Advances in Autism – 8-3

Revues de sommaires

1. Chaplin E, McCarthy J, Tromans S, Chester V. Editorial. Advances in Autism;2022;8(3):193-195.

Lien vers le texte intégral (Open Access ou abonnement)

2. Fontes R, Pino-Juste M. Portrayals of autism and social awareness: a scoping review. Advances in Autism;2022;8(3):196-206.

Purpose The purpose of this paper is to look at recent trends in scientific literature on the portrayal of autism in published and broadcast media and social awareness of the subject. Design/methodology/approach A bibliometric analysis of content of such publications was performed. Findings Results show that portrayals of autism from books, newspapers, news broadcasts, films and TV series are being scrutinized. Research focuses on the social categories of resulting stereotypes, the quality of such depictions, the benefits and downsides, stigmatization of individuals (with autism) and how society responds to these portrayals. Originality/value It is important to understand if media portrayals of autism are creating a realistic and constructive awareness of autism in society.

Lien vers le texte intégral (Open Access ou abonnement)

3. Karmakar A, Bhattacharya M, Chatterjee S, Dogra AK. Autistic traits in Indian general population and patient group samples: distribution, factor structure, reliability and validity of the Autism-Spectrum Quotient. Advances in Autism;2022;8(3):207-216.

Purpose The Autism-Spectrum Quotient (AQ) is a widely used tool to quantify autistic traits in the general population. This study aims to report the distribution, group differences and factor structure of autistic traits in Indian general population. The work also assesses the criterion validity of AQ across three patient group samples – autism spectrum disorder (ASD), obsessive-compulsive disorder and social anxiety disorder. Design/methodology/approach In this study, psychometric properties of the adapted AQ were assessed among 450 neurotypical university students matched for age. Confirmatory factor analysis was done to see if the adapted AQ fits the original factor structure. Test–retest, internal consistency reliability and criterion validity were found out. Group differences (gender and field of study) in AQ were also assessed. Findings Autistic traits were found to be continuously distributed in the population, and patterns of group differences were consistent with previous studies. The adapted AQ had five factors resembling the original factor structure with a good fit, and 38 items instead of the original 50 items. Acceptable reliability coefficients were demonstrated along with criterion validity across clinical groups. Originality/value This work is the first to present the pattern of distribution and factor structure of autistic traits among neurotypical adults from Eastern India, a culturally different population, as well as a reliable and valid tool to assess autistic traits in Bengali, a language with 300 million speakers. The findings add to the growing literature on AQ measurement and the concept of autism as a quantitative trait, examined outside of the western samples.

Lien vers le texte intégral (Open Access ou abonnement)

4. Mesa S, Hamilton LG. “We are different, that’s a fact, but they treat us like we’re different-er”: understandings of autism and adolescent identity development. Advances in Autism;2022;8(3):217-231.

Purpose A key development in early adolescence is the active construction of individual identity; for autistic young people, integrating the idea of “being autistic” forms part of this process. The purpose of this paper is to explore identity development from a contextualist perspective, foregrounding young people’s experiences within mainstream educational settings. Design/methodology/approach A longitudinal, qualitative methodology was used: semi-structured interviews were conducted annually with 14 autistic young people, their parents and teachers between school years 6 and 9. Findings Young people felt different from their neurotypical peers and their acceptance of their diagnosis changed over time as they managed their developing personal and public identities. In pursuit of being treated “normally,” many camouflaged their differences at school, which sometimes involved opting out of school-based support. Adults described their own understandings of autism and discussed the responses of others in the school environment to autistic differences. Originality/value The influence of sociocultural discourses of autism on young people’s identity development is discussed and implications for both school based and post-diagnostic support for young people and their families explored.

Lien vers le texte intégral (Open Access ou abonnement)

5. Adamou M, Jones SL, Wetherhill S. AAA screening in adults with ASD: a retrospective cohort study. Advances in Autism;2022;8(3):232-242.

Purpose The Adult Asperger Assessment (AAA), comprising the Autism Questionnaire, the Empathy Quiotient and the Relatives Questionnaire is a commonly used screening tool designed to identify adults who may benefit from a further clinical assessment for autism spectrum disorder. The purpose of this paper is to investigate the usefulness of this screening measure in a clinical setting. Design/methodology/approach This retrospective cohort study comprised of 192 service users referred for diagnostic assessment of Autism by a specialist service of the National Health Service. The authors evaluated the diagnostic accuracy of the AAA by investigating if the Autism Questionnaire, the Empathy Quiotient and the Relatives Questionnaire were able to predict the diagnostic outcome of Autism in a clinical setting. Findings Scores from the Relatives Questionnaire can accurately predict diagnostic outcome. No evidence of accuracy for the Autism Questionnaire or the Empathy Quotient was apparent. Based on the findings, the authors recommend clinicians are cautious when interpreting results of the AAA. Research limitations/implications It should be acknowledged that the results may not be generalisable to whole populations. Also, the authors used the full item versions of the scales; therefore, the findings are most applicable to studies which did similar. Originality/value This study highlights the need for investigation into the lack of validation of commonly used screening measures in autistic populations.

