The role of physical environmental characteristics and intellectual disability in conduct problem trajectories across childhood: A population-based Cohort study

Baird, Alister; Papachristou, Efstathios; Hassiotis, Angela; Flouri, Eirini

doi:10.1016/j.envres.2022.112837

Cited by 7 publications

(33 citation statements)

References 100 publications

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“…The home and family environmental psychosocial factors appear to be important in the outcomes of children with ASD. Conduct problems are related to socioeconomic factors in children with intellectual disabilities [ 82 ]. Most importantly, parental characteristics may be key to the child’s success, as studies have shown improved outcomes in parents with more psychological support [ 83 ], positive emotionality [ 84 ], engagement with the child [ 85 ] and in those that can accept the diagnosis and understand their child’s perspective [ 86 ].…”

Section: Specific Factors To Address In Autism Spectrum Disordermentioning

confidence: 99%

A Personalized Multidisciplinary Approach to Evaluating and Treating Autism Spectrum Disorder

Frye

2022

JPM

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Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder without a known cure. Current standard-of-care treatments focus on addressing core symptoms directly but have provided limited benefits. In many cases, individuals with ASD have abnormalities in multiple organs, including the brain, immune and gastrointestinal system, and multiple physiological systems including redox and metabolic systems. Additionally, multiple aspects of the environment can adversely affect children with ASD including the sensory environment, psychosocial stress, dietary limitations and exposures to allergens and toxicants. Although it is not clear whether these medical abnormalities and environmental factors are related to the etiology of ASD, there is evidence that many of these factors can modulate ASD symptoms, making them a potential treatment target for improving core and associated ASD-related symptoms and improving functional limitation. Additionally, addressing underlying biological disturbances that drive pathophysiology has the potential to be disease modifying. This article describes a systematic approach using clinical history and biomarkers to personalize medical treatment for children with ASD. This approach is medically comprehensive, making it attractive for a multidisciplinary approach. By concentrating on treatable conditions in ASD, it is possible to improve functional ability and quality of life, thus providing optimal outcomes.

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Section: Specific Factors To Address In Autism Spectrum Disordermentioning

confidence: 99%

A Personalized Multidisciplinary Approach to Evaluating and Treating Autism Spectrum Disorder

Frye

2022

JPM

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“…Eleven longitudinal and seven cross-sectional studies (~46,684 participants) examined associations between greenspace exposure and childhood aggression [27,[99][100][101][102][103][104][105][106][107][108][109][111][112][113][114][115][116]. Five studies were carried out in the UK, 4 in the USA, 2 in Belgium, with the remaining in: Australia, Korea, Lithuania, Germany, Spain and China.…”

Section: Greenspacementioning

confidence: 99%

“…Very low quality evidence [104,109,114] reported no relationship between percentage of neighbourhood greenspace and both child and parent-reported conduct problems. Moderate quality evidence from 3 studies [27,104,114] reported inconsistent beneficial effects of access to private garden space on parent-reported conduct problems.…”

Section: Greenspacementioning

confidence: 99%

“…Eight longitudinal, and 6 cross-sectional studies from Lithuania, China, Korea, Iran, Canada, USA, and the UK (n=45,607) explored the influence of air particulate matter on behavioural outcomes in typically developing children [27,100,109,110,119,130,131,133,136,137,[139][140][141][142][143]. One study was rated as high RoB [140], one as unclear RoB [131], and the remaining as low RoB.…”

Section: Air Pollutionmentioning

confidence: 99%

“…Why proximity elicits these responses is still unclear and has been linked to competition for resources and invasion of personal space [26]. Baird et al [27] reported a beneficial association between household crowding and reduced conduct problems in children with intellectual disabilities. The authors propose several theories about these potentially counterintuitive findings, suggesting that increased availability of and proximity to family members, in intergenerational households, and parental habituation to problematic conduct behaviours are all potential mechanisms underpinning this finding.…”

Section: Introductionmentioning

confidence: 99%

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The Association Between Physical Environment and Externalising Problems in Typically Developing and Neurodiverse Children and Young People: A Narrative Review

Baird¹,

Candy²,

Flouri³

et al. 2022

Preprint

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The physical environment is of critical importance to child development. Understanding how exposure to domains of the physical environment such as greenspace, urbanicity, air pollution or noise affects externalising problems in typical and neurodiverse children is of particular importance given the significant long-term impact of those problems. In this narrative review we investigated the evidence for domains of the physical environment that may ameliorate or contribute to the display of externalising behaviours. We have considered a broad range of study designs that include typically developing and neurodiverse children and young people aged 0-18 years. We used the GRADE system to appraise the evidence. Searches were performed in 8 databases in July 2020 and updated in June 2022. Additional articles were further identified by hand-searching reference lists of included papers. The protocol for the review was preregistered with PROSPERO. Results: We retrieved 7174 studies of which 67 are included in this review. The studies reported on green space, environmental noise and music, air pollution, meteorological effects, spatial density, urban or rural setting, and home elements (e.g., damp/sensory aspects/colour). They all used well validated parent and child reported measures of externalising problems. Most of the studies were rated as having high or probably high risk of bias. Greenspace rurality and interior design had most evidence, although the certainty of the association was low. As expected, noise, air pollution, urbanicity, spatial density, colour and humidity appeared to increase the display of externalising behaviours. There was a dearth of studies on the role of the physical environment in neurodiverse children. The studies were heterogeneous and measured a range of externalising behaviours from symptoms to full syndromes. Greenspace exposure was the most common domain studied but certainty of evidence for the association between environmental exposures and externalising problems in the child or young person was low across all domains. We found a large knowledge gap in the literature concerning neurodiverse children, which suggests that future studies should focus on these children, who are also more likely to experience adverse early life experiences including living in more deprived environments as well as being highly vulnerable to the onset of mental ill health. Such research should also aim to dis-aggregate the mechanisms of action for both environmental influences on the externalising problems the results of which may point to pathways for public health interventions and policy development to address inequities that can be relevant to ill health in neurodiverse young people.

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Psychological effects of mould and damp in the home: scoping review

Brooks,

Patel,

Weston

et al. 2023

Housing Studies

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The role of physical environmental characteristics and intellectual disability in conduct problem trajectories across childhood: A population-based Cohort study

Cited by 7 publications

References 100 publications

A Personalized Multidisciplinary Approach to Evaluating and Treating Autism Spectrum Disorder

A Personalized Multidisciplinary Approach to Evaluating and Treating Autism Spectrum Disorder

The Association Between Physical Environment and Externalising Problems in Typically Developing and Neurodiverse Children and Young People: A Narrative Review

Psychological effects of mould and damp in the home: scoping review

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