Caregiver Psychological Distress Predicts Temperament and Social-Emotional Outcomes in Infants with Autism Traits

Chetcuti, Lacey; Uljarević, Mirko; Varcin, Kandice J.; Boutrus, Maryam; Pillar, Sarah; Dimov, Stefanie; Barbaro, Josephine; Dissanayake, Cheryl; Green, Jonathan; Wan, Ming Wai; Segal, Leonie; Slonims, Vicky; Whitehouse, Andrew J. O.; Hudry, Kristelle; Team, Aices

doi:10.1007/s10802-021-00838-5

Cited by 3 publications

(1 citation statement)

References 71 publications

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“…The impact of the current pandemic has highlighted the need for pediatricians and clinicians to screen for parental well-being, particularly for parents of children with developmental delays (Peris and Ehrenreich-May, 2021), and this may be especially true for parents of high-risk siblings who experience additional stress as they scrutinize their child’s development (MacDuffie et al, 2020). Caregiver stress may also play an important role in determining social-emotional outcomes for toddlers with a high likelihood for autism (Chetcuti et al, 2021). Therefore, it is critical for practitioners to follow up with parents who receive positive screening results for infant/toddlers showing early signs, as many parents may deny or delay early intervention (Bradshaw et al, 2020; Watson et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Preemptive interventions for infants and toddlers with a high likelihood for autism: A systematic review and meta-analysis

Hampton

Rodriguez

2021

Autism

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Understanding the impact of preemptive interventions on development for those with a high likelihood for autism is a critical step in building a transdiagnostic model of optimized intervention. The purpose of this systematic review and meta-analysis is to examine the impact of preemptive autism interventions on parent outcomes and child developmental outcomes. A total of 345 unique records were assessed for eligibility yielding 13 unique studies with 715 total infant/toddlers with a high likelihood for autism. There was a significant association between the early interventions on parent implementation of intervention strategies immediately following the intervention. However, there was no significant association between the early interventions and child developmental outcomes. The studies reporting moderator and/or mediator analyses suggest a meaningful association between parent implementation and long-term child social communication outcomes. Taken together, these findings suggest that parent-mediated interventions are associated with improved parent use of strategies, and although these results do not translate into immediate or short-term child developmental outcomes, there is evidence that parents with the greatest implementation facilitate later improved communication outcomes for their children. There is an urgent need to develop a nuanced intervention approach during a time of ever-changing concern about child development. Lay abstract Interventions to address core symptoms for young children on the autism spectrum have a strong and growing evidence base. Adapting and delivering evidence-based interventions to infants and toddlers with a high likelihood for autism is a logical next step. This systematic review and meta-analysis summarize the association between infant and toddler interventions and developmental and family outcomes. Results indicate that these early interventions are effective for improving parent implementation of core strategies, yet the effects do not readily translate to child outcomes. However, key studies demonstrate conditional results that indicate that parent implementation is associated with child outcome. Implications for research and practice toward building adaptive interventions that respond to parent implementation and changing child characteristics are discussed.

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Section: Discussionmentioning

confidence: 99%

Preemptive interventions for infants and toddlers with a high likelihood for autism: A systematic review and meta-analysis

Hampton

Rodriguez

2021

Autism

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Where do neurodevelopmental conditions fit in transdiagnostic psychiatric frameworks? Incorporating a new neurodevelopmental spectrum

Michelini,

Carlisi,

Eaton

et al. 2024

World Psychiatry

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Features of autism spectrum disorder, attention‐deficit/hyperactivity disorder, learning disorders, intellectual disabilities, and communication and motor disorders usually emerge early in life and are associated with atypical neurodevelopment. These “neurodevelopmental conditions” are grouped together in the DSM‐5 and ICD‐11 to reflect their shared characteristics. Yet, reliance on categorical diagnoses poses significant challenges in both research and clinical settings (e.g., high co‐occurrence, arbitrary diagnostic boundaries, high within‐disorder heterogeneity). Taking a transdiagnostic dimensional approach provides a useful alternative for addressing these limitations, accounting for shared underpinnings across neurodevelopmental conditions, and characterizing their common co‐occurrence and developmental continuity with other psychiatric conditions. Neurodevelopmental features have not been adequately considered in transdiagnostic psychiatric frameworks, although this would have fundamental implications for research and clinical practices. Growing evidence from studies on the structure of neurodevelopmental and other psychiatric conditions indicates that features of neurodevelopmental conditions cluster together, delineating a “neurodevelopmental spectrum” ranging from normative to impairing profiles. Studies on shared genetic underpinnings, overlapping cognitive and neural profiles, and similar developmental course and efficacy of support/treatment strategies indicate the validity of this neurodevelopmental spectrum. Further, characterizing this spectrum alongside other psychiatric dimensions has clinical utility, as it provides a fuller view of an individual's needs and strengths, and greater prognostic utility than diagnostic categories. Based on this compelling body of evidence, we argue that incorporating a new neurodevelopmental spectrum into transdiagnostic frameworks has considerable potential for transforming our understanding, classification, assessment, and clinical practices around neurodevelopmental and other psychiatric conditions.

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A Pilot Study of a Co-parenting Intervention for Parents of Children with Autism Spectrum Disorder

et al. 2022

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Caregiver Psychological Distress Predicts Temperament and Social-Emotional Outcomes in Infants with Autism Traits

Cited by 3 publications

References 71 publications

Preemptive interventions for infants and toddlers with a high likelihood for autism: A systematic review and meta-analysis

Preemptive interventions for infants and toddlers with a high likelihood for autism: A systematic review and meta-analysis

Where do neurodevelopmental conditions fit in transdiagnostic psychiatric frameworks? Incorporating a new neurodevelopmental spectrum

A Pilot Study of a Co-parenting Intervention for Parents of Children with Autism Spectrum Disorder

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