted using Joanna Briggs Institute Critical Appraisal Tools. Fourteen studies met the inclusion criteria. Three cross-sectional studies which reported the comorbidity of ASD among children presenting with functional seizures met inclusion for meta-analysis. The pooled comorbidity rate of ASD in this group was 10.26% [3.92, 18.95], with an I2 value of 81%, indicating significant heterogeneity between studies. Most included studies (n = 5) reported on the rates of Somatic Symptom Disorders in adults with ASD. Comorbidity rates were also reported for ASD with Functional Motor Disorders and for mixed FND cohorts. Critical appraisal indicated that studies were underpowered, did not match cases with controls and failed to account for confounding factors. Identifying ASD and FND comorbidity may guide treatment options and reduce the risks of unnecessary medical investigations. Lay abstract Autism spectrum disorder (ASD) and functional neurological disorders (FND) are relatively common conditions, and there has been recent interest in the overlap between them. Both conditions share core features of alexithymia, impaired interoception and deficits in attentional focus. To date, relatively little is known about the comorbidity rates between ASD and FND. This is the first meta-analysis and qualitative synthesis on the subject. We found that around 10% of children presenting with functional seizures have a comorbid ASD diagnosis. People with ASD are more likely than the neurotypical population to have functional somatic disorders, and there is also evidence that ASD rates are higher for other FNDs such as functional motor disorders. Since FND comes with risks of unnecessary medical procedures and investigations, it is important to recognize the potential for people with ASD to have an FND comorbidity. En ligne : https://dx.doi.org/10.1177/13623613241272958 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547
in Autism > 29-2 (February 2025) . - p.344-354[article] Comorbidity rates of autism spectrum disorder and functional neurological disorders: A systematic review, meta-analysis of proportions and qualitative synthesis : Autism [texte imprimé] / Mark L. VICKERS, Auteur ; Rebecca Sue MENHINNITT, Auteur ; Yoon Kwon CHOI, Auteur ; Eva MALACOVA, Auteur ; Lars ERIKSSON, Auteur ; Agesilaus W. CHURCHILL, Auteur ; Belinda ODDY, Auteur ; Kym BOON, Auteur ; Christopher RANDALL, Auteur ; Anastasia BRAUN, Auteur ; Jennifer TAGGART, Auteur ; Rodney MARSH, Auteur ; Paul PUN, Auteur . - p.344-354.
Langues : Anglais (eng)
in Autism > 29-2 (February 2025) . - p.344-354
Mots-clés : adolescents autism spectrum disorders brain function diagnosis medical comorbidity psychiatric comorbidity psychological theories of autism qualitative research risk factor epidemiology school-age children Index. décimale : PER Périodiques Résumé : This study evaluated the comorbidity rates of autism spectrum disorder (ASD) with functional neurological disorders (FNDs). A systematic review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A subset of data was suitable for meta-analysis of proportions. Studies which assessed either the prevalence of ASD in patients with FNDs, or the prevalence of FNDs in patients with ASD were considered. Critical appraisal was conducted using Joanna Briggs Institute Critical Appraisal Tools. Fourteen studies met the inclusion criteria. Three cross-sectional studies which reported the comorbidity of ASD among children presenting with functional seizures met inclusion for meta-analysis. The pooled comorbidity rate of ASD in this group was 10.26% [3.92, 18.95], with an I2 value of 81%, indicating significant heterogeneity between studies. Most included studies (n = 5) reported on the rates of Somatic Symptom Disorders in adults with ASD. Comorbidity rates were also reported for ASD with Functional Motor Disorders and for mixed FND cohorts. Critical appraisal indicated that studies were underpowered, did not match cases with controls and failed to account for confounding factors. Identifying ASD and FND comorbidity may guide treatment options and reduce the risks of unnecessary medical investigations. Lay abstract Autism spectrum disorder (ASD) and functional neurological disorders (FND) are relatively common conditions, and there has been recent interest in the overlap between them. Both conditions share core features of alexithymia, impaired interoception and deficits in attentional focus. To date, relatively little is known about the comorbidity rates between ASD and FND. This is the first meta-analysis and qualitative synthesis on the subject. We found that around 10% of children presenting with functional seizures have a comorbid ASD diagnosis. People with ASD are more likely than the neurotypical population to have functional somatic disorders, and there is also evidence that ASD rates are higher for other FNDs such as functional motor disorders. Since FND comes with risks of unnecessary medical procedures and investigations, it is important to recognize the potential for people with ASD to have an FND comorbidity. En ligne : https://dx.doi.org/10.1177/13623613241272958 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=547 Inhibition in developmental disorders: A comparison of inhibition profiles between children with autism spectrum disorder, attention-deficit/hyperactivity disorder, and comorbid symptom presentation / Amanda CREMONE-CAIRA in Autism, 25-1 (January 2021)
