Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic

Martínez-González, Agustín Ernesto; Moreno-Amador, Beatriz; Rodríguez, José Antonio Piqueras

doi:10.1016/j.ridd.2021.104038

Cited by 22 publications

(18 citation statements)

References 31 publications

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“…An approach to families perspectives. Spain/ English Mixed ( 32 ) Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic. Spain/ English Quantitative ( 33 ) The relationship between 2019-nCoV and psychological distress among parents of children with autism spectrum disorder.…”

Section: Resultsmentioning

confidence: 99%

“… Changes in the activities of daily living - changes or irregularities in the scheduled routines 7 , 15 - 16 , 49 ; - school closures 4 , 15 , 27 , 42 ; - difficulty accessing the health services 5 , 9 , 16 , 35 , 47 ; - interruption of physical and leisure activities 28 , 31 , 41 ; - incipient availability of the social support network 7 , 15 - 16 , 49 . Repercussions of the pandemic for the family members - parents’ mental distress 7 , 9 , 31 , 43 - 44 ; - incipient availability of the social support network 7 , 15 - 16 , 49 ; - professional uncertainties and financial issues 7 , 28 , 42 , 44 , 31 - 32 ; - high physical, psychological and emotional burden 8 , 13 , 31 , 41 ; - low quality of life 7 , 27 , 31 , 38 ; - impaired family dynamics 5 , 7 , 31 , 41 ...…”

Section: Resultsmentioning

confidence: 99%

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Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review

Teixeira

Xavier

Félix

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to map the diverse scientific evidence available about the repercussions of the COVID-19 pandemic for people with Autism Spectrum Disorder and their family members. Method: a scoping review conducted in the following databases: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE and Wiley Online Library, in August and September 2021. The protocol of this review was registered at the Open Science Framework under DOI 10.17605/OSF.IO/JYTVD. The data were analyzed and synthesized in a narrative way. Results: a total of 46 publications identified indicate that the pandemic period brought about countless repercussions for the population with autism and their family members when experiencing serious difficulties in the changes or irregularities of the scheduled routines and limited access to education, therapies and social support. Conclusion: the diverse evidence suggests that the COVID-19 pandemic intensified the inequalities already experienced by individuals with autism and their family members, with negative consequences in the emotional, psychological, behavioral and social aspects, interfering with the quality of life and mental health of this population segment. Future studies on individuals with autism and their families during public health crisis periods are of fundamental importance for planning psychiatric, psychosocial and educational interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review

Teixeira

Xavier

Félix

et al. 2022

Rev. Latino-Am. Enfermagem

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“…With one exception, 20 the first wave of studies documenting the impact of the pandemic on ASD/NDD youth has consistently reported worsening behavioral and/or emotional problems, 12,16,17,49,50 ASD symptoms, 49,51 and/or sleep disruptions. 10,12,50,52 Our results underscore that solely focusing on group-level effects leads to an incomplete picture of the COVID-19 pandemic impact on ASD/NDD.…”

Section: Discussionmentioning

confidence: 99%

CRISIS AFAR: An International Collaborative Study of the Impact of the COVID-19 Pandemic on Youth with Autism and Neurodevelopmental Conditions

Vibert

Segura

Gallagher

et al. 2022

Preprint

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ImportanceHeterogeneous mental health outcomes during the COVID-19 pandemic are recognized in the general population, but it has not been systematically assessed in youth with neurodevelopmental disorders (NDD), including autism spectrum (ASD).ObjectiveIdentify subgroups of youth with ASD/NDD based on the pandemic impact on symptoms and service changes, as well as predictors of outcomes.Design, Setting, and ParticipantsThis is a naturalistic observational study conducted across 14 North American and European clinical and/or research sites. Parent responses on the Coronavirus Health and Impact Survey Initiative (CRISIS) adapted for Autism and Related Neurodevelopmental Conditions (AFAR) were cross-sectionally collected from April to October 2020. The sample included 1275, 5-21 year-old youth with ASD and/or NDD who were clinically well-characterized prior to the pandemic.Main Outcomes and MeasuresTo identify impact subgroups, hierarchical clustering analyzed eleven AFAR factors measuring pre- to pandemic changes in clinically relevant symptoms and service access. Random forest classification assessed the relative contribution in predicting subgroup membership of 20 features including socio-demographics, pre-pandemic service, and clinical severity along with indices of COVID-19 related experiences and environments empirically-derived from AFAR parent responses and global open sources.ResultsClustering analyses revealed four ASD/NDD impact subgroups. One subgroup - broad symptom worsening only (20% of the aggregate sample) - included youth with worsening symptoms that were above and beyond that of their ASD/NDD peers and with similar service disruptions as those in the aggregate average. The three other subgroups showed symptom changes similar to the aggregate average but differed in service access: primarily modified services (23%), primarily lost services (6%), and average services/symptom changes (53%). Pre-pandemic factors (e.g., number of services), pandemic environments and experiences (e.g., COVID-19 cases, related restrictions, COVID-19 Worries), and age emerged in unique combinations as distinct protective or risk factors for each subgroup. Together they highlighted the role of universal risk factors, such as risk perception, and the protective role of services before and during the pandemic, in middle childhood.Conclusions and RelevanceConcomitant assessment of changes in both symptoms and services access is critical to understand heterogeneous impact of the pandemic on ASD/NDD youth. It enabled the delineation of pathways to risk and resilience that include universal and ASD/NDD specific contributors.

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“…The CBT can help improve coping and social communication strategies in individuals with ASD. Further, this type of intervention is necessary during and after the COVID-19 confinement because a high level of repetitive behaviors was found in individuals with ASD (Martínez-González et al, 2021 ). Nevertheless, it is necessary to have a multidisciplinary perspective in order to understand and influence emotional states in individuals with ASD (Andreo-Martínez et al, 2020 ; Martínez-González & Andreo-Martínez, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

Relationships Between Emotion Regulation, Social Communication and Repetitive Behaviors in Autism Spectrum Disorder

Martínez-González

Cervin

Rodríguez

2021

J Autism Dev Disord

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The relationship between emotion regulation, social interaction and different types of restricted and repetitive behaviors is poorly understood. In the present study, structural equation modeling based on information about 239 individuals with autism was used to examine whether emotion regulation and social communication were associated with self-injury and stereotyped behaviors. Results showed that poor emotion regulation had a unique association with self-injury while difficulties with social communication was uniquely associated with stereotyped behaviors. Emotion regulation and social communication were strongly associated and self-injury and stereotyped behaviors moderately associated. This implies that these types of behaviors are often expressions of broader negative emotional states in autism. Treatments that help improve coping and social communication strategies may benefit individuals with autism.

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Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic

Cited by 22 publications

References 31 publications

Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review

Repercussions of the COVID-19 pandemic for people with autism and their family members: A scoping review

CRISIS AFAR: An International Collaborative Study of the Impact of the COVID-19 Pandemic on Youth with Autism and Neurodevelopmental Conditions

Relationships Between Emotion Regulation, Social Communication and Repetitive Behaviors in Autism Spectrum Disorder

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