[article]
Titre : |
Factors associated with age of diagnosis in children with autism spectrum disorders: Report from a French cohort |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Cécile RATTAZ, Auteur ; Julie LOUBERSAC, Auteur ; Cécile MICHELON, Auteur ; Marie-Maude GEOFFRAY, Auteur ; Marie-Christine PICOT, Auteur ; Kerim M. MUNIR, Auteur ; Amaria BAGHDADLI, Auteur |
Article en page(s) : |
p.2108-2116 |
Langues : |
Anglais (eng) |
Mots-clés : |
Child Adolescent Humans Child, Preschool Autism Spectrum Disorder/diagnosis/epidemiology/complications Cohort Studies Intellectual Disability/complications Early Diagnosis Social Class ELENA cohort age of diagnosis autism spectrum disorder children |
Index. décimale : |
PER Périodiques |
Résumé : |
Autism spectrum disorder is an early onset neurodevelopmental disorder and diagnosis can be made as early as 18 months of age. Early diagnosis of autism spectrum disorder is critical as it leads to early intervention. Age of autism spectrum disorder diagnosis has been linked to the child profile as autism spectrum disorder is characterized by strong heterogeneity, but is also influenced by socio-economic factors. There is paucity of data on age of diagnosis of autism spectrum disorder in France. We therefore examined the age of autism spectrum disorder diagnosis in 554 children and adolescents enrolled in the ELENA cohort study with respect to the influences of child profile, family antecedents, and socio-economic factors. The mean age of diagnosis was 4.9 years (Â+2.8 years). Early diagnosis, before 3 years of age, was related to the co-occurrence of intellectual disability, higher autism spectrum disorder symptom severity, and lower communicative abilities. Children in low socio-economic status families tended to have an earlier diagnosis, but these children also had greater degree of intellectual impairment compared to children in high socio-economic status families. The age of autism spectrum disorder diagnosis was not associated with the presence of an older sibling with autism spectrum disorder. The observed current trend of an inverse relationship between socio-economic status and age of diagnosis of autism spectrum disorder suggests equitable access to autism spectrum disorder services in France where health coverage is universal and free. Better screening of more subtle/less severe forms of autism spectrum disorder is needed, as well as further assessment of the link between the co-occurrence of autism spectrum disorder and intellectual impairment in children in lower socio-economic status families. |
En ligne : |
http://dx.doi.org/10.1177/13623613221077724 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 |
in Autism > 26-8 (November 2022) . - p.2108-2116
[article] Factors associated with age of diagnosis in children with autism spectrum disorders: Report from a French cohort [Texte imprimé et/ou numérique] / Cécile RATTAZ, Auteur ; Julie LOUBERSAC, Auteur ; Cécile MICHELON, Auteur ; Marie-Maude GEOFFRAY, Auteur ; Marie-Christine PICOT, Auteur ; Kerim M. MUNIR, Auteur ; Amaria BAGHDADLI, Auteur . - p.2108-2116. Langues : Anglais ( eng) in Autism > 26-8 (November 2022) . - p.2108-2116
Mots-clés : |
Child Adolescent Humans Child, Preschool Autism Spectrum Disorder/diagnosis/epidemiology/complications Cohort Studies Intellectual Disability/complications Early Diagnosis Social Class ELENA cohort age of diagnosis autism spectrum disorder children |
Index. décimale : |
PER Périodiques |
Résumé : |
Autism spectrum disorder is an early onset neurodevelopmental disorder and diagnosis can be made as early as 18 months of age. Early diagnosis of autism spectrum disorder is critical as it leads to early intervention. Age of autism spectrum disorder diagnosis has been linked to the child profile as autism spectrum disorder is characterized by strong heterogeneity, but is also influenced by socio-economic factors. There is paucity of data on age of diagnosis of autism spectrum disorder in France. We therefore examined the age of autism spectrum disorder diagnosis in 554 children and adolescents enrolled in the ELENA cohort study with respect to the influences of child profile, family antecedents, and socio-economic factors. The mean age of diagnosis was 4.9 years (Â+2.8 years). Early diagnosis, before 3 years of age, was related to the co-occurrence of intellectual disability, higher autism spectrum disorder symptom severity, and lower communicative abilities. Children in low socio-economic status families tended to have an earlier diagnosis, but these children also had greater degree of intellectual impairment compared to children in high socio-economic status families. The age of autism spectrum disorder diagnosis was not associated with the presence of an older sibling with autism spectrum disorder. The observed current trend of an inverse relationship between socio-economic status and age of diagnosis of autism spectrum disorder suggests equitable access to autism spectrum disorder services in France where health coverage is universal and free. Better screening of more subtle/less severe forms of autism spectrum disorder is needed, as well as further assessment of the link between the co-occurrence of autism spectrum disorder and intellectual impairment in children in lower socio-economic status families. |
En ligne : |
http://dx.doi.org/10.1177/13623613221077724 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 |
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