Evaluation of sleep disturbances, gastrointestinal problems and eating behaviors in Turkish children with autistic disorder and PDD-NOS

Gok, Sebahat; Ozturk, Serife Nur; Karaca, R.; İlbars, Serhat; Noğay, Nalan Hakime

doi:10.1108/aia-12-2019-0049

Cited by 4 publications

(2 citation statements)

References 40 publications

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“…Studies showed less sleep disorders in the PDD-NOS-group ( 33 , 93 , 94 ) but another did not ( 35 ) ( Table 4 ). Feeding disorders were less common in the PDD-NOS group than in the AD group ( 35 , 93 , 94 ). However, one study did not confirm this result ( 85 ) ( Table 4 ).…”

Section: Resultsmentioning

confidence: 96%

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Coutelle,

Coulon,

Schröder

et al. 2023

Front. Psychiatry

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IntroductionAutism Spectrum Disorder (ASD) diagnosis is relatively consensual in typical forms. The margins of the spectrum and their degree of extension, however, are controversial. This has far-reaching implications, which extend beyond theoretical considerations: first, peripheral forms of autism are more prevalent than central forms; second, we do not know how relevant typical-targeted recommendations are for atypical forms. In DSM-IV-TR, these margins of autism were studied within the category of Pervasive Developmental Disorder – Not Otherwise Specified (PDD-NOS). In spite of its low reliability, this former diagnosis was of particular interest to shed light on the gray area of margins. The aim of this systematic is therefore to investigate the clinical characteristics of PDD-NOS in comparison with Autistic Disorder.MethodA stepwise systematic PRISMA literature review was conducted by searching PubMed and Web Of Science databases to select corresponding studies.ResultsThe systematic review included 81 studies comprising 6,644 children with PDD-NOS. Cross-sectional and longitudinal studies comparing PDD-NOS and AD showed that PDD-NOS corresponds to milder form of autism with less impact and less associated disorder, with the exception of schizophrenia and mood disorder.DiscussionOur review challenges initial views of PDD-NOS, and shows the clinical relevance of this diagnosis when dealing with the margins of autism, and the de facto diversity included in the spectrum. However, in view of the many limitations of PDD-NOS (low reliability, instability through time, low acceptability), we suggest taxonomic changes in DSM-5: we introduce a new category based on three main dimensions related to socialization impairment, emotional lability and psychotic symptoms.ConclusionOur review argues for a distinction between AD and PDD-NOS on clinical characteristics and thus highlights the need to study the margins of autism. While the limitations of the PDD-NOS category made it irrelevant to investigate these margins from a research perspective, we believe that a multidimensional approach for mental health professionals taping socialization, emotion lability and psychotic symptoms would be interesting. Our review therefore encourage future studies to test relevant criteria for a new category and possibly identify developmental trajectories, specific interventions and treatments.

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Section: Resultsmentioning

confidence: 96%

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Coutelle,

Coulon,

Schröder

et al. 2023

Front. Psychiatry

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“…Twelve articles ( 19 , 21 , 22 , 24 , 25 , 32 , 34 – 37 , 39 , 41 ) recorded cases of children with ASD complaining of simple abdominal pain. Seven studies ( 18 , 18 , 20 , 23 , 29 , 30 , 38 ) reported cases of defecation-related abdominal pain, and two ( 26 , 28 ) found no abdominal pain. Seven studies ( 18 – 19 , 21 , 23 , 26 , 41 ) compared abdominal pain in ASD and corresponding TD controls, with an OR of 2.60 (95% CI: 2.07, 3.26).…”

Section: Resultsmentioning

confidence: 99%

Questionnaire-based analysis of autism spectrum disorders and gastrointestinal symptoms in children and adolescents: a systematic review and meta-analysis

Gan

Zhang

et al. 2023

Front. Pediatr.

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BackgroundGastrointestinal (GI) symptoms are frequently experienced by children with autism spectrum disorder (ASD), and these symptoms cause difficulties for these children and their families. However, studies of GI symptom prevalence differ significantly. This meta-analysis aimed to analyze the prevalence of GI symptoms in children with ASD.Methods and findingsPubMed, Scopus, Web of Science, EMBASE were electronically searched to collect all literature on gastrointestinal symptoms of children with ASD collected through questionnaires or scales from January 2012 to May 2021. Four researchers independently scanned the literature and extracted information on general characteristics. First author name, year of publication, geographical location, type of study, sample sizes of ASD and control (if any) children, sex and average age, number of GI cases, number of GI symptoms, GI assessment tools (gastrointestinal symptoms scale), autism diagnosis methods, and other necessary data were collected and analyzed using Stata V16. The questionnaires included the Rome, 6-GSI, GIQ, GSRS, GSIQ, ADI-R, PedsQL-GI, parent-report, GI-related, and self-administered questionnaires. Compared with typically developing (TD) children, the odds ratio for In children with ASD with at least one GI symptom was 3.64, and the total prevalence was 55%. The cumulative prevalence rates of various symptoms were summarized, showing that 37% of children with ASD had constipation, 21% had abdominal pain, 19% had diarrhea, 8% had vomiting, and 23% had abdominal distension.ConclusionsThe results of this meta-analysis on GI symptoms in ASD show that patients with ASD are more likely to develop symptoms than TD children. The prevalence of GI symptoms in In children with ASD was 55%.Systematic Review Registrationwww.crd.york.ac.uk/PROSPERO, identifier, #CRD42017080579.

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Dietary Assessment Methods Applied in Clinical and Epidemiological Studies in Children and Adolescents with Autism Spectrum Disorder: a Systematic Review

Silva

Castro

Valle

et al. 2023

Rev J Autism Dev Disord

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Evaluation of sleep disturbances, gastrointestinal problems and eating behaviors in Turkish children with autistic disorder and PDD-NOS

Cited by 4 publications

References 40 publications

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Investigating the borders of autism spectrum disorder: lessons from the former diagnosis of pervasive developmental disorder not otherwise specified

Questionnaire-based analysis of autism spectrum disorders and gastrointestinal symptoms in children and adolescents: a systematic review and meta-analysis

Dietary Assessment Methods Applied in Clinical and Epidemiological Studies in Children and Adolescents with Autism Spectrum Disorder: a Systematic Review

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