Prevalence of Autism Spectrum Disorder and Co-morbidities in Children and Adolescents: A Systematic Literature Review

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Окт. 27, 2021

Objective: Individuals with autism spectrum disorder often present somatic and/or psychiatric co-morbid disorders. The DSM-5 allows for consideration of additional diagnoses besides ASD and may have impacted the prevalence co-morbidities as well being limited in capturing true differences observed between males females. We describe frequently children adolescents (<18 years) United States five European countries. Methods: Two systematic literature reviews were conducted PubMed Embase period 2014-2019 focusing on nine interest based their frequency severity: Attention Deficit Hyperactivity Disorder (ADHD), anxiety, depressive disorders, epilepsy, intellectual disability (ID), sleep sight/hearing impairment/loss, gastro-intestinal syndromes (GI). Results: Thirteen studies 33 included. Prevalence was 1.70 1.85% US aged 4 8 years respectively, while Europe ranged 0.38 1.55%. Additionally, current evidence is supportive a global increase over past years. Substantial heterogeneity observed: ADHD (0.00-86.00%), anxiety (0.00-82.20%), disorders (0.00-74.80%), epilepsy (2.80-77.50%), ID (0.00-91.70%), (2.08-72.50%), impairment/loss (0.00-14.90%/0.00-4.90%), GI (0.00-67.80%). Studies heterogeneous terms design method to estimate prevalence. Gender appears represent risk factor (higher males) epilepsy/seizure females) age also associated (increasing until adolescence). Conclusion: Our results provide descriptive review its adolescents. These insights can be valuable clinicians parents/guardians autistic children. has increased time bring clinical presentation, which further advocates personalized approaches treatment support. Having clear understanding important raise awareness among stakeholders.

Язык: Английский

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The Prevalence and Characteristics of Children With Profound Autism, 15 Sites, United States, 2000-2016

Public Health Reports, Год журнала: 2023, Номер 138(6), С. 971 - 980

Опубликована: Апрель 19, 2023

Autism spectrum disorder (autism) is a heterogeneous condition that poses challenges in describing the needs of individuals with autism and making prognoses about future outcomes. We applied newly proposed definition profound to surveillance data estimate percentage children who have describe their sociodemographic clinical characteristics.

Язык: Английский

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Autism spectrum disorder in ICD-11—a critical reflection of its possible impact on clinical practice and research

Molecular Psychiatry, Год журнала: 2024, Номер 29(3), С. 633 - 638

Опубликована: Янв. 25, 2024

Abstract This perspective article compares and contrasts the conceptualization of Autism Spectrum Disorder (ASD) in ICD-11 DSM-5. By guiding user through text, it is argued that, contrast to DSM-5, allows a high variety symptom combinations, which results an operationalization ASD that favor extreme diverse picture, yet possibly at expense precision, including unforeseeable effects on clinical practice, care, research. The utility questionable as this can hardly be differentiated from other mental disorders autism-like traits. It moves away observable, behavioral, neurodevelopmental disorder inner experience measured objectively. contains many vague subjective concepts lead non-falsifiable diagnoses. bears large danger false positive diagnoses, further increased prevalence rates, limitations access ASD-specific services increasing non-specificity treatments. For research, hypothesis specificity will reduced additional increase already heterogeneity with effect replication studies hampered. could limit our understanding etiology biological pathways risk precision medicine, i.e., targeted approach for individual treatment strategies based precise diagnostic markers, more far becoming reality. Thus, precise, quantitative description objective measurement symptoms are suggested define phenotype. Identification core subtypes/endophenotypes necessary next step advance classification systems. Therefore, employing finely grained, objective, characterization relatable neurobehavioral central significance.

Язык: Английский

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Commentary: Best practices and processes for assessment of autism spectrum disorder – the intended role of standardized diagnostic instruments

Journal of Child Psychology and Psychiatry, Год журнала: 2023, Номер 64(5), С. 834 - 838

Опубликована: Апрель 2, 2023

Development of standardized diagnostic instruments has facilitated the systematic characterization individuals with autism spectrum disorders (ASD) in clinical and research settings. However, overemphasis on scores from specific significantly detracted original purpose these tools. Rather than provide a definitive "answer," or even confirmation diagnosis, were designed to aid clinicians process gathering information about social communication, play, repetitive sensory behaviors relevant diagnosis treatment planning. Importantly, many are not validated for certain patient populations, including those severe vision, hearing, motor, and/or cognitive impairments, they cannot be administered via translator. In addition, circumstances, such as need wear personal protective equipment (PPE), behavioral factors (e.g., selective mutism) may interfere administration scoring procedures, rendering invalid. Thus, understanding uses limitations tools within well similarities differences between populations instrument validation samples, is paramount. Accordingly, payers other systems must mandate use cases when their would inappropriate. To ensure equitable access appropriate assessment services, it imperative that diagnosticians trained best practice methods autism, if, how, appropriately employ instruments.

