Physical maltreatment of children with autism in Henan province in China: A cross-sectional study

Duan, Guiqin; Chen, Jingqi; Zhang, Wenjing; Yu, Bin; Jin, Yanqin; Wang, Yazhe; Yao, Meiling

doi:10.1016/j.chiabu.2015.03.018

Cited by 26 publications

(11 citation statements)

References 34 publications

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“…Measures of Post-Traumatic Stress Disorder (PTSD) have rarely been included in studies of psychiatric co-morbidity in ASD and ID (Bakken et al, 2010). However, individuals with ASD and ID seem to be at increased risk of falling victim to violence (Sullivan & Knutson, 2000;Jones et al, 2012;Mandell, Walrath, Manteuffel, Sgro & Pinto-Martin, 2005;Duan et al, 2015), sexual abuse (Gotby et al, 2018;Hershkowitz, Lamb & Horowitz, 2007;Mandell et al, 2005;Sullivan & Knutson, 2000), maltreatment/neglect (Dinkler et al, 2017;McDonnell et al, 2018;Chan, Lo & Ip, 2018;Sullivan & Knutson, 2000;Turner, Vanderminden, Finkelhor, Hamby & Shattuck, 2011;Chan & Lam, 2016), and bullying (Hoover & Kaufman, 2018;Sullivan & Knutson, 2000;Hoover, 2015). McDonnell et al (2018) found that children with ASD and ID, or either of these conditions alone, were at increased risk of maltreatment.…”

Section: Introductionmentioning

confidence: 99%

Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

Kildahl

Bakken

Iversen

et al. 2019

Journal of Mental Health Research in Intellectual Disabilities

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Introduction Autism Spectrum Disorder (ASD) and Intellectual Disability (ID) seem to influence risk of and vulnerability to exposure to trauma and adverse events. While assessment of psychiatric disorder in ASD and ID generally is challenging, identification of Post-traumatic stress disorder (PTSD) seems particularly so, and knowledge does not seem easily accessible. Methods This article provides a systematic review of studies describing trauma reactions in individuals with both ASD and ID, including studies involving any single case with the combination of 3 ASD, ID, and PTSD. To systematically explore PTSD symptom presentation in the group, all reported symptoms from studies were assigned by DSM 5 criteria. Results Eighteen studies met the inclusion criteria, eight group studies and ten case studies. Assessment methodology in studies varied, as did the format of symptom report. DSM 5 criteria provided a useful framework for integrating findings across studies, indicating that PTSD may be identified in individuals with ASD and ID. However, symptoms involving alterations in arousal and negative alterations in thought and behavior seem more easily identified than symptoms of re-experiencing and avoidance. Conclusions There is an urgent need to identify behavioral equivalents to PTSD symptoms in this group, making it possible to identify warning signs of trauma and abuse even if such incidents are not known to family or professional carers.

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Section: Introductionmentioning

confidence: 99%

Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

Kildahl

Bakken

Iversen

et al. 2019

Journal of Mental Health Research in Intellectual Disabilities

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“…This is a very similar finding to that of Sullivan and Knutson's (2000) methodologically rigorous study investigating prevalence rates which, having examined multiagency records for 50,278 children and young people aged 0-21 in Nebraska, concluded that disabled children (defined here as all those needing "special education and related services") are 3.4 times more likely to be abused than others. Further evidence about increased prevalence comes from Schenkel et al (2014) about deaf children in the US, from Duan et al (2015) about children with autism in China, from Reiter et al (2007) about children with intellectual disabilities in Israel and, from the UK, about children with a range of impairments (Brandon et al, 2012;Stalker and McArthur, 2012;Stalker et al, 2010). Jones et al (2012) reported that 20.4% of disabled children experience physical abuse, 13.7% experience sexual abuse while 26.7% face "combined measures of violence."…”

Section: The Research Contextmentioning

confidence: 99%

A study of disabled children and child protection in Scotland — A hidden group?

Stalker

Taylor

Fry

et al. 2015

Children and Youth Services Review

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This paper is based on analysis of data collected for a study, commissioned by the Scottish Government, which examined child protection work with disabled children. At a conceptual level, the paper draws on Goffman's frame analysis and on different models of disability. Focus groups were conducted with five Child Protection Committees (40 individuals) and semi-structured interviews with a further 21 practitioners from social work, education, health services, third sector organisations and the police. The findings show that, for various reasons, abuse of disabled children may go undetected. Where it is suspected, effective action does not always follow, for example, where practitioners over-empathise with parents. When child protection work is undertaken, disabled children may remain relatively invisible in terms of participation and professional focus. It is suggested that the ways in which practitioners and managers "frame" disabled children has implications for how abuse is responded to and how well these children are protected. Participants also "framed" disability in different ways, and it is suggested that a social relational model seems particularly applicable. In conclusion, in many respects disabled children experiencing abuse may remain absent from or to some extent hidden within child protection services in Scotland. While some creative work is taking place, considerable changes are required to make child protection services accessible to all disabled children, sensitive to their needs and respectful of their rights.

