Recognition of early warning signs and symptoms by caregivers, general practitioners and paediatricians – the first steps on the road to Autism Spectrum Disorder diagnosis
Objective. To identify developmental symptoms reported at firsts doctor visits by parents of children later diagnosed with Autism Spectrum Disorder (ASD). Design. Cohort study. Setting. The study was conducted in the Department of Psychiatry Research of “Prof. Dr. Alexandru Obregia” Clinical Psychia...
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Veröffentlicht in: | Annali dell'Istituto superiore di sanità 2022-01, Vol.58 (3), p.183 |
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creator | Budisteanu, Magdalena Linca, Florentina Andrei, Lucia Emanuela Mateescu, Laura Glangher, Adelina Doina Ioana Severin, Emilia Riga, Sorin Rad, Florina |
description | Objective. To identify developmental symptoms reported at firsts doctor visits by parents of children later diagnosed with Autism Spectrum Disorder (ASD). Design. Cohort study. Setting. The study was conducted in the Department of Psychiatry Research of “Prof. Dr. Alexandru Obregia” Clinical Psychiatry Hospital from Bucharest between September 2019 and May 2021. Patients. 105 cases: 82 boys and 23 girls, 100 children with autism, and 5 patients with Asperger’s syndrome. Intervention. ASD was diagnosed according to the DSM-5 criteria, ADOS-1 (Autism Diagnostic Observation Schedule, 1st Edition) and/or ADI-R (Autism Diagnostic Interview-Revised) tests scores; features reported by the parents for which they presented to the doctor for a diagnosis were taken into consideration. Main outcome measures. The age at first presentation to the doctor; the most common early signs reported by the parents of children with ASD. Results. The age at first presentation to the doctor in our group was between 9 months and 14 years. The most common early signs reported by parents were: delayed language development, deficits in understanding verbal instructions/indications, and hyperactivity and aggressivity. In the case of patients with Asperger’s syndrome, the reported features were hyperactivity and aggressivity, learning difficulties, and social interaction problems. Regression and delay in language development occurred more often in boys than in girls.Conclusions. Parents, as well as family doctors or paediatricians, should pay great attention to the children’s behaviour, alongside their cognitive and language development. Early detection is essential for early intervention and our results can be used to develop training programs for parents and paediatricians for early recognition of ASD. |
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To identify developmental symptoms reported at firsts doctor visits by parents of children later diagnosed with Autism Spectrum Disorder (ASD). Design. Cohort study. Setting. The study was conducted in the Department of Psychiatry Research of “Prof. Dr. Alexandru Obregia” Clinical Psychiatry Hospital from Bucharest between September 2019 and May 2021. Patients. 105 cases: 82 boys and 23 girls, 100 children with autism, and 5 patients with Asperger’s syndrome. Intervention. ASD was diagnosed according to the DSM-5 criteria, ADOS-1 (Autism Diagnostic Observation Schedule, 1st Edition) and/or ADI-R (Autism Diagnostic Interview-Revised) tests scores; features reported by the parents for which they presented to the doctor for a diagnosis were taken into consideration. Main outcome measures. The age at first presentation to the doctor; the most common early signs reported by the parents of children with ASD. Results. The age at first presentation to the doctor in our group was between 9 months and 14 years. The most common early signs reported by parents were: delayed language development, deficits in understanding verbal instructions/indications, and hyperactivity and aggressivity. In the case of patients with Asperger’s syndrome, the reported features were hyperactivity and aggressivity, learning difficulties, and social interaction problems. Regression and delay in language development occurred more often in boys than in girls.Conclusions. Parents, as well as family doctors or paediatricians, should pay great attention to the children’s behaviour, alongside their cognitive and language development. Early detection is essential for early intervention and our results can be used to develop training programs for parents and paediatricians for early recognition of ASD.