AUTISTIC SEVERITY AND PSYCHIATRIC COMORBIDITY AMONG CHILDREN WITH AUTISM SPECTRUM DISORDER | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 11, Volume 9, Issue 1, April 2022, Page 283-307 PDF (775.43 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2022.84862.1125 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Zoromba   1; Heba El-Gazar2; Ahmed Loutfy3; Ohoud El-Sheikh4; Ahmed El-Monshed5
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| 1Lecturer of Psychiatric Nursing, Mansoura University | ||||
| 2Lecturer of nursing administration, Port Said University | ||||
| 3Lecturer of pediatric nursing, Beni-Suef University | ||||
| 4Assistant professor of pediatric Nursing, Mansoura University | ||||
| 5Lecturer of psychiatric nursing, Mansoura University | ||||
| Abstract | ||||
| Background: Autism Spectrum Disorder is a neurodevelopmental disorder with unclearly identified psychopathology. Aim: To assess the severity of autism and psychiatric comorbidity among children with autism. Subjects and Method:Design: A descriptive study was utilized. Setting: study conducted at outpatient clinics of the Psychiatric Department, Mansoura University Hospitals. Subject: study include a sample of (84) preschool children diagnosed with autism. Tools: Data collected using three tools; I- Demographic and developmental characteristics of children, and clinical condition of mothers during pregnancy, II- Gilliam Autism Rating Scale, and III- Mini International Neuropsychiatric Interview for children.Results: Revealed that 72% of studied children with moderate autism severity. Siblings number, age of the mothers during pregnancy, mother comorbid physical complaint during pregnancy, and child age of walking, related significantly to autism severity. More than two thirds (68%) of children with autism comorbid with psychiatric disorders. Anxiety is the most common (35.7%) followed by attention deficit hyperactivity disorder (32.1%). Numbers of comorbid disorders are related significantly to autism severity. Conclusion: Numbers of comorbid disorders related significantly to autism severity. Moreover, the severity of autism related significantly to socio-demographic, developmental characteristics and psychiatric co-morbidity. Recommendations: Caring of comorbid psychiatric disorders may alleviate autistic severity, consequently, comorbid psychiatric disorders should be considered in assessment and intervention of children with autism. Keywords: | ||||
| Keywords | ||||
| Autistic severity; Autism spectrum disorder; Psychiatric Co-morbidity | ||||
| References | ||||
|
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Ames, C. S., & White, S. J. (2011). Brief report: Are ADHD traits dissociable from the autistic profile? Links between cognition and behaviour. Journal of Autism and Developmental Disorders, 41(3), 357–363. https://doi.org/10.1007/s10803-010-1049-0
Amr, M., Bu Ali, W., Hablas, H., Raddad, D., El-Mehesh, F., El-Gilany, A. H., & Al-Shamy, H. (2012). Sociodemographic factors in Arab children with Autism Spectrum Disorders. The Pan African Medical Journal, 13, 65.
