Timing of parents’ concerns related to autism spectrum disorder and its diagnosisA mediation analysis

  1. Dunia Garrido 1
  2. Gloria Carballo 1
  3. Jonet Artis 2
  4. Rocio Garcia-Retamero 1
  1. 1 Universidad de Granada
    info

    Universidad de Granada

    Granada, España

    ROR https://ror.org/04njjy449

  2. 2 University of North Carolina at Chapel Hill
    info

    University of North Carolina at Chapel Hill

    Chapel Hill, Estados Unidos

    ROR https://ror.org/0130frc33

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2018

Número: 21

Páginas: 1-8

Tipo: Artículo

DOI: 10.1017/SJP.2018.64 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Resumen

Parents are the first to indicate concerns about their child’s development in up to 80% of children with autism spectrum disorder (ASD). They often notice symptoms related to ASD around the first two years, but the average age of diagnosis is 3.5 years old. This study examined the relationships between parents’ early concerns and the time lag between suspicion and diagnosis. Forty-eight Spanish-speaking families were enrolled in this study. Parents were asked about early signs that made them think that their child could possibly have ASD. Mediation analyses showed that the child’s age at suspicion mediated between sibling status and the time lag between suspicion and a formal diagnosis (β = –.53, p < .01). Having another child with typical development accelerated parents’ detection of ASD signs (β = –.62, p < .001). The number of social-communication concerns that parents detected mediated this relationship (β = –.28, p < .01). Parents who reported more social-communication concerns perceived these signs earlier, but have to cope with a longer time lag until diagnosis than those who reported more concerns related to restrictive and repetitive behaviors and interests, or other developmental concerns. Moreover, this relationship between concerns of ASD and the diagnoses was explained by the child’s age. Training pediatricians on how to respond to parent questions and concerns could reduce the time lag between parents’ concerns and diagnosis of ASD.

