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      Feasibility of parent-mediated behavioural intervention for behavioural problems in children with Autism Spectrum Disorder in Nigeria: a pilot study.

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          Abstract

          Autism Spectrum Disorders (ASD) is a disabling and lifelong neuro-developmental disorder. Challenging behaviours such as aggression and self injury are common maladaptive behaviours in ASD which adversely affect the mental health of both the affected children and their caregivers. Although there is evidence-base for parent-delivered behavioural intervention for children with ASD and challenging behaviours, there is no published research on the feasibility of such an intervention in sub-Saharan Africa. This study assessed the feasibility of parent-mediated behavioural intervention for challenging behaviour in children with ASD in Nigeria.

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          Most cited references27

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          Aggression in children and adolescents with ASD: prevalence and risk factors.

          The prevalence of and risk factors for aggression were examined in 1,380 children and adolescents with autism spectrum disorders (ASD). Prevalence was high, with parents reporting that 68% had demonstrated aggression to a caregiver and 49% to non-caregivers. Overall, aggression was not associated with clinician observed severity of ASD symptoms, intellectual functioning, gender, marital status, parental educational level, or aspects of communication. Individuals who are younger, come from a higher income family, have more parent reported social/communication problems, or engage in repetitive behaviors were more likely to demonstrate aggression. Given the significant impact of aggression on individual and family outcomes, it is hoped that this knowledge will inform more targeted intervention efforts.
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            Stress Levels and Adaptability in Parents of Toddlers With and Without Autism Spectrum Disorders

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              Identifying the variables maintaining self-injurious behavior.

              Reliability and validity data are reported for an instrument designed to identify variables maintaining self-injurious behavior. The Motivation Assessment Scale (MAS) is a 16-item questionnaire that addresses the situational determinants of self-injurious behavior in persons with autism and other developmental disorders. The reliability study indicated that teachers of 50 developmentally disabled persons could agree on the variables presumably maintaining their student's self-injury (interrater reliability), and that they would be in agreement again 30 days later (test-retest reliability). The validity study indicated that teacher's ratings on the MAS of 8 subjects' self-injury predicted how their students would behave in analogue situations. Specifically, the MAS predicted the subjects' self-injurious behavior in situations with decreased adult attention, with increased academic demands, with restricted access to tangibles, and in unstructured settings. The MAS is presented as an alternative or adjunct to more formal functional analyses in efforts to identify the variables controlling self-injurious behavior.
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                Author and article information

                Journal
                Child Adolesc Psychiatry Ment Health
                Child and adolescent psychiatry and mental health
                Springer Science and Business Media LLC
                1753-2000
                1753-2000
                2016
                : 10
                : 1
                Affiliations
                [1 ] Child and Adolescent Mental Health Service Unit, Federal Neuro-Psychiatric Hospital, Lagos, Nigeria ; Centre for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria.
                [2 ] Centre for Mental Health, Hammersmith Hospital Campus, Imperial College, London, UK.
                [3 ] Department of Pediatrics, University College Hospital, Ibadan, Nigeria.
                [4 ] Department of Psychiatry, University College Hospital, Ibadan, Nigeria ; Centre for Child and Adolescent Mental Health, University of Ibadan, Ibadan, Nigeria.
                Article
                117
                10.1186/s13034-016-0117-4
                5010684
                27594900
                e762bc8d-2045-428b-a6f9-c36b80256bc6
                History

                Autism Spectrum Disorder,Behavioural intervention,Challenging behaviour,Functional behaviour analysis,Parent education

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