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Titre : Inhibition in developmental disorders: A comparison of inhibition profiles between children with autism spectrum disorder, attention-deficit/hyperactivity disorder, and comorbid symptom presentation Type de document : texte imprimé Auteurs : Amanda CREMONE-CAIRA, Auteur ; Katherine TRIER, Auteur ; Victoria SANCHEZ, Auteur ; Brooke H. KOHN, Auteur ; Rachel GILBERT, Auteur ; Susan FAJA, Auteur Article en page(s) : p.227-243 Langues : Anglais (eng) Mots-clés : attention-deficit/hyperactivity disorder autism spectrum disorder cognition (attention, learning, memory) executive function inhibition interventions—psychosocial/behavioral psychological theories of autism Index. décimale : PER Périodiques Résumé : Many children with autism spectrum disorder (ASD) also have symptoms of attention-deficit hyperactivity disorder (ADHD). Children with ASD and ADHD often experience difficulties with inhibition. This study had the goal of understanding inhibition in children with ASD, ADHD, ASD + ADHD, and children who are typically developing (TD) using tasks that measured several aspects of inhibition. Results indicate that children with ASD + ADHD had greater difficulty inhibiting behavioral responses than TD children. Children with ASD + ADHD also differed from children with ASD and with ADHD in their inhibition of distracting information and strategic slowing of response speed. The four groups did not differ in their avoidance of potential losses. Children with ASD + ADHD exhibit a unique profile of inhibition challenges suggesting they may benefit from targeted intervention matched to their abilities. En ligne : http://dx.doi.org/10.1177/1362361320955107 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437
in Autism > 25-1 (January 2021) . - p.227-243[article] Inhibition in developmental disorders: A comparison of inhibition profiles between children with autism spectrum disorder, attention-deficit/hyperactivity disorder, and comorbid symptom presentation [texte imprimé] / Amanda CREMONE-CAIRA, Auteur ; Katherine TRIER, Auteur ; Victoria SANCHEZ, Auteur ; Brooke H. KOHN, Auteur ; Rachel GILBERT, Auteur ; Susan FAJA, Auteur . - p.227-243.
Langues : Anglais (eng)
in Autism > 25-1 (January 2021) . - p.227-243
Mots-clés : attention-deficit/hyperactivity disorder autism spectrum disorder cognition (attention, learning, memory) executive function inhibition interventions—psychosocial/behavioral psychological theories of autism Index. décimale : PER Périodiques Résumé : Many children with autism spectrum disorder (ASD) also have symptoms of attention-deficit hyperactivity disorder (ADHD). Children with ASD and ADHD often experience difficulties with inhibition. This study had the goal of understanding inhibition in children with ASD, ADHD, ASD + ADHD, and children who are typically developing (TD) using tasks that measured several aspects of inhibition. Results indicate that children with ASD + ADHD had greater difficulty inhibiting behavioral responses than TD children. Children with ASD + ADHD also differed from children with ASD and with ADHD in their inhibition of distracting information and strategic slowing of response speed. The four groups did not differ in their avoidance of potential losses. Children with ASD + ADHD exhibit a unique profile of inhibition challenges suggesting they may benefit from targeted intervention matched to their abilities. En ligne : http://dx.doi.org/10.1177/1362361320955107 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437 Psychological behavioral therapies to improve autistic children?s behaviors during dental visits: A systematic review and meta-analysis / Fok Elise HOI WAN ; Chan Yuen TUNG MEGAN ; Leung Chung MING ; Colman P. MCGRATH ; Yiu Cynthia KAR YUNG in Autism, 28-12 (December 2024)
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[article]
Titre : Psychological behavioral therapies to improve autistic children?s behaviors during dental visits: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Fok Elise HOI WAN, Auteur ; Chan Yuen TUNG MEGAN, Auteur ; Leung Chung MING, Auteur ; Colman P. MCGRATH, Auteur ; Yiu Cynthia KAR YUNG, Auteur Article en page(s) : p.2970-2985 Langues : Anglais (eng) Mots-clés : autism spectrum disorders children dental exam dental visits psychological theories of autism systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to evaluate the effectiveness of psychological behavioral therapies to improve behaviors of autistic children during dental visits. Screening, data extraction, risk-of-bias assessment, and evaluation of certainty of evidence were performed by two independent reviewers. Eighteen studies were ultimately included. On average 56% (95% confidence interval, 33.95-78.29) and 64% (95% confidence interval 47.24-81.80) of autistic children can cooperate with dental examination with an oral mirror in the first and second visits, respectively. Visual pedagogy did not improve the proportion of autistic children who can accept dental examinations. Inconsistent results were also identified for Treatment and Education of Autistic and related Communication-handicapped CHildren, Picture Exchange Communication System, Applied Behavior Analysis, video modeling, distractions, and other conventional behavioral management techniques. Many studies were of small sample size, lacked a control group, did not account for autism spectrum disorder severity, comorbidities, previous dental experience or other confounders, and had a high risk of bias. The evidence supporting the use of psychoeducation techniques to improve the dental experience of autistic children is limited and of very low certainty. Further research with larger scale