</description><identifier>ISSN: 0021-2571</identifier><identifier>EISSN: 2384-8553</identifier><language>eng</language><publisher>Rome: Istituto Superiore di Sanità</publisher><subject>Autism ; Child development ; Children & youth ; Early intervention ; Medical diagnosis ; Parents & parenting ; Pediatrics</subject><ispartof>Annali dell'Istituto superiore di sanità, 2022-01, Vol.58 (3), p.183</ispartof><rights>2022. This work is licensed under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Budisteanu, Magdalena</creatorcontrib><creatorcontrib>Linca, Florentina</creatorcontrib><creatorcontrib>Andrei, Lucia Emanuela</creatorcontrib><creatorcontrib>Mateescu, Laura</creatorcontrib><creatorcontrib>Glangher, Adelina</creatorcontrib><creatorcontrib>Doina Ioana</creatorcontrib><creatorcontrib>Severin, Emilia</creatorcontrib><creatorcontrib>Riga, Sorin</creatorcontrib><creatorcontrib>Rad, Florina</creatorcontrib><title>Recognition of early warning signs and symptoms by caregivers, general practitioners and paediatricians – the first steps on the road to Autism Spectrum Disorder diagnosis</title><title>Annali dell'Istituto superiore di sanità</title><description>Objective. To identify developmental symptoms reported at firsts doctor visits by parents of children later diagnosed with Autism Spectrum Disorder (ASD). Design. Cohort study. Setting. The study was conducted in the Department of Psychiatry Research of “Prof. Dr. Alexandru Obregia” Clinical Psychiatry Hospital from Bucharest between September 2019 and May 2021. Patients. 105 cases: 82 boys and 23 girls, 100 children with autism, and 5 patients with Asperger’s syndrome. Intervention. ASD was diagnosed according to the DSM-5 criteria, ADOS-1 (Autism Diagnostic Observation Schedule, 1st Edition) and/or ADI-R (Autism Diagnostic Interview-Revised) tests scores; features reported by the parents for which they presented to the doctor for a diagnosis were taken into consideration. Main outcome measures. The age at first presentation to the doctor; the most common early signs reported by the parents of children with ASD. Results. The age at first presentation to the doctor in our group was between 9 months and 14 years. The most common early signs reported by parents were: delayed language development, deficits in understanding verbal instructions/indications, and hyperactivity and aggressivity. In the case of patients with Asperger’s syndrome, the reported features were hyperactivity and aggressivity, learning difficulties, and social interaction problems. Regression and delay in language development occurred more often in boys than in girls.Conclusions. Parents, as well as family doctors or paediatricians, should pay great attention to the children’s behaviour, alongside their cognitive and language development. Early detection is essential for early intervention and our results can be used to develop training programs for parents and paediatricians for early recognition of ASD.</description><subject>Autism</subject><subject>Child development</subject><subject>Children & youth</subject><subject>Early intervention</subject><subject>Medical diagnosis</subject><subject>Parents & parenting</subject><subject>Pediatrics</subject><issn>0021-2571</issn><issn>2384-8553</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNqNjUtKxEAQhhtxwOh4hwK3BvIwmbgUH7hW90ObVNoaku62qqJk5x08h5fyJMbBA7j64X98_4FJirK5SJuqKg9NkmVFnhbVJj8yxyK7LKvzuqkT8_WAbXCelIKH0ANaHmZ4t-zJOxByXsD6DmQeo4ZR4HmG1jI6ekOWc3Doke0AkW2re8pi7xfRYkdWmVqyC-T74xP0BaEnFgVRjALL5a_FwXagAa4mJRnhMWKrPI1wQxK4Q4aF43wQkrVZ9XYQPP3TE3N2d_t0fZ9GDq8Tim53YWK_RNtiU1d52dSXZfm_1g_cCWSn</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Budisteanu, Magdalena</creator><creator>Linca, Florentina</creator><creator>Andrei, Lucia Emanuela</creator><creator>Mateescu, Laura</creator><creator>Glangher, Adelina</creator><creator>Doina Ioana</creator><creator>Severin, Emilia</creator><creator>Riga, Sorin</creator><creator>Rad, Florina</creator><general>Istituto Superiore di Sanità</general><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20220101</creationdate><title>Recognition