Factors associated with autism severity among Malaysian children with Autism Spectrum Disorder

Eow, Shiang Yen; Gan, Wan Ying; Lim, Poh Ying; Awang, Hamidin; Shariff, Zalilah Mohd

doi:10.1016/j.ridd.2020.103632

Cited by 17 publications

(11 citation statements)

References 45 publications

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“…Contrary to the current study findings, a recent study stated that the father's employment status and perceived child weight were the significant predictors of autism severity and suggested that paternal unemployment might have resulted in higher parental participation in early intervention for their children (Eow, Gan, Lim, Awang, & Mohd Shariff, 2020).…”

Section: Table (5)contrasting

confidence: 99%

Autistic Severity and Psychiatric Comorbidity Among Children With Autism Spectrum Disorder

Zoromba

El‐Gazar

Loutfy

et al. 2022

Port Said Scientific Journal of Nursing

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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.

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Section: Table (5)contrasting

confidence: 99%

Autistic Severity and Psychiatric Comorbidity Among Children With Autism Spectrum Disorder

Zoromba

El‐Gazar

Loutfy

et al. 2022

Port Said Scientific Journal of Nursing

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“…This current study reported mild and moderate ASD among the respondents. The findings differed from a study by Eow et al (2020), which reported that 78.1% of the Television viewing time, computer time and total screen time were reported to be significantly higher in 3 to 11 years old children with ASD compared to typically developing children in the USA (Must et al, 2014). The higher screen time recorded by autistic children can be because of the use of screen media devices to control the tantrums of autistic children (Dunckley, 2016).…”

Section: Discussioncontrasting

confidence: 71%

The association of screen time with physical activity and weight status of autistic children in Kuala Lumpur, Malaysia

Rozaini

Sariman

Rashed

et al. 2022

NFS

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Purpose The purpose of this study was to evaluate the screen time used by Autism Spectrum Disorder (ASD) children and its association with their physical activity and weight status. Design/methodology/approach This cross-sectional study was conducted among 100 purposive sampled children registered under the National Autism Society of Malaysia centres in Kuala Lumpur. Parents-administered questionnaire composed of socio-demographic, anthropometric data (height and weight of the children), Autism Severity Questionnaire, Screen Time Questionnaire and Physical Activity Questionnaire for Older Children (PAQ-C) was used in this study. Findings Respondents in this study were categorised as having mild ASD (55%). Most of the respondents had higher screen time (78%), with average (4.14 ± 3.19) h spent using the devices. The respondents had low physical activity level (54%), with average PAQ-C scores of (2.38 ± 0.79). Average BMI-for-age z-scores was 1.06 ± 2.15, which was in the normal category. Approximately, 34% of the respondents were overweight and obese. BMI-for-age was positively associated with screen time during weekdays (χ2 = 11.06; p < 0.05) but not during weekend (χ2 = 3.14; p > 0.05). Spearman correlation test showed negative relationships between screen time on weekdays (rs = −0.30 and p < 0.01) and weekend (rs = −0.21 and p < 0.05) with PAQ-C of this group of ASD children. Practical implications Screen time was directly associated with the BMI-for-age z-score but was inversely associated with physical activity. Future studies could implement a structured physical activity intervention among children with ASD, which may increase physical activity and decrease screen time behaviours while addressing the overweight/obesity and cognitive aspects of these ASD children. Originality/value This study measured the amount of screen time, level of physical activity and weight status but not dietary intake of autistic children.

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“…A Malaysian study regarding feeding practices in children with ASD also found that the majority (94.6%) practiced an authoritarian parenting style. 29 In this study, authoritarian caregiver feeding style was associated with feeding difficulties. Studies have found varying relationships between parental feeding style and child's feeding difficulties.…”

Section: Discussionmentioning

confidence: 60%

Feeding difficulties in Asian children with autism spectrum disorder

Kang

Teo

Tan

et al. 2022

Pediatrics & Neonatology

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Background: To characterize the nature and severity of feeding difficulties in Asian young children with Autism Spectrum Disorders (ASD) and identify potential predictors of poorer feeding outcomes.Methods: Cross sectional study of children aged 1e7 years with ASD. Parents completed the following: demographic information, brief autism mealtime behavior inventory, aberrant behavior checklist (ABC), behavioral pediatrics feeding assessment scale (BPFAS) and caregiver feeding style questionnaire. Additional information (medical data, cognitive and developmental assessment results, e.g., Autism Diagnostic Observation Schedule Second Edition, Autism Diagnostic Interview, Revised, Vineland Adaptive Behaviour Scales, etc.) were subsequently obtained from electronic medical records retrospectively by one of the study team members. Results: Of the 67 children, 28.4% had feeding difficulties (high BPFAS total frequency score). Caregiver feeding styles were authoritarian (34.8%) or indulgent (39.4%). Child characteristics did not significantly predict for the severity of feeding difficulties. Univariate analysis revealed that authoritarian feeding style (p Z 0.001) and ABC hyperactivity score (p Z 0.006) were significantly associated with BPFAS severity score. Multivariate analysis revealed that ABC hyperactivity score remained significantly associated with BPFAS severity score after controlling for all other ABC subscale scores. A final regression model including all child characteristics and ABC scores did not reveal any significant predictors of BPFAS total frequency score (R2 Z 0.557).

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Factors associated with autism severity among Malaysian children with Autism Spectrum Disorder

Cited by 17 publications

References 45 publications

Autistic Severity and Psychiatric Comorbidity Among Children With Autism Spectrum Disorder

Autistic Severity and Psychiatric Comorbidity Among Children With Autism Spectrum Disorder

The association of screen time with physical activity and weight status of autistic children in Kuala Lumpur, Malaysia

Feeding difficulties in Asian children with autism spectrum disorder

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