Management of Children With Autism Spectrum Disorders
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TLDR
Important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.Abstract:
Pediatricians have an important role not only in early recognition and evaluation of autism spectrum disorders but also in chronic management of these disorders. The primary goals of treatment are to maximize the child's ultimate functional independence and quality of life by minimizing the core autism spectrum disorder features, facilitating development and learning, promoting socialization, reducing maladaptive behaviors, and educating and supporting families. To assist pediatricians in educating families and guiding them toward empirically supported interventions for their children, this report reviews the educational strategies and associated therapies that are the primary treatments for children with autism spectrum disorders. Optimization of health care is likely to have a positive effect on habilitative progress, functional outcome, and quality of life; therefore, important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.read more
Citations
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A Placebo-Controlled, Fixed-Dose Study of Aripiprazole in Children and Adolescents With Irritability Associated With Autistic Disorder
Ronald N. Marcus,Randall Owen,Lisa Kamen,George Manos,Robert D. McQuade,William H. Carson,Michael G. Aman +6 more
TL;DR: Aripiprazole was efficacious and generally safe and well tolerated in the treatment of children and adolescents with irritability associated with autistic disorder.
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Autism Spectrum Disorders in the DSM-V: Better or Worse than the DSM-IV?.
TL;DR: It is concluded that a number of changes need to be made in order that the DSM-V-criteria might be used reliably and validly in clinical practice and research.
Journal ArticleDOI
Behavioural and developmental interventions for autism spectrum disorder: a clinical systematic review.
Maria B. Ospina,Jennifer Seida,Brenda Clark,Mohammad Karkhaneh,Lisa Hartling,Lisa Tjosvold,Ben Vandermeer,Veronica Smith +7 more
TL;DR: It is suggested that Lovaas may improve some core symptoms of ASD compared to special education, but these findings are based on pooling of a few, methodologically weak studies with few participants and relatively short-term follow-up.
The economic burden of childhood autism spectrum disorders
TL;DR: The economic burden associated with ASD is substantial and can be measured across multiple sectors of the authors' society, particularly for school systems.
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Economic Burden of Childhood Autism Spectrum Disorders
Tara A. Lavelle,Milton C. Weinstein,Joseph P. Newhouse,Kerim Munir,Karen Kuhlthau,Lisa A. Prosser +5 more
TL;DR: In this paper, the authors estimate the associations between autism spectrum disorder (ASD) diagnoses and service use, caregiver time, and cost outcomes using national data from the Medical Expenditure Panel Survey linked to the National Health Interview Survey and a study-specific survey to estimate the annual utilization and costs for health care, school, ASD-related therapy, family-coordinated services, as well as caregiver times in children aged 3 to 17 years, with and without parent-reported ASD.
References
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Journal Article
[Affective disorders in the fourth edition of the classification of mental disorders prepared by the American Psychiatric Association -- diagnostic and statistical manual of mental disorders].
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Behavioral treatment and normal educational and intellectual functioning in young autistic children.
TL;DR: The results of behavior modification treatment for two groups of similarly constituted, young autistic children showed that 47% achieved normal intellectual and educational functioning, with normal-range IQ scores and successful first grade performance in public schools.
Book
Handbook of Autism and Pervasive Developmental Disorders
TL;DR: In this article, a sibling's perspective on the diagnosis of Rett's syndrome is presented. But the authors focus on the development and social development of individuals with autism and do not address the social aspects of the disorder.
Journal ArticleDOI
Identification and Evaluation of Children With Autism Spectrum Disorders
TL;DR: This report addresses background information, including definition, history, epidemiology, diagnostic criteria, early signs, neuropathologic aspects, and etiologic possibilities in autism spectrum disorders, and provides an algorithm to help the pediatrician develop a strategy for early identification of children with autism Spectrum disorders.
Journal ArticleDOI
Adult outcome for children with autism
TL;DR: Although outcome for adults with autism has improved over recent years, many remain highly dependent on others for support and more fine-grained research is needed into the childhood variables that are associated with good or poor outcome.