Amr, M., Raddad, D., El-Mehesh, F., Bakr, A., Sallam, K., & Amin, T. (2012). Comorbid psychiatric disorders in Arab children with Autism spectrum disorders. Research in Autism Spectrum Disorders, 6(1), 240–248. https://doi.org/10.1016/j.rasd.2011.05.005
Belardinelli, C., Raza, M., & Taneli, T. (2016). Comorbid Behavioral Problems and Psychiatric Disorders in Autism Spectrum Disorders. 2(2), 1–9. https://doi.org/10.4172/2472-1786.100019
Brookman-Frazee, L., Stadnick, N., Chlebowski, C., Baker-Ericzén, M., & Ganger, W. (2018). Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services. Autism : The International Journal of Research and Practice, 22(8), 938–952. https://doi.org/10.1177/1362361317712650
Cassidy, A. (2013). Encyclopedia of Autism Spectrum Disorders (F. R. Volkmar, ed.). New York, NY: Springer New York. https://doi.org/10.1007/978-1-4419-1698-3_1348
El-Baz, F., Ismael, N. A., & El-Din, S. M. N. (2011). Risk factors for autism: An Egyptian study. Egyptian Journal of Medical Human Genetics, 12(1), 31–38. https://doi.org/http://dx.doi.org/10.1016/j.ejmhg.2011.02.011
Elbahaaey, W., Elkholy, M., Tobar, S., & El-Boraie, H. (2016). Egyptian children with autism spectrum disorders: risk factors and comorbidity in relation to disease severity. Egyptian Journal of Psychiatry, 37(2), 59. https://doi.org/10.4103/1110-1105.193023
Eow, S. Y., Gan, W. Y., Lim, P. Y., Awang, H., & Mohd Shariff, Z. (2020). Factors associated with autism severity among Malaysian children with Autism Spectrum Disorder. Research in Developmental Disabilities, 100, 103632. https://doi.org/10.1016/j.ridd.2020.103632
Frazier, J. A., Biederman, J., Bellorde, C. A., Garfield, S. B., Geller, D. A., & Coffey, B. J. (2001). Faraone SV Should the diagnosis of attention-deficit/hyperactivity disorder be considered in children with pervasive developmental disorder? J Atten Disord, 4. https://doi.org/10.1177/108705470100400402
Freitag, C. M. (2007, January). The genetics of autistic disorders and its clinical relevance: A review of the literature. Molecular Psychiatry, Vol. 12, pp. 2–22. Mol Psychiatry. https://doi.org/10.1038/sj.mp.4001896
Fuld, S. (2018). Autism Spectrum Disorder: The Impact of Stressful and Traumatic Life Events and Implications for Clinical Practice. Clinical Social Work Journal, 46(3), 210–219. https://doi.org/10.1007/s10615-018-0649-6
Germain, B., Eppinger, M. A., Mostofsky, S. H., DiCicco-Bloom, E., & Maria, B. L. (2015). Recent Advances in Understanding and Managing Autism Spectrum Disorders. Journal of Child Neurology, 30(14), 1887–1920. https://doi.org/10.1177/0883073815601499
Ghanem, M., & Salah, A. (1992). arabic version of MINI-kid (1st ed.). Cairo.
Gilliam, J. E. (1995). The Gilliam autism rating scale : GARS. Austin, TX: Pro-Ed.
Hollocks, M. J., Lerh, J. W., Magiati, I., Meiser-Stedman, R., & Brugha, T. S. (2019, March). Anxiety and depression in adults with autism spectrum disorder: A systematic review and meta-analysis. Psychological Medicine, Vol. 49, pp. 559–572. Cambridge University Press. https://doi.org/10.1017/S0033291718002283
Hossain, M. M., Khan, N., Sultana, A., Ma, P., McKyer, E. L. J., Ahmed, H. U., & Purohit, N. (2020). Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses. Psychiatry Research, 287, 1–30. https://doi.org/10.1016/j.psychres.2020.112922
Hudson, C. C., Hall, L., & Harkness, K. L. (2019). Prevalence of Depressive Disorders in Individuals with Autism Spectrum Disorder: a Meta-Analysis. Journal of Abnormal Child Psychology, 47(1), 165–175. https://doi.org/10.1007/s10802-018-0402-1
Kentrou, V., de Veld, D. M., Mataw, K. J., & Begeer, S. (2019). Delayed autism spectrum disorder recognition in children and adolescents previously diagnosed with attention-deficit/hyperactivity disorder. Autism : The International Journal of Research and Practice, 23(4), 1065–1072. https://doi.org/10.1177/1362361318785171
King, M. D., Fountain, C., Dakhlallah, D., & Bearman, P. S. (2009). Estimated autism risk and older reproductive age. American Journal of Public Health, 99(9), 1673–1679. https://doi.org/10.2105/AJPH.2008.149021