studies and appropriate control groups is needed to enhance the certainty of evidence in this field. Lay abstract This research review looked at how well different psychological behavioral therapies help improve the behavior of autistic children during dental visits. The researchers studied 18 different studies and found that, on average, about 56% of autistic children were able to cooperate with a dental exam using an oral mirror during their first visit. The number increased to about 64% during their second visit. However, using visual pedagogies or teaching aids did not seem to make a big difference in how many children could accept the dental exams. The results for other psychological behavioral techniques were also inconsistent, including Treatment and Education of Autistic and related Communication-handicapped CHildren, Picture Exchange Communication System, Applied Behavior Analysis, video modeling, and distractions. Many of the studies were small and did not include a comparison group. They also did not consider factors like how severe the autism was, other conditions the children had, or their previous dental experiences. Because of these limitations, the evidence supporting the use of psychological behavioral techniques to improve dental visits for autistic children is limited and uncertain. More research with larger studies and proper control groups is needed to better understand this topic. En ligne : https://dx.doi.org/10.1177/13623613241255302 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543
in Autism > 28-12 (December 2024) . - p.2970-2985[article] Psychological behavioral therapies to improve autistic children?s behaviors during dental visits: A systematic review and meta-analysis [texte imprimé] / Fok Elise HOI WAN, Auteur ; Chan Yuen TUNG MEGAN, Auteur ; Leung Chung MING, Auteur ; Colman P. MCGRATH, Auteur ; Yiu Cynthia KAR YUNG, Auteur . - p.2970-2985.
Langues : Anglais (eng)
in Autism > 28-12 (December 2024) . - p.2970-2985
Mots-clés : autism spectrum disorders children dental exam dental visits psychological theories of autism systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to evaluate the effectiveness of psychological behavioral therapies to improve behaviors of autistic children during dental visits. Screening, data extraction, risk-of-bias assessment, and evaluation of certainty of evidence were performed by two independent reviewers. Eighteen studies were ultimately included. On average 56% (95% confidence interval, 33.95-78.29) and 64% (95% confidence interval 47.24-81.80) of autistic children can cooperate with dental examination with an oral mirror in the first and second visits, respectively. Visual pedagogy did not improve the proportion of autistic children who can accept dental examinations. Inconsistent results were also identified for Treatment and Education of Autistic and related Communication-handicapped CHildren, Picture Exchange Communication System, Applied Behavior Analysis, video modeling, distractions, and other conventional behavioral management techniques. Many studies were of small sample size, lacked a control group, did not account for autism spectrum disorder severity, comorbidities, previous dental experience or other confounders, and had a high risk of bias. The evidence supporting the use of psychoeducation techniques to improve the dental experience of autistic children is limited and of very low certainty. Further research with larger scale studies and appropriate control groups is needed to enhance the certainty of evidence in this field. Lay abstract This research review looked at how well different psychological behavioral therapies help improve the behavior of autistic children during dental visits. The researchers studied 18 different studies and found that, on average, about 56% of autistic children were able to cooperate with a dental exam using an oral mirror during their first visit. The number increased to about 64% during their second visit. However, using visual pedagogies or teaching aids did not seem to make a big difference in how many children could accept the dental exams. The results for other psychological behavioral techniques were also inconsistent, including Treatment and Education of Autistic and related Communication-handicapped CHildren, Picture Exchange Communication System, Applied Behavior Analysis, video modeling, and distractions. Many of the studies were small and did not include a comparison group. They also did not consider factors like how severe the autism was, other conditions the children had, or their previous dental experiences. Because of these limitations, the evidence supporting the use of psychological behavioral techniques to improve dental visits for autistic children is limited and uncertain. More research with larger studies and proper control groups is needed to better understand this topic. En ligne : https://dx.doi.org/10.1177/13623613241255302 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543 Emotion dysregulation in autism: A meta-analysis / Mary Isaac CARGILL ; Sadaf KHAWAR ; Erin KANG in Autism, 28-12 (December 2024)
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[article]
