Identification, Evaluation, and Management of Children With Autism Spectrum Disorder
Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and yo...
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| Vydané v: | Pediatrics (Evanston) Ročník 145; číslo 1 |
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| Hlavní autori: | , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.01.2020
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| Predmet: | |
| ISSN: | 1098-4275, 1098-4275 |
| On-line prístup: | Zistit podrobnosti o prístupe |
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| Abstract | Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report. |
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| AbstractList | Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report. Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report. |
| Author | Myers, Scott M Hyman, Susan L Levy, Susan E |
| Author_xml | – sequence: 1 givenname: Susan L surname: Hyman fullname: Hyman, Susan L email: susan_hyman@urmc.rochester.edu organization: Golisano Children's Hospital, University of Rochester, Rochester, New York; susan_hyman@urmc.rochester.edu – sequence: 2 givenname: Susan E surname: Levy fullname: Levy, Susan E organization: Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and – sequence: 3 givenname: Scott M surname: Myers fullname: Myers, Scott M organization: Geisinger Autism & Developmental Medicine Institute, Danville, Pennsylvania |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31843864$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Contributor | Leppert, Mary O'Connor Voigt, Robert G Davidson, Lynn F Saunders, Barbara S Blum, Nathan Jon Takayama, John Ichiro Stille, Christopher Foster, Jessica E A Levine, Jack M Peralta-Carcelen, Ada Myriam Apkon, Susan Poon, Jennifer K Smith, Peter J Yin, Larry Baum, Rebecca Noritz, Garey H Ellerbeck, Kathryn A Kuo, Dennis Z Weitzman, Carol C Bridgemohan, Carolyn Childers, Jr, David Omer |
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| Copyright | Copyright © 2020 by the American Academy of Pediatrics. |
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| PublicationPlace | United States |
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| PublicationTitle | Pediatrics (Evanston) |
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| PublicationYear | 2020 |
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| Snippet | Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%).... |
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| SubjectTerms | Adolescent Adult Autism Spectrum Disorder - diagnosis Autism Spectrum Disorder - epidemiology Autism Spectrum Disorder - therapy Child, Preschool Decision Making, Shared Diagnostic and Statistical Manual of Mental Disorders Disabled Persons - legislation & jurisprudence Humans Infant Prevalence State Government Transition to Adult Care United States - epidemiology |
| Title | Identification, Evaluation, and Management of Children With Autism Spectrum Disorder |
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| Volume | 145 |
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