Diagnostic retardé et traitement chez les enfants "avec autisme" dans l'adversité

Aperçu: G.M.

Les effets des expériences infantiles défavorisées familiales (ACE) sur le calendrier des diagnostics de TSA et la réception de thérapies ont été mesurés en utilisant les données de l'Enquête nationale sur la santé des enfants 2011-2012. 

Les ACE peuvent constituer des obstacles importants aux diagnostics et au traitement des enfants avec un diagnostic de TSA.

J Autism Dev Disord. 2017 Sep 1. doi: 10.1007/s10803-017-3294-y.

Delayed Diagnosis and Treatment Among Children with Autism Who Experience Adversity

Berg KL^1,2, Acharya K³, Shiu CS⁴, Msall ME^5,6.

Author information

1

Temple University College of Public Health, 1700 N. Broad, Philadelphia, PA, 19086, USA. klberg@temple.edu.

2

Children's Hospital of Philadelphia, Philadelphia, PA, USA. klberg@temple.edu.

3

University of Illinois at Chicago, Chicago, IL, USA.

4

Delaware County Community College, Media, PA, USA.

5

University of Chicago Medicine, Chicago, IL, USA.

6

University of Chicago Comer Children's Hospital, and Kennedy Research Center on Intellectual and Developmental Disabilities, Chicago, IL, USA.

Abstract

The effects of family adverse childhood experiences (ACEs) on timing of ASD diagnoses and receipt of therapies were measured using data from the 2011-2012 National Survey of Children's Health. Parametric accelerated failure time models estimated the relationship between family ACEs and both timing of ASD diagnosis and receipt of therapies among US children (age 2-17 years; N = 1624). Compared to children without family ACEs, the adjusted effects of 1-2 and ≥ 3 ACEs resulted in prolonged time of diagnoses with time ratios of 1.17 and 1.23. Report of 1-2 and ≥ 3 ACEs were associated with a 22 and 27% increase in the median age of entry into services. ACEs may pose significant barriers to diagnoses and treatment of children with ASD.

PMID:28864845

DOI:10.1007/s10803-017-3294-y