Kolevzon, A., Gross, R., & Reichenberg, A. (2007, April). Prenatal and perinatal risk factors for autism: A review and integration of findings. Archives of Pediatrics and Adolescent Medicine, Vol. 161, pp. 326–333. American Medical Association. https://doi.org/10.1001/archpedi.161.4.326
Lai, M. C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., … Ameis, S. H. (2019). Prevalence of co-occurring mental health diagnoses in the autism population: a systematic review and meta-analysis. The Lancet Psychiatry, 6(10), 819–829. https://doi.org/10.1016/S2215-0366(19)30289-5
Lane, A., Harpster, K., & Heathcock, J. (2012). Motor characteristics of young children referred for possible autism spectrum disorder. Pediatric Physical Therapy, 24(1), 21–29. https://doi.org/10.1097/PEP.0b013e31823e071a
Lugo Marín, J., Alviani Rodríguez-Franco, M., Mahtani Chugani, V., Magán Maganto, M., Díez Villoria, E., & Canal Bedia, R. (2018). Prevalence of Schizophrenia Spectrum Disorders in Average-IQ Adults with Autism Spectrum Disorders: A Meta-analysis. Journal of Autism and Developmental Disorders, 48(1), 239–250. https://doi.org/10.1007/s10803-017-3328-5
Lundström, S., Mårland, C., Kuja-Halkola, R., Anckarsäter, H., Lichtenstein, P., Gillberg, C., & Nilsson, T. (2019). Assessing autism in females: The importance of a sex-specific comparison. Psychiatry Research, 282. https://doi.org/10.1016/j.psychres.2019.112566
Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., … Dietz, P. M. (2020). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR. Surveillance Summaries, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1
Mansour, R., Dovi, A. T., Lane, D. M., Loveland, K. A., & Pearson, D. A. (2017). ADHD severity as it relates to comorbid psychiatric symptomatology in children with Autism Spectrum Disorders (ASD). Research in Developmental Disabilities, 60, 52–64. https://doi.org/10.1016/j.ridd.2016.11.009
Memari, A., Ziaee, V., Mirfazeli, F., & Kordi, R. (2012). Investigation of Autism Comorbidities and Associations in a School-Based Community Sample. 25, 84–90. https://doi.org/10.1111/j.1744-6171.2012.00325.x
Mishaal, R. A., Ben-Itzchak, E., & Zachor, D. A. (2014). Age of autism spectrum disorder diagnosis is associated with child’s variables and parental experience. Research in Autism Spectrum Disorders, 8(7), 873–880. https://doi.org/10.1016/j.rasd.2014.04.001
Mohamed, A. (2006). Gilliam Autism Rating Scale Arabic version. Cairo: Dar Alrshad.
Nahar, A., Thippeswamy, H., Shanker Reddy, M. S., Kishore, M. T., & Chaturvedi, S. K. (2019). Psychiatric comorbidity in persons with high-functioning autism spectrum disorders: Findings from a tertiary care neuropsychiatric hospital. Asian Journal of Psychiatry, 41, 50–53. https://doi.org/10.1016/j.ajp.2018.09.008
Peterson, K. M., Piazza, C. C., & Volkert, V. M. (2016). A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorder. Journal of Applied Behavior Analysis, 49(3), 485–511. https://doi.org/10.1002/jaba.332
Reichenberg, A., Gross, R., Weiser, M., Bresnahan, M., Silverman, J., Harlap, S., … Susser, E. (2006). Advancing paternal age and autism. Archives of General Psychiatry, 63(9), 1026–1032. https://doi.org/10.1001/archpsyc.63.9.1026
Reindal, L., Nærland, T., Weidle, B., Lydersen, S., Andreassen, O. A., & Sund, A. M. (2019). Age of First Walking and Associations with Symptom Severity in Children with Suspected or Diagnosed Autism Spectrum Disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-04112-y
Richa, S., Fahed, M., Khoury, E., & Mishara, B. (2014, October). Suicide in Autism Spectrum Disorders. Archives of Suicide Research, Vol. 18, pp. 327–339. Routledge. https://doi.org/10.1080/13811118.2013.824834
Şahin, B., Karabekiroğlu, K., Bozkurt, A., Usta, M. B., Aydın, M., & Çobanoğlu, C. (2018). The Relationship of Clinical Symptoms with Social Cognition in Children Diagnosed with Attention Deficit Hyperactivity Disorder, Specific Learning Disorder or Autism Spectrum Disorder. Psychiatry Investigation, 15(12), 1144–1153. https://doi.org/10.30773/pi.2018.10.01
Sheehan, D. V, Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., … Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59 Suppl 2, 22–57.
Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric Disorders in Children With Autism Spectrum Disorders: Prevalence, Comorbidity, and Associated Factors in a Population-Derived Sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921–929. https://doi.org/10.1097/CHI.0b013e318179964f
Sinzig, J., Walter, D., & Doepfner, M. (2009). Attention deficit/hyperactivity disorder in children and adolescents With autism spectrum disorder: Symptom or syndrome? Journal of Attention Disorders, 13(2), 117–126. https://doi.org/10.1177/1087054708326261
Skokauskas, N., & Gallagher, L. (2009, December). Psychosis, affective disorders and anxiety in autistic spectrum disorder: Prevalence and nosological considerations. Psychopathology, Vol. 43, pp. 8–16. Psychopathology. https://doi.org/10.1159/000255958
Tarbox, J., Dixon, D. R., Sturmey, P., & Matson, J. L. (2014). Handbook of Early Intervention for Autism Spectrum Disorders: Research, Policy, and Practice. Springer New York. Retrieved from https://books.google.com.eg/books?id=iFlFAwAAQBAJ
Turkington, C., & Anan, R. (2007). The Encyclopedia of Autism Spectrum Disorders. In Childhood A Global Journal Of Child Research.
Tye, C., Runicles, A. K., Whitehouse, A. J. O., & Alvares, G. A. (2019). Characterizing the Interplay Between Autism Spectrum Disorder and Comorbid Medical Conditions: An Integrative Review. Frontiers in Psychiatry, 9, 751. https://doi.org/10.3389/fpsyt.2018.00751
Van Santen, J. P. H., Sproat, R. W., & Hill, A. P. (2013). Quantifying repetitive speech in autism spectrum disorders and language impairment. Autism Research : Official Journal of the International Society for Autism Research, 6(5), 372–383. https://doi.org/10.1002/aur.1301
van Steensel, F. J. A., Bögels, S. M., & Perrin, S. (2011, September). Anxiety Disorders in Children and Adolescents with Autistic Spectrum Disorders: A Meta-Analysis. Clinical Child and Family Psychology Review, Vol. 14, pp. 302–317. Clin Child Fam Psychol Rev. https://doi.org/10.1007/s10567-011-0097-0
van Steensel, F. J. A., & Heeman, E. J. (2017). Anxiety Levels in Children with Autism Spectrum Disorder: A Meta-Analysis. Journal of Child and Family Studies, 26(7), 1753–1767. https://doi.org/10.1007/s10826-017-0687-7
Vannucchi, G., Masi, G., Toni, C., Dell’Osso, L., Erfurth, A., & Perugi, G. (2014, October). Bipolar disorder in adults with Asperger’s Syndrome: A systematic review. Journal of Affective Disorders, Vol. 168, pp. 151–160. Elsevier. https://doi.org/10.1016/j.jad.2014.06.042
Zahid, S., & Upthegrove, R. (2017). Suicidality in Autistic Spectrum Disorders. Crisis, 38(4). https://doi.org/10.1027/0227-5910/A000458
Zoromba, M., Abdellatif, S., & El-Boraie, O. (2017). Autistic symptoms and adaptive behavior among Egyptian children with autism spectrum disorder. Mansoura Nursing Journal MNJ, 4(1). Retrieved from http://193.227.1.160/eulc_v5/Libraries/UploadFiles/DownLoadFile.aspx?RelatedBibID=NTYyZGUzYjUtMGQxYS00OTkyLTg3MTgtNGIxMDQ0ZWNjMGNlX2l0ZW1zXzEyNjA2MTgxXzExOTA2OTQxX18=&filename=12.pdf | ||||
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