Early Diagnosis and Intervention for Autism Spectrum Disorder: Need for Pediatrician-Child Psychiatrist Liaison

Manohar, Harshini; Kothiyal, Preeti; Chandrasekaran, Venkatesh; Rajkumar, Ravi Philip

doi:10.4103/ijpsym.ijpsym_154_18

Cited by 20 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We included 56 studies that reported the mean and/or median age at ASD diagnosis, of which 46 reported an overall ASD mean age at diagnosis between 30.9 and 574.4 months (Becerra-Culqui et al, 2018; Begeer et al, 2013; Bello-Mojeed et al, 2017; Bent et al, 2015; Berg et al, 2018; Bravo Oro et al, 2012; Brett et al, 2016; Carias & Wevrick, 2019; Cawthorpe, 2018; Crane et al, 2016; Daniels et al, 2017; Darcy-Mahoney et al, 2016; Emerson et al, 2016; Garrido et al, 2018; Goodwin et al, 2017; Hagberg & Jick, 2017; Hall-Lande et al, 2018; Hausman-Kedem et al, 2018; Höfer et al, 2019; Hrdlicka et al, 2016; Jo et al, 2015; Kentrou et al, 2019; Kurasawa et al, 2018; Lagunju et al, 2014; Larsen, 2015; Lo et al, 2017; Magaña et al, 2013; Manohar et al, 2019; Martinez et al, 2018; Masri et al, 2013; May et al, 2017; Mazurek et al, 2014; Miodovnik et al, 2015; Mishaal et al, 2014; Mpaka et al, 2016; Ribeiro et al, 2017; Rutherford et al, 2016; Salomone et al, 2016; Sheldrick et al, 2017; Shrestha et al, 2019; Sicherman et al, 2017; Talero-Gutiérrez et al, 2012; Ververi et al, 2012; Wei et al, 2018; Zablotsky et al, 2018). Of the 56 studies, 24 reported an overall ASD median age at diagnosis (only or combined with mean age at diagnosis score) between 28 and 96 months (Baio et al, 2018; Becerra-Culqui et al, 2018; Bent et al, 2015;…”

Section: Resultsmentioning

confidence: 99%

“…The wider mean and median ranges might be explained by the ages of the study populations. Studies that reported a lower or partly lower mean or median age in comparison to those included in the Daniels and Mandell (2014) review all included populations with children aged ⩽10 years (Christensen, Baio, et al, 2016; Christensen et al, 2019; Garrido et al, 2018; Manohar et al, 2019; Mishaal et al, 2014) or had a majority of the children aged ⩽10 years (Jo et al, 2015). Thus, the age at ASD diagnosis among these younger populations is logically lower.…”

Section: Discussionmentioning

confidence: 99%

“…Forest plot of the mean age at ASD diagnosis with 95% confidence interval. (Christensen, Baio, et al, 2016;Christensen et al, 2019;Garrido et al, 2018;Manohar et al, 2019;Mishaal et al, 2014) or had a majority of the children aged ⩽10 years (Jo et al, 2015). Thus, the age at ASD diagnosis among these younger populations is logically lower.…”

Section: Review Of Our Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Age at autism spectrum disorder diagnosis: A systematic review and meta-analysis from 2012 to 2019

Hof

Tisseur²,

Berckelear-Onnes

et al. 2020

Autism

280

109

View full text Add to dashboard Cite

Between 1990 and 2012, the global mean age at diagnosis of autism spectrum disorder ranged from 38 to 120 months. Measures have since been introduced to reduce the age at autism spectrum disorder diagnosis, but the current global mean age is unknown. This review and meta-analysis report the average age at diagnosis from studies published between 2012 and 2019. We initially identified 1150 articles, including 56 studies that reported the mean or median age at diagnosis across 40 countries (n = 120,540 individuals with autism spectrum disorder). Meta-analysis results (on 35 studies, including 55 cohorts from 35 countries, n = 66,966 individuals with autism spectrum disorder) found a current mean age at diagnosis of 60.48 months (range: 30.90–234.57 months). The subgroup analysis for studies that only included children aged ⩽10 years (nine studies, including 26 cohorts from 23 countries, n = 18,134 children with autism spectrum disorder) showed a mean age at diagnosis of 43.18 months (range: 30.90–74.70 months). Numerous factors may influence age at diagnosis and were reported by 46 studies, often with conflicting or inconclusive findings. Our study is the first to ascertain the global average age at autism spectrum disorder diagnosis from a meta-analysis. Continued efforts to lower the average age at autism spectrum disorder diagnosis are needed. Lay abstract We currently assume that the global mean age at diagnosis of autism spectrum disorder ranges from 38 to 120 months. However, this range is based on studies from 1991 to 2012 and measures have since been introduced to reduce the age at autism spectrum disorder diagnosis. We performed a systematic review and meta-analysis (statistical analysis that combines the results of multiple scientific studies) for studies published between 2012 and 2019 to evaluate the current age at autism spectrum disorder diagnosis. We included 56 studies that reported the age at diagnosis for 40 countries (containing 120,540 individuals with autism spectrum disorder). Results showed the current mean age at diagnosis to be 60.48 months (range: 30.90–234.57 months) and 43.18 months (range: 30.90–74.70 months) for studies that only included children aged ⩽10 years. Numerous factors that may influence age at diagnosis (e.g. type of autism spectrum disorder diagnosis, additional diagnoses and gender) were reported by 46 studies, often with conflicting or inconclusive results. Our study is the first to determine the global average age at autism spectrum disorder diagnosis from a meta-analysis. Although progress is being made in the earlier detection of autism spectrum disorder, it requires our constant attention.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Review Of Our Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Age at autism spectrum disorder diagnosis: A systematic review and meta-analysis from 2012 to 2019

