Autism traits: The importance of "co-morbid" problems for impairment and contact with services. Data from the Bergen Child Study.

Background: Co-occurring problems are common in individuals with clinical autism spectrum disorder (ASD) but their relevance for impairment and contact with health services in ASD is largely unexplored.Aims: We investigated the extent of co-occurring problems in children with high ASD traits from a...

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Publicado en:Research in Developmental Disabilities Vol. 72; pp. 275 - 284
Autores principales: Posserud, M., Hysing, M., Lundervold, A.J., Helland, W., Gillberg, C.
Formato: Journal Article
Publicado: Pergamon Press - An Imprint of Elsevier Science Jan2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2018
      vid: 72
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      pub: Pergamon Press - An Imprint of Elsevier Science
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        10.1016/j.ridd.2016.01.002
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        atl: Autism traits: The importance of "co-morbid" problems for impairment and contact with services. Data from the Bergen Child Study.
      aug:
        au:
          Posserud, M.
          Hysing, M.
          Lundervold, A.J.
          Helland, W.
          Gillberg, C.
        affil: Department of Child and Adolescent Mental Health, Division of Psychiatry, Haukeland University Hospital, Norway
      sug:
        subj:
          Learning Disorders Epidemiology
          Affective Symptoms Epidemiology
          Attention Deficit Hyperactivity Disorder Epidemiology
          Male
          Health Services Accessibility Statistics and Numerical Data
          Female
          Patient Attitudes
          Norway
          Child
          Sex Factors
          Comorbidity
          Arthritis Impact Measurement Scales
          Scales
          Child: 6-12 years
          Male
          Female
      ab: Background: Co-occurring problems are common in individuals with clinical autism spectrum disorder (ASD) but their relevance for impairment and contact with health services in ASD is largely unexplored.Aims: We investigated the extent of co-occurring problems in children with high ASD traits from a total population sample. We explored the contribution of co-occurring problems to impairment and service contact, and whether there were children without co-occurring problems in this group; as proxy for "ASD only".Methods and Procedures: Children screening positive on the Autism Spectrum Screening Questionnaire (ASSQ) were used as proxy for ASD. Attention Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder (ODD) were operationalised using symptom counts. A parent or teacher report above the 95th percentile counted as "problem" present for other symptom domains.Outcomes and Results: 92% of ASSQ high-scorers had a minimum of two other problems. Emotional problems, ADHD symptoms and learning problems were the most commonly reported problems, also predicting impairment and contact with services.Conclusions and Implications: Co-occurring problems were common in ASD screen positive children and contributed strongly to both impairment and to contact with services. Gender differences indicated that female symptoms were perceived as less impairing by parents and teachers.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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