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
A Comparative Study of the Effects of a Developmentally Based Instructional Model on Young Children with Autism and Young Children with Other Disorders of Behavior and Development
Sally J. Rogers,David L. DiLalla +1 more
TL;DR: In this article, the progress made by two different groups of preschool children, those with autism or related disorders and those with other emotional/behavioral and developmental disorders, in a particular instru...
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The use of pharmacotherapy in the treatment of pediatric insomnia in primary care: rational approaches. A consensus meeting summary.
Judith A. Owens,Deborah Babcock,Jeffrey L. Blumer,Ronald D. Chervin,Richard Ferber,Mark G. Goetting,Daniel Glaze,Anna Ivanenko,Jodi A. Mindell,Marsha Rappley,Carol L. Rosen,Stephen H. Sheldon +11 more
TL;DR: In this paper, a multidisciplinary task force developed under the auspices of the American Academy of Sleep Medicine, which included experts in pediatric sleep medicine, psychiatry, pharmacology, neurology, and general pediatrics, formulated a rational approach to the pharmacologic treatment of pediatric insomnia, and developed clinical guidelines regarding indications, target populations, and parameters for the use of these medications, especially by community-based pediatricians.
Journal ArticleDOI
An open-label trial of escitalopram in pervasive developmental disorders.
Thomas Owley,Laura Walton,Jeff Salt,Stephen J. Guter,Marrea Winnega,Bennett L. Leventhal,Edwin H. Cook +6 more
TL;DR: This open-label study found escitalopram to be useful in treating some difficulties common in PDDs and a wide variability in dose was found that could not be accounted for by weight and only partially by age.
Journal ArticleDOI
Targeted treatments for symptom domains in child and adolescent autism
TL;DR: These and other studies show how developments in study design, selection of patients, and outcome measures have allowed treatment trials in autism to progress beyond anecdotal reports and case observations, and show reduction in the severity of specific symptom domains within these disorders.
Journal ArticleDOI
Parent-Pediatrician Communication about Complementary and Alternative Medicine Use for Children:
TL;DR: Despite parents’ significant interest in discussion about CAM, few factors were associated with adequate parent-pediatrician communication and factors associated with increased disclosure to the pediatrician were CAM use in children younger than 6 years, and parent CAM non-use.