Tolerance of face coverings for children with autism spectrum disorder

Halbur, Mary; Kodak, Tiffany; McKee, Marisa; Carroll, Regina A.; Preas, Elizabeth J.; Reidy, Jessi; Cordeiro, Maria Clara

doi:10.1002/jaba.833

Cited by 23 publications

(53 citation statements)

References 21 publications

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“…Furthermore, as more children return to school and pandemic restrictions are relaxed, understanding the presentation of COVID-19 and which populations are more suspectable to intensive care unit admission and developing MIS-C is important for planning a safe return to in-person learning, especially because many in this population are not yet eligible for vaccination against the virus. Additionally, it is critical to focus attention on groups who are more susceptible to contracting COVID-19, such as children with developmental disabilities and/or respiratory support, who may have difficulty tolerating face masks or whose behavior (such as mouthing objects) predisposes them to contracting the virus [80,81]. Future research should focus on which populations are most vulnerable to infection by SARS-CoV-2 and developing MIS-C, what policies are in place for the return to school of vulnerable children with pre-existing and chronic conditions, and what support resources are available for these children.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Characteristics Associated with COVID-19 in Children with Typical Presentation and with Multisystem Inflammatory Syndrome

Kornitzer

Johnson

Yang

et al. 2021

IJERPH

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Setting off a global pandemic, coronavirus disease 2019 (COVID-19) has been marked by a heterogeneous clinical presentation that runs the gamut from asymptomatic to severe and fatal. Although less lethal in children than adults, COVID-19 has nonetheless afflicted the pediatric population. This systematic review used clinical information from published literature to assess the spectrum of COVID-19 presentation in children, with special emphasis on characteristics associated with multisystem inflammatory syndrome (MIS-C). An electronic literature search for English and Chinese language articles in COVIDSeer, MEDLINE, and PubMed from 1 January 2020 through 1 March 2021 returned 579 records, of which 54 were included for full evaluation. Out of the total 4811 patients, 543 (11.29%) exhibited MIS-C. The most common symptoms across all children were fever and sore throat. Children presenting with MIS-C were less likely to exhibit sore throat and respiratory symptoms (i.e., cough, shortness of breath) compared to children without MIS-C. Inflammatory (e.g., rash, fever, and weakness) and gastrointestinal (e.g., nausea/vomiting and diarrhea) symptoms were present to a greater extent in children with both COVID-19 and MIS-C, suggesting that children testing positive for COVID-19 and exhibiting such symptoms should be evaluated for MIS-C.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review of Characteristics Associated with COVID-19 in Children with Typical Presentation and with Multisystem Inflammatory Syndrome

Kornitzer

Johnson

Yang

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Many children may be required to wear a mask for much longer than 5 or even 30 minutes; schools may require masks throughout the day and many community settings such as medical offices may require a mask for the entirety of a visit. Additionally, only one study (Halbur et al, 2021) evaluated mask tolerance within the context of instruction time (i.e., DTT and NET).…”

Section: Abstract Mask Wearing Graduated Exposure Autism Covid-19mentioning

confidence: 99%

Evaluation of a Graduated Exposure Procedure to Teach Extended Mask Wearing in Various Settings to Children With Autism

2021

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During the COVID-19 outbreak, the Center for Disease Control (CDC) recommended that everyone 2 years and older wear a face mask while in a community setting. However, children with autism may be reluctant to wear a mask, particularly for extended durations. In the current study, we implemented a graduated exposure procedure to teach mask wearing for a minimum of 1 hour in an early intensive behavioral (EIBI) intervention clinic to three children diagnosed with autism. We subsequently probed mask wearing, and if necessary implemented the graduated exposure procedure, in each participant’s home and in a mock physician’s office. Finally, we collected probe data on mask wearing in another community setting and 1 month post-treatment maintenance data in the EIBI clinic. During baseline, participants wore masks for 0 second to 5 minutes. After treatment, all participants wore the mask for at least 1 hour in each setting, with maintenance probes indicating 4 to 5 hour mask tolerance.

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“…Another important issue has to do with the use of masks. In general, children with autism have a significant phobia about medical procedures, which also applies to the use of a protective mask, as they have a reduced tolerance to the use of it by themselves, but also by others [50]. In addition to investigating what this may entail for the risk of spreading the virus or the reasons why children with autism resist the use of masks, it is necessary to investigate the negative effects that the use of masks may entail on the development of children with autism.…”

Section: The Effect On Students With Autismmentioning

confidence: 99%

Forecasting the Long-Term Effects of the Pandemic on Children: Towards a COVID-Generation

Pelekasis¹

2021

Anxiety, Uncertainty, and Resilience During the Pandemic Period - Anthropological and Psychological Perspectives

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This study focuses on mapping the existing effects of the pandemic and the measures taken to address it on the mental health of children in order to investigate the long-term consequences that it is expected to have. For infants, preschool, school and adolescent children it seems that intense stress develops for different reasons. As adults these children may experience an increased incidence of anxiety, depressive, obsessive–compulsive and personality disorders, while they are also expected to develop a strong External Locus of Control, low Faith in the Just World and low happiness. At the same time, an absence of distinction within the limits of the physical and digital world is expected. As for children with special educational needs, they are particularly affected due to the pandemic, as early diagnosis and the development of interventions to improve their educational and psychosocial progress are hampered and this might have negative long-term effects on their development. In overall, these negative effects and related experiences seem to be homogeneous across humanity for those who are currently minors and are expected to lead to the view of an autonomous generation, the COVID-generation.

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Tolerance of face coverings for children with autism spectrum disorder

Cited by 23 publications

References 21 publications

A Systematic Review of Characteristics Associated with COVID-19 in Children with Typical Presentation and with Multisystem Inflammatory Syndrome

A Systematic Review of Characteristics Associated with COVID-19 in Children with Typical Presentation and with Multisystem Inflammatory Syndrome

Evaluation of a Graduated Exposure Procedure to Teach Extended Mask Wearing in Various Settings to Children With Autism

Forecasting the Long-Term Effects of the Pandemic on Children: Towards a COVID-Generation

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