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      Effects of the COVID-19 lockdowns on the care delivery to the children with autism spectrum disorder: a web-based cross-sectional study

      research-article
      Alireza Mirahmadizadeh , Alireza Heiran , Hamid Nemati , Shiva Aminnia , Fatemeh Azadian , Fatemeh Rezaei , Roya Sahebi , Ata Miyar , Mohammad Hossein Sharifi , Mojgan Tavasoli
      Advances in Autism
      Emerald Publishing
      COVID-19, Lockdown, Autism spectrum disorder

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          Abstract

          Purpose

          Children and adolescents with autism spectrum disorder need special attention for their mental and physical health and education. This study aims to investigate the effects of the COVID-19 pandemic on them.

          Design/methodology/approach

          This descriptive cross-sectional study was conducted on data collected from an online survey. Respondents were the parents or caregivers of autistic children aged 3–18. It measured opinions about the favorable and unfavorable behavioral changes related to their children during the COVID-19 lockdowns.

          Findings

          In total, 131 respondents participated in the study. The mean age of their autistic children was 11.45 ± 4.26 years, of whom 78% were boys. Improved good behaviors during lockdowns included interaction with parents and siblings, eating healthy foods, quality of sleep, eye contact, pointing and asking for something, imitating sounds and phrases, sharing interests, reaction to emotions and empathy with family members, but sleep hours decreased.

          Originality/value

          Lockdown provided opportunities for examining the behaviors of children with autism taking into account its favorable and unfavorable effects, to improve communicating and behaving with these children.

          Related collections

          Most cited references24

          • Record: found
          • Abstract: not found
          • Article: not found

          Mental Health and the Covid-19 Pandemic

            • Record: found
            • Abstract: found
            • Article: not found

            Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak

            Public health measures were decisive in controlling the SARS epidemic in 2003. Isolation is the separation of ill persons from non-infected persons. Quarantine is movement restriction, often with fever surveillance, of contacts when it is not evident whether they have been infected but are not yet symptomatic or have not been infected. Community containment includes measures that range from increasing social distancing to community-wide quarantine. Whether these measures will be sufficient to control 2019-nCoV depends on addressing some unanswered questions.
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016

              Problem/Condition Autism spectrum disorder (ASD). Period Covered 2016. Description of System The Autism and Developmental Disabilities Monitoring (ADDM) Network is an active surveillance program that provides estimates of the prevalence of ASD among children aged 8 years whose parents or guardians live in 11 ADDM Network sites in the United States (Arizona, Arkansas, Colorado, Georgia, Maryland, Minnesota, Missouri, New Jersey, North Carolina, Tennessee, and Wisconsin). Surveillance is conducted in two phases. The first phase involves review and abstraction of comprehensive evaluations that were completed by medical and educational service providers in the community. In the second phase, experienced clinicians who systematically review all abstracted information determine ASD case status. The case definition is based on ASD criteria described in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Results For 2016, across all 11 sites, ASD prevalence was 18.5 per 1,000 (one in 54) children aged 8 years, and ASD was 4.3 times as prevalent among boys as among girls. ASD prevalence varied by site, ranging from 13.1 (Colorado) to 31.4 (New Jersey). Prevalence estimates were approximately identical for non-Hispanic white (white), non-Hispanic black (black), and Asian/Pacific Islander children (18.5, 18.3, and 17.9, respectively) but lower for Hispanic children (15.4). Among children with ASD for whom data on intellectual or cognitive functioning were available, 33% were classified as having intellectual disability (intelligence quotient [IQ] ≤70); this percentage was higher among girls than boys (40% versus 32%) and among black and Hispanic than white children (47%, 36%, and 27%, respectively). Black children with ASD were less likely to have a first evaluation by age 36 months than were white children with ASD (40% versus 45%). The overall median age at earliest known ASD diagnosis (51 months) was similar by sex and racial and ethnic groups; however, black children with IQ ≤70 had a later median age at ASD diagnosis than white children with IQ ≤70 (48 months versus 42 months). Interpretation The prevalence of ASD varied considerably across sites and was higher than previous estimates since 2014. Although no overall difference in ASD prevalence between black and white children aged 8 years was observed, the disparities for black children persisted in early evaluation and diagnosis of ASD. Hispanic children also continue to be identified as having ASD less frequently than white or black children. Public Health Action These findings highlight the variability in the evaluation and detection of ASD across communities and between sociodemographic groups. Continued efforts are needed for early and equitable identification of ASD and timely enrollment in services.

                Author and article information

                Contributors
                Journal
                AIA
                10.1108/AIA
                Advances in Autism
                AIA
                Emerald Publishing
                2056-3868
                2056-3868
                22 August 2023
                08 November 2023
                : 9
                : 4
                : 353-363
                Affiliations
                [1]Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences; , Shiraz, Iran
                [2]Epilepsy Research Center, Shiraz University of Medical Sciences; , Shiraz, Iran
                [3]Student Research Committee, Shiraz University of Medical Sciences; , Shiraz, Iran
                [4]Non-Communicable Diseases Research Center, Shiraz University of Medical Sciences; , Shiraz, Iran
                [5]Department of Social Medicine, Jahrom University of Medical Sciences; , Jahrom, Iran
                [6]Student Research Committee, Shiraz University of Medical Sciences; , Shiraz, Iran
                [7]Schulich School of Medicine and Dentistry, University of Western Ontario (Western University); , London, Ontario, Canada
                [8]Non-Communicable Diseases Research Center, Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences; , Shiraz, Iran
                [9]Child Development Center, Medical School, Shiraz University of Medical Sciences; , Shiraz, Iran
                Author notes
                Mohammad Hossein Sharifi can be contacted at: mhsharifi1350@gmail.com
                Article
                708376 AIA-06-2022-0032.pdf AIA-06-2022-0032
                10.1108/AIA-06-2022-0032
                6a08ef64-15f3-4257-97c6-2e3e9ef4ffc7
                © Emerald Publishing Limited
                History
                : 04 June 2022
                : 23 October 2022
                : 23 January 2023
                : 21 April 2023
                Page count
                Figures: 0, Tables: 4, Equations: 0, References: 26, Pages: 11, Words: 5157
                Categories
                research-article, Research paper
                cat-HSC, Health & social care
                cat-LID, Learning & intellectual disabilities
                Custom metadata
                M
                Web-ready article package
                Yes
                Yes
                JOURNAL
                included

                Health & Social care
                Autism spectrum disorder,COVID-19,Lockdown
                Health & Social care
                Autism spectrum disorder, COVID-19, Lockdown

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