Referencias bibliográficas

  • American Psychiatric Association (APA) (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Washington, DC: American Psychiatric Press.
  • American Psychiatric Association (APA) (2000). Diagnostic and statistical manual-text revision (DSM–IV–TR, 2000). Washington, DC: American Psychiatric Association.
  • Barbaro, J., & Dissanayake, C. (2009). Autism spectrum disorders in infancy and toddlerhood: A review of the evidence on early signs, early identification tools, and early diagnosis. Journal of Developmental and Behavioral Pediatrics, 30(5), 447–459. https://doi.org/10.1097/DBP.0b013e3181ba0f9f
  • Begeer, S., Mandell, D., Wijnker-Holmes, B., Venderbosch, S., Rem, D., Stekelenburg, F., & Koot, H. M. (2013). Sex differences in the timing of identification among children and adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(5), 1151–1156. https://doi.org/10.1007/s10803-012-1656-z
  • Chamak, B., Bonniau, B., Oudaya, L., & Ehrenberg, A. (2011). The autism diagnostic experiences of French parents. Autism, 15(1), 83–97. https://doi.org/10.1177/1362361309354756
  • Daniels, A. M., & Mandell, D. S. (2014). Explaining differences in age at autism spectrum disorder diagnosis: A critical review. Autism: The International Journal of Research and Practice, 18(5), 583–597. https://doi.org/10.1177/1362361313480277
  • Developmental Disabilities Monitoring Network Surveillance Year 2010 Principal Investigators, & Centers for Disease Control and Prevention (CDC). (2014). Prevalence of autism spectrum disorder among children aged 8 years - Autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report. Surveillance Summaries, 63(2), 1–21.
  • Díaz-Atienza, F., García-Pablos, C., & Martín-Romera, A. (2004). Diagnóstico precoz de los trastornos generalizados del desarrollo [Early detection of pervasive developmental disorder]. Revista de Psiquiatría y Psicología del Niño y del Adolescente, 4(2), 127–144.
  • Fortea-Sevilla, M., Escandell-Bermúdez, M., & Castro-Sánchez, J. J. (2013). Detección temprana del autismo: Profesionales implicados. [Early ASD detection: Professionals involved]. Revista Española De Salud Pública, 87(2), 191–199.
  • Fountain, C., King, M. D., & Bearman, P. S. (2011). Age of diagnosis for autism: Individual and community factors across 10 birth cohorts. Journal of Epidemiology and Community Health, 65(6), 503–510. https://doi.org/10.1136/jech.2009.104588
  • Guilliam, J. E. (2004). Guilliam Autism Rating Scale. Austin, TX: Pro-Ed.
  • Guinchat, V., Chamak, B., Bonniau, B., Bodeau, N., Perisse, D., Cohen, D., & Danion, A. (2012). Very early signs of autism reported by parents include many concerns not specific to autism criteria. Research in Autism Spectrum Disorders, 6(2), 589–601. https://doi.org/10.1016/j.rasd.2011.10.005
  • Herlihy, L., Knoch, K., Vibert, B., & Fein, D. (2015). Parents’ first concerns about toddlers with autism spectrum disorder: Effect of sibling status. Autism, 19(1), 20–28. https://doi.org/10.1177/1362361313509731
  • Kishore, M. T., & Basu, A. (2011). Early concerns of mothers of children later diagnosed with autism: Implications for early identification. Research in Autism Spectrum Disorders, 5(1), 157–163. https://doi.org/10.1016/j.rasd.2010.03.005
  • Klin, A., Klaiman, C., & Jones, W. (2015). Rebajar la edad de diagnóstico del autismo: La neurociencia del desarrollo social afronta un importante problema de salud pública [Reducing age of autism diagnosis: Developmental social neuroscience meets public health challenge]. Revista de Neurologia, 60(Supl.1), S3–S11.
  • Le Couteur, A., Lord, C., & Rutter, M. (2003). The autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Services.
  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism Diagnostic Observation Schedule-WPS (ADOS-WPS). Los Angeles, CA: Western Psychological Services.
  • Maestro, S., Muratori, F., Cesari, A., Cavallaro, M. C., Paziente, A., Pecini, C., … Sommario, C. (2005). Course of autism signs in the first year of life. Psychopathology, 38(1), 26–31. https://doi.org/10.1159/000083967
  • Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486. https://doi.org/10.1542/peds.2005-0185
  • Meek, S. E., Robinson, L. T., & Jahromi, L. B. (2012). Parent–child predictors of social competence with peers in children with and without autism. Research in Autism Spectrum Disorders, 6(2), 815–823. https://doi.org/10.1016/j.rasd.2011.11.001
  • Mishaal, R. A., Ben-Itzchak, E., & Zachor, D. A. (2014). Age of autism spectrum disorder diagnosis is associated with child’s variables and parental experience. Research in Autism Spectrum Disorders, 8(7), 873–880. https://doi.org/10.1016/j.rasd.2014.04.001
  • Monteiro, S. A., Spinks-Franklin, A., Treadwell-Deering, D., Berry, L., Sellers-Vinson, S., Smith, E., … Voigt, R. G. (2015). Prevalence of autism spectrum disorder in children referred for diagnostic autism evaluation. Clinical Pediatrics, 54(14), 1322–1327. https://doi.org/10.1177/0009922815592607
  • Mooney, E. L., Gray, K. M., & Tonge, B. J. (2006). Early features of autism: Repetitive behaviors in young children. European Journal of Child Adolescent Psychiatry, 15(12), 12–18. https://doi.org/10.1007/s00787-006-0499-6
  • Pozo, P., & Sarria, E. (2014). Prediction of stress in mothers of children with autism spectrum disorders. The Spanish Journal of Psychology, 17, E6. https://doi.org/10.1017/sjp.2014.6
  • Rosenberg, R. E., Landa, R., Law, J. K., Stuart, E. A., & Law, P. A. (2011). Factors affecting age at initial autism spectrum disorder diagnosis in a national survey. Autism Research and Treatment, 2011, ID 874619. https://doi.org/10.1155/2011/874619
  • Salomone, E., Charman, T., McConachie, H., & Warreyn, P. (2016). Child’s verbal ability and gender are associated with age at diagnosis in a sample of young children with ASD in Europe. Child: Care, Health and Development, 42(1), 141–145. https://doi.org/10.1111/cch.12261
  • Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., … Cuniff, C. (2009). Timing of identification among children with an autism spectrum disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child & Adolescent Psychiatry, 48(5), 474–483. https://doi.org/10.1097/CHI.0b013e31819b3848
  • Volkmar, F. R., Chawarska, K., & Klin, A. (2008). Autism spectrum disorders in infants and toddlers: An introduction. In Chawarska, K., Klin, A., & Volkmar, F. R. (Eds.), Autism spectrum disorders in infants and toddlers: Diagnosis, assessment and intervention (pp. 1–22). New York, NY: Guilford Press.
  • Zuckerman, K. E., Lindly, O. J., & Sinche, B. K. (2015). Parental concerns, provider response, and timeliness of autism spectrum disorder diagnosis. The Journal of Pediatrics, 166(6), 1431–1439. e1. https://doi.org/10.1016/j.jpeds.2015.03.007
  • Zwaigenbaum, L., Bryson, S., Rogers, T., Roberts, W., Brian, J., & Szatmari, P. (2005). Behavioral manifestations of autism in the first year of life. International Journal of Developmental Neuroscience, 23(2), 143–152. https://doi.org/10.1016/j.ijdevneu.2004.05.001