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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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
Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007.
Michael D. Kogan,Stephen J. Blumberg,Laura A. Schieve,Coleen Boyle,James M. Perrin,Reem M. Ghandour,Gopal K. Singh,Bonnie Strickland,Edwin Trevathan,Peter C. van Dyck +9 more
TL;DR: The observed point-prevalence of autism spectrum disorder in the US is higher than previous US estimates, and more inclusive survey questions, increased population awareness, and improved screening and identification by providers may partly explain this finding.
Journal ArticleDOI
Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report
Timothy Buie,Daniel B. Campbell,George J. Fuchs,Glenn T. Furuta,Glenn T. Furuta,Joseph Levy,Judy VandeWater,Agnes H. Whitaker,Dan Atkins,Dan Atkins,Margaret L. Bauman,Arthur L. Beaudet,Edward G. Carr,Michael D. Gershon,Susan L. Hyman,Pipop Jirapinyo,Harumi Jyonouchi,Koorosh Kooros,Rafail I. Kushak,Pat Levitt,Susan E. Levy,Jeffery D. Lewis,Katherine F. Murray,Marvin R. Natowicz,Aderbal Sabra,Barry K. Wershil,Sharon C. Weston,Lonnie K. Zeltzer,Harland S. Winter +28 more
TL;DR: The consensus expert opinion of the panel was that individuals with ASDs deserve the same thoroughness and standard of care in the diagnostic workup and treatment of gastrointestinal concerns as should occur for patients without ASDs.
Journal ArticleDOI
Validation of the Modified Checklist for Autism in Toddlers, Revised With Follow-up (M-CHAT-R/F)
Diana L. Robins,Karís Casagrande,Marianne Barton,Chi-Ming Chen,Thyde Dumont-Mathieu,Deborah Fein +5 more
TL;DR: The M-CHAT-R/F detects many cases of ASD in toddlers; physicians using the 2-stage screener can be confident that most screen-positive cases warrant evaluation and referral for early intervention.
References
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Journal ArticleDOI
Frequency of gastrointestinal symptoms in children with autistic spectrum disorders and association with family history of autoimmune disease.
Maria Valicenti-McDermott,Kathryn McVicar,Isabelle Rapin,Barry K. Wershil,Herbert J. Cohen,Shlomo Shinnar +5 more
TL;DR: There was no association between a family history of autoimmune disease and GI symptoms in children with ASD and the multivariate analysis, autism and food selectivity were associated with GI symptoms.
Journal ArticleDOI
Clonidine treatment of hyperactive and impulsive children with autistic disorder.
TL;DR: Clonidine was modestly effective in the short-term treatment of irritability and hyperactivity in some children with autistic disorder.
Journal ArticleDOI
The Murdoch Early Intervention Program after 2 years.
Jay S. Birnbrauer,David J. Leach +1 more
TL;DR: The goal of the Murdoch Early Intervention Program was to replicate the intensive early intervention program designed by O. I. Lovaas for 24 to 48 mo old children with severe developmental disability and autism as discussed by the authors.
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What is complementary medicine
TL;DR: Over the years, “complementary” has changed from describing this relation between unconventional healthcare disciplines and conventional care to defining the group of disciplines itself, and changing and overlapping terminology may explain some of the confusion that surrounds the subject.
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Ten years on: a longitudinal study of families of children with autism
TL;DR: The results of a longitudinal, ethnographic study of the psychosocial adaptation of parents of children with autism as mentioned in this paper indicated that most parents have experienced improvements in terms of their own psychological well-being, the social experiences of their immediate family members and their relations with members of their extended family.