Titre : Emotion dysregulation in autism: A meta-analysis Type de document : texte imprimé Auteurs : Mary Isaac CARGILL, Auteur ; Sadaf KHAWAR, Auteur ; Erin KANG, Auteur Article en page(s) : p.2986-3001 Langues : Anglais (eng) Mots-clés : adolescents adults autism spectrum disorders psychiatric comorbidity psychological theories of autism Index. décimale : PER Périodiques Résumé : Autism is associated with significantly higher rates of internalizing and externalizing disorders compared to neurotypical (NT) individuals. Emotion dysregulation (ED) is prevalent in autistic individuals and has been proposed to underlie both internalizing disorders and behavioral challenges in autism. This study sought to use a meta-analytic approach to examine the magnitude of ED severity in autistic samples compared to NT and other clinical (OC) samples. Following a review of the literature, a total of 35 studies were included in the analyses. In general, when comparing autistic to non-autistic individuals, findings suggest a medium magnitude of difference in ED severity between autistic and comparison groups overall. Subgroup analyses indicate that autistic individuals experience significantly higher ED severity when compared to NT peers. However, when compared to OC peers, the effect is small, suggesting the severity of ED may be more similar between OC and autistic groups. Moderators were also explored, including autistic traits, age, and sex composition. These findings provide integral information about the severity of ED in autistic populations compared to other non-autistic populations, assisting in further clarifying the presence of mental health challenges in autistic youth. Lay Abstract Autistic people often experience other mental health challenges, which makes it particularly important to understand factors that may contribute to the development of these conditions. Emotion dysregulation, or difficulties in effectively regulating one?s own emotions in response to a changing environment, is one factor that is experienced frequently by autistic and non-autistic people and is commonly related to a wide range of mental health conditions. This article represents a quantitative synthesis of the current state of the literature on emotion dysregulation, with a specific focus on how the severity of emotion dysregulation differs across autistic and non-autistic people across the lifespan. The findings suggest elevated emotion dysregulation in autistic individuals compared to both neurotypical and other clinical populations and provide insights into the experiences of emotion dysregulation in autistic people. Overall, this article underscores the importance of more research into emotion dysregulation in autistic people to inform areas of challenges related to emotion dysregulation that can be used to better inform treatment targets. En ligne : https://dx.doi.org/10.1177/13623613241257605 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543
in Autism > 28-12 (December 2024) . - p.2986-3001[article] Emotion dysregulation in autism: A meta-analysis [texte imprimé] / Mary Isaac CARGILL, Auteur ; Sadaf KHAWAR, Auteur ; Erin KANG, Auteur . - p.2986-3001.
Langues : Anglais (eng)
in Autism > 28-12 (December 2024) . - p.2986-3001
Mots-clés : adolescents adults autism spectrum disorders psychiatric comorbidity psychological theories of autism Index. décimale : PER Périodiques Résumé : Autism is associated with significantly higher rates of internalizing and externalizing disorders compared to neurotypical (NT) individuals. Emotion dysregulation (ED) is prevalent in autistic individuals and has been proposed to underlie both internalizing disorders and behavioral challenges in autism. This study sought to use a meta-analytic approach to examine the magnitude of ED severity in autistic samples compared to NT and other clinical (OC) samples. Following a review of the literature, a total of 35 studies were included in the analyses. In general, when comparing autistic to non-autistic individuals, findings suggest a medium magnitude of difference in ED severity between autistic and comparison groups overall. Subgroup analyses indicate that autistic individuals experience significantly higher ED severity when compared to NT peers. However, when compared to OC peers, the effect is small, suggesting the severity of ED may be more similar between OC and autistic groups. Moderators were also explored, including autistic traits, age, and sex composition. These findings provide integral information about the severity of ED in autistic populations compared to other non-autistic populations, assisting in further clarifying the presence of mental health challenges in autistic youth. Lay Abstract Autistic people often experience other mental health challenges, which makes it particularly important to understand factors that may contribute to the development of these conditions. Emotion dysregulation, or difficulties in effectively regulating one?s own emotions in response to a changing environment, is one factor that is experienced frequently by autistic and non-autistic people and is commonly related to a wide range of mental health conditions. This article represents a quantitative synthesis of the current state of the literature on emotion dysregulation, with a specific focus on how the severity of emotion dysregulation differs across autistic and non-autistic people across the lifespan. The findings suggest elevated emotion dysregulation in autistic individuals compared to both neurotypical and other clinical populations and provide insights into the experiences of emotion dysregulation in autistic people. Overall, this article underscores the importance of more research into emotion dysregulation in autistic people to inform areas of challenges related to emotion dysregulation that can be used to better inform treatment targets. En ligne : https://dx.doi.org/10.1177/13623613241257605 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543