of early warning signs and symptoms by caregivers, general practitioners and paediatricians – the first steps on the road to Autism Spectrum Disorder diagnosis</title><author>Budisteanu, Magdalena ; Linca, Florentina ; Andrei, Lucia Emanuela ; Mateescu, Laura ; Glangher, Adelina ; Doina Ioana ; Severin, Emilia ; Riga, Sorin ; Rad, Florina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_27651386933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Autism</topic><topic>Child development</topic><topic>Children & youth</topic><topic>Early intervention</topic><topic>Medical diagnosis</topic><topic>Parents & parenting</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Budisteanu, Magdalena</creatorcontrib><creatorcontrib>Linca, Florentina</creatorcontrib><creatorcontrib>Andrei, Lucia Emanuela</creatorcontrib><creatorcontrib>Mateescu, Laura</creatorcontrib><creatorcontrib>Glangher, Adelina</creatorcontrib><creatorcontrib>Doina Ioana</creatorcontrib><creatorcontrib>Severin, Emilia</creatorcontrib><creatorcontrib>Riga, Sorin</creatorcontrib><creatorcontrib>Rad, Florina</creatorcontrib><collection>Public Health Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Annali dell'Istituto superiore di sanità</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Budisteanu, Magdalena</au><au>Linca, Florentina</au><au>Andrei, Lucia Emanuela</au><au>Mateescu, Laura</au><au>Glangher, Adelina</au><au>Doina Ioana</au><au>Severin, Emilia</au><au>Riga, Sorin</au><au>Rad, Florina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recognition of early warning signs and symptoms by caregivers, general practitioners and paediatricians – the first steps on the road to Autism Spectrum Disorder diagnosis</atitle><jtitle>Annali dell'Istituto superiore di sanità</jtitle><date>2022-01-01</date><risdate>2022</risdate><volume>58</volume><issue>3</issue><spage>183</spage><pages>183-</pages><issn>0021-2571</issn><eissn>2384-8553</eissn><abstract>Objective. To identify developmental symptoms reported at firsts doctor visits by parents of children later diagnosed with Autism Spectrum Disorder (ASD). Design. Cohort study. Setting. The study was conducted in the Department of Psychiatry Research of “Prof. Dr. Alexandru Obregia” Clinical Psychiatry Hospital from Bucharest between September 2019 and May 2021. Patients. 105 cases: 82 boys and 23 girls, 100 children with autism, and 5 patients with Asperger’s syndrome. Intervention. ASD was diagnosed according to the DSM-5 criteria, ADOS-1 (Autism Diagnostic Observation Schedule, 1st Edition) and/or ADI-R (Autism Diagnostic Interview-Revised) tests scores; features reported by the parents for which they presented to the doctor for a diagnosis were taken into consideration. Main outcome measures. The age at first presentation to the doctor; the most common early signs reported by the parents of children with ASD. Results. The age at first presentation to the doctor in our group was between 9 months and 14 years. The most common early signs reported by parents were: delayed language development, deficits in understanding verbal instructions/indications, and hyperactivity and aggressivity. In the case of patients with Asperger’s syndrome, the reported features were hyperactivity and aggressivity, learning difficulties, and social interaction problems. Regression and delay in language development occurred more often in boys than in girls.Conclusions. Parents, as well as family doctors or paediatricians, should pay great attention to the children’s behaviour, alongside their cognitive and language development. Early detection is essential for early intervention and our results can be used to develop training programs for parents and paediatricians for early recognition of ASD.</abstract><cop>Rome</cop><pub>Istituto Superiore di Sanità</pub><oa>free_for_read</oa></addata></record> |
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subjects | Autism Child development Children & youth Early intervention Medical diagnosis Parents & parenting Pediatrics |
title | Recognition of early warning signs and symptoms by caregivers, general practitioners and paediatricians – the first steps on the road to Autism Spectrum Disorder diagnosis |
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