Lien vers le texte intégral (Open Access ou abonnement)

6. Safi MF, Alnuaimi M, Sartawi A. Using digital social stories to improve social skills in children with autism: a pilot experimental single-subject study. Advances in Autism;2022;8(3):243-251.

Purpose Children with autism spectrum disorder (ASD) face difficulty with educational attainment because of to their inability to interact with others. One intervention that is used to increase social skills in individuals with ASD is social stories. This study aimed at exploring the impact of digital social stories in improving social skills of two students with ASD in the UAE. Design/methodology/approach An experimental AB single-subject study was conducted to investigate the impact of digital social stories on nonverbal communication, targeting two specific behaviors: raising hands before leaving one’s seat (TB1) and playing and sharing toys with peers (TB2). Two digital social stories (DSS1 and DSS2) were developed for the purpose of this study and transformed using a digital platform to be displayed on an iPad (tablet). Findings This study involved two male participants with ASD (10 and 11 years old). Participant one demonstrated improvement in TB1 (mean of 1.11) because of DSS1 in the intervention phase. Participant two demonstrated improvement of 18% in TB2 ( mean of 0.18) as a result of DSS2 in the intervention phase. Practical implications Both students that participated in the study showed a positive change in their target behaviors during the intervention phase intervention at different levels. Using an ABA study design would have been stronger in establishing a more valid causal relation in this single-subject design study. However, due the COVID-19 closures and curfews, the researchers had to switch to the AB design. Originality/value This study demonstrated how social stories had a positive impact on ASD social skills. Further, it indicated the potential effectiveness of using digital social stories to reduce undesirable behaviors or increase a desirable behaviors in children who have ASD.

Lien vers le texte intégral (Open Access ou abonnement)

7. Koceski A, Trajkovski V. Health status of people with autism spectrum disorder. Advances in Autism;2022;8(3):252-263.

Purpose The aim of this study is to determine what changes occur in the health status of people with autism spectrum disorder (ASD) compared to neurotypical controls. Design/methodology/approach The authors performed a comparative analysis of data collected from 72 subjects with ASD and 75 neurotypical controls aged 3–24 years using the Rochester Health Status Survey IV (RHSS-IV). A structured individual interview was conducted to compare the health status of subjects in Macedonia. Findings A majority of people with ASD take vitamins, supplements and use recommended drug therapies compared to the neurotypical population and experience a larger number of side effects (p = 0.000). Compared to people with neurotypical development, children with ASD have a higher prevalence of oral ulcers (31.9% vs 17.3%; p = 0.039), changes in neurological health status – epilepsy (19.4% vs 2.7%; p = 0.001) and ADD/ADHD (only persons with ASD-19.4%; p = 0.000); respiratory diseases – angina (30.5% vs 8%; p = 0.000), rhinitis and/or sinusitis (40.3% vs 17.3%; p = 0.02); changes in the gastrointestinal system – constipation (31.9% vs 10.6%; p = 0.02), intestinal inflammation (19.4% vs 8%; p = 0.043), permeable intestines (only persons with ASD – 13.9%; p = 0.000) and the presence of the fungus Candida albicans (19.4% vs 4%; p = 0.043); psychiatric disorders – sleep problems (only in people with ASD – 18%; p = 0.000) and tics (6.9% vs 2.6%; p = 0.25) and skin diseases – eczema/allergic skin rash (36.1% vs 18.7%; p = 0.02). Originality/value Many children with ASD have health problems. These findings support and complement the professional literature on their mutual causality.

Lien vers le texte intégral (Open Access ou abonnement)

8. Mirzakhani Araghi N, Alizadeh Zarei M, Saei S, Dibajnia P. Psychometric properties of the Persian version of social responsiveness scale-second edition (SRS-2). Advances in Autism;2022;8(3):264-271.

Purpose To quantitatively measure the subtle and general symptoms of autism spectrum disorder (ASD), one of the instruments that have been designed and used is the social responsiveness scale (SRS). The purpose of this study is to translate the second edition of the SRS into Persian and to examine its psychometric properties in school and preschool children with ASD. Design/methodology/approach The present study is a methodological study of the psychometric type; the study population consisted of school and preschool children from 3 to 12 years of age with ASD and an intelligence quotient of approximately 70. In total, 10 professors and occupational therapists with research and clinical experience in the field of children, were selected for the translation and content validation stages by expert sampling. To determine the validity of the instrument, the content validity index (CVI) and the content validity ratio (CVR) were used; in addition, to determine the reliability, the internal consistency determination method with Cronbach’s alpha number report and inter-rater reliability method within-class correlation coefficient report were used. Findings The calculated CVI and CVR of the instrument for all instrument items were 0.82 and 0.86, respectively. The intra-class correlation coefficient performed by different raters was 0.80 and Cronbach’s alpha for all items was 0.93. Originality/value The reliability and validity of the Persian version of the social responsiveness scale-second edition are appropriate and acceptable so that this instrument can be used to assess the social performance skills of 3–12-years-old children with ASD for research and clinical study.

Lien vers le texte intégral (Open Access ou abonnement)