Язык: Английский

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Multidimensional motor performance in children with autism mostly remains stable with age and predicts social communication delay, language delay, functional delay, and repetitive behavior severity after accounting for intellectual disability or cognitive delay: A SPARK dataset analysis

Autism Research, Год журнала: 2022, Номер 16(1), С. 208 - 229

Опубликована: Дек. 19, 2022

Abstract When motor difficulties continue into adolescence/adulthood, they could negatively impact an individual with autism spectrum disorder (ASD)'s daily living skills, physical fitness, as well and mental health/well‐being. Few studies have examined in children ASD a function of sex or age; however, greater cognitive challenges are associated worse general performance. Based on the Developmental Coordination Disorder‐Questionnaire (DCD‐Q) data from SPARK study sample, 87%–88% were at‐risk for impairment that persisted until 15 years was related to their core co‐occurring difficulties. Bhat et al. confirmed multiple dimensions predicted conditions after accounting age sex. However, presence intellectual disability (ID) delay not controlled previous analysis. Additionally, effects age, sex, ability multidimensional sample been discussed before. Therefore, this analysis examines (presence ID level delay) performance using DCD‐Q. Except fine domains did change ASD. Females without improved scores performed better compared males ID. Children had across than those Even controlling ID/cognitive delay; predictive social communication repetitive behavior severity, language functional delays. Gross skills contributed more competence predicting delay. gross severity Both, In light consistent findings ASD, adding issues specifier within definition provide clear clinical route movement clinicians address individuals

Язык: Английский

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Autism Spectrum Disorder and auditory sensory alterations: a systematic review on the integrity of cognitive and neuronal functions related to auditory processing

Journal of Neural Transmission, Год журнала: 2023, Номер 130(3), С. 325 - 408

Опубликована: Март 1, 2023

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition with wide spectrum of symptoms, mainly characterized by social, communication, and cognitive impairments. Latest diagnostic criteria according to DSM-5 (Diagnostic Statistical Manual Mental Disorders, Fifth Edition, 2013) now include sensory issues among the four restricted/repetitive behavior features defined as "hyper- or hypo-reactivity input unusual interest in aspects environment". Here, we review auditory alterations patients ASD. Considering updated for ASD, examined research evidence (2015-2022) integrity function auditory-related tasks, peripheral system, central nervous system diagnosed Taking into account different approaches experimental study designs, reappraise knowledge on reflect how these might be linked symptomatology

Язык: Английский

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Where do neurodevelopmental conditions fit in transdiagnostic psychiatric frameworks? Incorporating a new neurodevelopmental spectrum

World Psychiatry, Год журнала: 2024, Номер 23(3), С. 333 - 357

Опубликована: Сен. 16, 2024

Features of autism spectrum disorder, attention‐deficit/hyperactivity learning disorders, intellectual disabilities, and communication motor disorders usually emerge early in life are associated with atypical neurodevelopment. These “neurodevelopmental conditions” grouped together the DSM‐5 ICD‐11 to reflect their shared characteristics. Yet, reliance on categorical diagnoses poses significant challenges both research clinical settings (e.g., high co‐occurrence, arbitrary diagnostic boundaries, within‐disorder heterogeneity). Taking a transdiagnostic dimensional approach provides useful alternative for addressing these limitations, accounting underpinnings across neurodevelopmental conditions, characterizing common co‐occurrence developmental continuity other psychiatric conditions. Neurodevelopmental features have not been adequately considered frameworks, although this would fundamental implications practices. Growing evidence from studies structure conditions indicates that cluster together, delineating spectrum” ranging normative impairing profiles. Studies genetic underpinnings, overlapping cognitive neural profiles, similar course efficacy support/treatment strategies indicate validity spectrum. Further, alongside dimensions has utility, as it fuller view an individual's needs strengths, greater prognostic utility than categories. Based compelling body evidence, we argue incorporating new into frameworks considerable potential transforming our understanding, classification, assessment, practices around

Язык: Английский

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Presence and correlates of autistic traits among patients with social anxiety disorder