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“…There have been some conflicting reports on the increased likelihood of unintentional injury (Diguiseppi et al, 2018;Jernbro et al, 2020), with one report even citing the diagnosis of ASD as a protective factor (Jain et al, 2014). However, there has been more unanimity in terms of the increased prevalence of violent crime (Christoffersen, 2019), physical abuse (Duan et al, 2015;Mandell et al, 2005;Slingsby et al, 2017), and peer bullying (Hoover & Kaufman, 2018;Hwang et al, 2018;Sterzing et al, 2012) in ASD, thus painting a complex picture of how these traumatic injuries occur in this population.…”

Section: Morbiditymentioning

confidence: 99%

“…These include gastrointestinal disorders (Buie et al, 2010;Cawthorpe, 2017;Chandler et al, 2013;Gorrindo et al, 2012;Hand et al, 2020;Mazurek et al, 2013;Neuhaus et al, 2018;Restrepo et al, 2020;Wang et al, 2011;Wasilewska & Klukowski, 2015), inflammatory dyscrasias (Cawthorpe, 2017), as well as a variety of other conditions, such as cardiac disease (Hand et al, 2020), congenital anomalies (Cawthorpe, 2017;Timonen-Soivio et al, 2015), and seizures/epilepsy (Hand et al, 2020;Isaksen et al, 2013;Lewine et al, 1999;Muñoz-Yunta et al, 2008;Parmeggiani et al, 2010;Viscidi et al, 2013). Furthermore, people with ASD have been shown to be at increased risk for unintentional injury (Cavalari & Romanczyk, 2012;Lee et al, 2008;McDermott et al, 2008), self-injurious behavior (SIB) (Akram et al, 2017;Hand et al, 2020;McDermott et al, 2008;Rattaz et al, 2015;Siegel et al, 2015;Slingsby et al, 2017;Summers et al, 2017), physical abuse (Duan et al, 2015;Mandell et al, 2005;Slingsby et al, 2017), violent crime (Christoffersen, 2019), and/or peer bullying (Hoover & Kaufman, 2018;Hwang et al, 2018;Sterzing et al, 2012). People with ASD also suffer greater injuryrelated mortality compared to the g...…”

Section: Introductionmentioning

confidence: 99%

Assessment of medical morbidities in a rhesus monkey model of naturally occurring low sociality

et al. 2021

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People with autism spectrum disorder (ASD) exhibit a variety of medical morbidities at significantly higher rates than the general population. Using an established monkey model of naturally occurring low sociality, we investigated whether lowsocial monkeys show an increased burden of medical morbidities compared to their high-social counterparts. We systematically reviewed the medical records of N = 152 (n = 73 low-social; n = 79 high-social) rhesus macaques (Macaca mulatta) to assess the number of traumatic injury, gastrointestinal, and inflammatory events, as well as the presence of rare medical conditions. Subjects' nonsocial scores, determined by the frequency they were observed in a nonsocial state (i.e., alone), and macaque Social Responsiveness Scale-Revised (mSRS-R) scores were also used to test whether individual differences in social functioning were related to medical morbidity burden. Medical morbidity type significantly differed by group, such that low-social monkeys incurred higher rates of traumatic injury compared to high-social monkeys. Nonsocial scores and mSRS-R scores also significantly and positively predicted traumatic injury rates, indicating that monkeys with the greatest social impairment were most impacted on this health measure. These findings from low-social monkeys are consistent with welldocumented evidence that people with ASD incur a greater number of traumatic injuries and receive more peer bullying than their neurotypical peers, and add to growing evidence for the face validity of this primate model. Lay Summary: People with autism exhibit multiple medical problems at higher rates than the general population. We conducted a comprehensive medical record review of monkeys that naturally exhibit differences in sociality and found that low-social monkeys are more susceptible to traumatic injuries than high-social monkeys. These results are consistent with reports that people with autism also incur greater traumatic injury and peer bullying and add to growing evidence for the validity of this monkey model.

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Physical maltreatment of children with autism in Henan province in China: A cross-sectional study

Cited by 26 publications

References 34 publications

Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

A study of disabled children and child protection in Scotland — A hidden group?

Assessment of medical morbidities in a rhesus monkey model of naturally occurring low sociality

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