Hof

Tisseur²,

Berckelear-Onnes

et al. 2020

Autism

280

109

View full text Add to dashboard Cite

show abstract

“…The American Academy of Pediatrics recommended to screening at 18 and 24 months of age for ASD (15). Early diagnosis is critical because early interventions can provide the best opportunity to promote healthy development and provide lifelong benefits (16,17).…”

Section: Discussionmentioning

confidence: 99%

Autism Awareness Scale for Security Officers Working in Hospitals: A Study of Validity and Reliability

Karavuş

Hıdıroğlu

Sarısaltık

et al. 2021

Clinical and Experimental Health Sciences

View full text Add to dashboard Cite

Objective: The purpose of this study was to evaluate the knowledge and awareness toward autism among security officers working in hospitals and to explore the validity and reliability of the Autism Awareness Scale for Security Officers (AASSO) developed by the researchers.Methods: This methodological study was conducted at two Government Training and Research Hospitals in Istanbul, Turkey. A total of 135 security officers were included in the study and the data were obtained between February and April 2019. The AASSO is a 4-point Likert type scale and consists of 20 items. The factor structure of the scale was extracted by performing exploratory factor analysis.Results: Most of the participants were male (n=79; 58.5%) and high school graduates (n=86; 67.7%). Participants considered autism mostly as "a kind of mental retardation" (n=69; 51.9%), followed by "social interaction problem" (n=24; 18.0%). The AASSO reduces autism awareness into 3 factors ('Coming across', 'Communication' and 'Interaction with the environment'), with eigenvalues ranging from 9.417 to 1.201 and explained 65.45% of all variance. Cronbach's alpha values for the AASSO was 0.936 and ranged from 0.921 to 0.809 for the subscales. Conclusion:According to these results AASSO is a valid and reliable scale. The consequence of further studies especially conducted on nonhealthcare professionals of hospitals should be establishing autism-friendly hospitals.

show abstract

“…Manohar et al [2] has looked into the temporal trends from the earliest symptom recognition through pediatric consultation and time of diagnosis to time of the first specific intervention. The figures brought out are somewhat comforting than the ones published in previous studies.…”

mentioning

confidence: 99%

Psychiatrist's Perspective: Invited Commentary on “Early Diagnosis and Intervention for Autism Spectrum Disorder: Need for Pediatrician-Child Psychiatrist Liaison”

Punnoose¹

2019

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

Early identification and inter vention are vital i n t h e m a n a g e m e n t o f n e u ro d e v e l o p m e n t a l disorders (NDDs), including autistic spectrum disorders (ASD). Unfortunately, delay in identification and further delay in intervention are the norms in clinical practice. Duration of untreated ASD is a variable that predicts poor outcome. [1] This delay may be due to factors such as a lack of knowledge and awareness among parents, health professionals, and teachers; the stigma of attending a psychiatric service; cultural factors; "everything will be alright as the child grows up" attitude; and lack of facilities accessible to the children in need. Identifying the relative importance of these factors is vital from a public health point of view.

show abstract

Early Diagnosis and Intervention for Autism Spectrum Disorder: Need for Pediatrician-Child Psychiatrist Liaison

Cited by 20 publications

References 13 publications

Age at autism spectrum disorder diagnosis: A systematic review and meta-analysis from 2012 to 2019

Age at autism spectrum disorder diagnosis: A systematic review and meta-analysis from 2012 to 2019

Autism Awareness Scale for Security Officers Working in Hospitals: A Study of Validity and Reliability

Psychiatrist's Perspective: Invited Commentary on “Early Diagnosis and Intervention for Autism Spectrum Disorder: Need for Pediatrician-Child Psychiatrist Liaison”

Contact Info

Product

Resources

About