Frontiers in Psychiatry, Год журнала: 2024, Номер 14

Опубликована: Янв. 19, 2024

Introduction Due to their similar behavioral presentation, it can sometimes be challenging distinguish between a social anxiety disorder (SAD) and the avoidance that is frequently described in autism spectrum (ASD). Moreover, growing body of evidences reporting significant proportion subjects with ASD also meet requirements for SAD and, vice versa, tend exhibit higher prevalence autistic traits. Aim In this framework, current study aims evaluate correlates traits sample adult diagnosed healthy controls (HC), evaluating which dimensions may statistically predict symptoms. Methods 56 clinical diagnosis gender age matched HC were recruited from Psychiatric Clinic University Pisa. Subjects assessed SCID-5, Social Anxiety Spectrum – Short Version (SHY- SV) Adult Autism Subthreshold (AdAS Spectrum). Results group scored significantly all AdAS SHY-SV domains total score compared no difference. domain scores, strongly positively correlated score. Childhood/Adolescence, Non-Verbal Communication, Empathy Restricted interests Rumination scores predictors Conclusion Our results confirm link population, describing not only high levels adults, but correlations many core features two disorders predictive role on

Язык: Английский

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Prevalence of Autism Spectrum Disorder and Co-Morbidities in Children and Adolescents: A Systematic Literature Review

FOCUS The Journal of Lifelong Learning in Psychiatry, Год журнала: 2024, Номер 22(2), С. 212 - 228

Опубликована: Апрель 1, 2024

Objective: Individuals with autism spectrum disorder often present somatic and/or psychiatric co-morbid disorders. The DSM-5 allows for consideration of additional diagnoses besides ASD and may have impacted the prevalence co-morbidities as well being limited in capturing true differences observed between males females. We describe frequently children adolescents (<18 years) United States five European countries. Methods: Two systematic literature reviews were conducted PubMed Embase period 2014–2019 focusing on nine interest based their frequency severity: Attention Deficit Hyperactivity Disorder (ADHD), anxiety, depressive disorders, epilepsy, intellectual disability (ID), sleep sight/hearing impairment/loss, gastro-intestinal syndromes (GI). Results: Thirteen studies 33 included. Prevalence was 1.70 1.85% U.S aged 4 8 years respectively, while Europe ranged 0.38 1.55%. Additionally, current evidence is supportive a global increase over past years. Substantial heterogeneity observed: ADHD (0.00–86.00%), anxiety (0.00–82.20%), disorders (0.00–74.80%), epilepsy (2.80–77.50%), ID (0.00–91.70%), (2.08–72.50%), impairment/loss (0.00–14.90%/0.00–4.90%), GI (0.00–67.80%). Studies heterogeneous terms design method to estimate prevalence. Gender appears represent risk factor (higher males) epilepsy/seizure females) age also associated (increasing until adolescence). Conclusion: Our results provide descriptive review its adolescents. These insights can be valuable clinicians parents/guardians autistic children. has increased time bring clinical presentation, which further advocates personalized approaches treatment support. Having clear understanding important raise awareness among stakeholders. Appeared originally Front Psychiatry 2021; 12:744709

Язык: Английский

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Autism Spectrum Disorder, Oral Implications, and Oral Microbiota

Children, Год журнала: 2025, Номер 12(3), С. 368 - 368

Опубликована: Март 15, 2025

Background/Objectives: Autism spectrum disorder (ASD) is a complex neurodevelopmental characterized by difficulties in social interaction, communication, and repetitive behaviors. Recent evidence indicates significant relationship between ASD imbalances microbiota, particularly the oral gastrointestinal areas. This review examines impact of self-injurious behaviors (SIB), sensory sensitivity, dietary choices on comorbidities associated with ASD. Methods: An extensive literature was conducted using PubMed Scopus. The focus human studies full-text availability, utilizing search terms related to ASD, health, disorders. research evaluated for methodological quality its relevance connections Results: Individuals face unique health challenges, including injuries from increased which complicate hygiene care. Selective eating can lead nutritional deficiencies worsen issues. Dysbiosis gut marked altered levels acetate, propionate, butyrate, interferes gut-brain oral-brain connections, contributing behavioral neurological symptoms. Treatment options such as probiotics, fecal microbiota transfer, integration therapies potentially alleviate symptoms improve life. Conclusions: suggests bidirectional influence through neuroinflammatory mechanisms metabolic disturbances. Proactive strategies focusing dental may help reduce enhance overall management underscoring need further into microbiota–host interactions their therapeutic potential.

Язык: Английский

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