Challenges Surrounding the Diagnosis of Autism in Children

Yvette Hus,1 Osnat Segal2 1Cyprus University of Technology, Department of Rehabilitation Sciences, Theralab Research Collaborator, Limassol, Cyprus; 2Tel Aviv University, Sackler Faculty of Medicine, Department of Communication Disorders, Tel-Aviv, IsraelCorrespondence: Yvette Hus Tel +1 514 487 276...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Hus Y, Segal O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	autism missed and misdiagnosis comorbidities neurodevelopmental disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e35a1ad1c53141159ecacffd58e1adf7
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e35a1ad1c53141159ecacffd58e1adf7
record_format	dspace
spelling	oai:doaj.org-article:e35a1ad1c53141159ecacffd58e1adf72021-12-05T18:27:45ZChallenges Surrounding the Diagnosis of Autism in Children1178-2021https://doaj.org/article/e35a1ad1c53141159ecacffd58e1adf72021-12-01T00:00:00Zhttps://www.dovepress.com/challenges-surrounding-the-diagnosis-of-autism-in-children-peer-reviewed-fulltext-article-NDThttps://doaj.org/toc/1178-2021Yvette Hus,1 Osnat Segal2 1Cyprus University of Technology, Department of Rehabilitation Sciences, Theralab Research Collaborator, Limassol, Cyprus; 2Tel Aviv University, Sackler Faculty of Medicine, Department of Communication Disorders, Tel-Aviv, IsraelCorrespondence: Yvette Hus Tel +1 514 487 2763Email yhus@videotron.caAbstract: This comprehensive thematic review aims to highlight and familiarize readers with the challenges and pitfalls encountered in differential diagnosis of autism spectrum disorders (ASD) in children to facilitate the process of accurate identification by stakeholders. Accordingly, articles that best answer our questions and highlight our concerns were chosen from well-established publishers with prime peer reviewed journals. Included are studies showing alternate views of the issues so as to point readers to other possibilities. ASD, a complex dynamic biological-neurodevelopmental disorder, is underscored by its heterogeneous symptomology, severity, and phenotypes – all characterized by social communication deficits and presence of restricted interests and repetitive behaviours (RRBs), the core symptoms in ASD. Language and intellectual capacities do not form ASD core symptoms although vary considerably. Accurate identification is challenging as ASD is often enmeshed with other neurodevelopmental disorders, and medical comorbidities, a situation now recognized as the rule rather than the exception in child psychiatry and developmental medicine. ASD is a disorder with varying performance and severity of symptoms over time, including unexpected loss of early skills, and lost diagnosis in some children following treatment. The review reiterates the urgency in accurate diagnosis in face of the rapid rise in ASD prevalence globally, and risk-increase in delayed or denied treatment with undesirable life-long consequences for most of the affected children. In addition, a call for change is advised to circumvent the ethical dilemma posed by the present “deficit model” in ASD diagnosis. Here, ASD prevalence is presented first, followed by emphasis on importance of accurate early diagnosis, and challenges in its accomplishment due to flaws in diagnostic instruments and other contributing factors. Next follow the required criteria for accurate identification, and its difficulties attributed to comorbid conditions, gender differences, and socio-economic and cultural influences. The conclusion includes future directions and a take away message.Keywords: autism, missed and misdiagnosis, comorbidities, neurodevelopmental disordersHus YSegal ODove Medical Pressarticleautismmissed and misdiagnosiscomorbiditiesneurodevelopmental disordersNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 17, Pp 3509-3529 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	autism missed and misdiagnosis comorbidities neurodevelopmental disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	autism missed and misdiagnosis comorbidities neurodevelopmental disorders Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Hus Y Segal O Challenges Surrounding the Diagnosis of Autism in Children
description	Yvette Hus,1 Osnat Segal2 1Cyprus University of Technology, Department of Rehabilitation Sciences, Theralab Research Collaborator, Limassol, Cyprus; 2Tel Aviv University, Sackler Faculty of Medicine, Department of Communication Disorders, Tel-Aviv, IsraelCorrespondence: Yvette Hus Tel +1 514 487 2763Email yhus@videotron.caAbstract: This comprehensive thematic review aims to highlight and familiarize readers with the challenges and pitfalls encountered in differential diagnosis of autism spectrum disorders (ASD) in children to facilitate the process of accurate identification by stakeholders. Accordingly, articles that best answer our questions and highlight our concerns were chosen from well-established publishers with prime peer reviewed journals. Included are studies showing alternate views of the issues so as to point readers to other possibilities. ASD, a complex dynamic biological-neurodevelopmental disorder, is underscored by its heterogeneous symptomology, severity, and phenotypes – all characterized by social communication deficits and presence of restricted interests and repetitive behaviours (RRBs), the core symptoms in ASD. Language and intellectual capacities do not form ASD core symptoms although vary considerably. Accurate identification is challenging as ASD is often enmeshed with other neurodevelopmental disorders, and medical comorbidities, a situation now recognized as the rule rather than the exception in child psychiatry and developmental medicine. ASD is a disorder with varying performance and severity of symptoms over time, including unexpected loss of early skills, and lost diagnosis in some children following treatment. The review reiterates the urgency in accurate diagnosis in face of the rapid rise in ASD prevalence globally, and risk-increase in delayed or denied treatment with undesirable life-long consequences for most of the affected children. In addition, a call for change is advised to circumvent the ethical dilemma posed by the present “deficit model” in ASD diagnosis. Here, ASD prevalence is presented first, followed by emphasis on importance of accurate early diagnosis, and challenges in its accomplishment due to flaws in diagnostic instruments and other contributing factors. Next follow the required criteria for accurate identification, and its difficulties attributed to comorbid conditions, gender differences, and socio-economic and cultural influences. The conclusion includes future directions and a take away message.Keywords: autism, missed and misdiagnosis, comorbidities, neurodevelopmental disorders
format	article
author	Hus Y Segal O
author_facet	Hus Y Segal O
author_sort	Hus Y
title	Challenges Surrounding the Diagnosis of Autism in Children
title_short	Challenges Surrounding the Diagnosis of Autism in Children
title_full	Challenges Surrounding the Diagnosis of Autism in Children
title_fullStr	Challenges Surrounding the Diagnosis of Autism in Children
title_full_unstemmed	Challenges Surrounding the Diagnosis of Autism in Children
title_sort	challenges surrounding the diagnosis of autism in children
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/e35a1ad1c53141159ecacffd58e1adf7
work_keys_str_mv	AT husy challengessurroundingthediagnosisofautisminchildren AT segalo challengessurroundingthediagnosisofautisminchildren
_version_	1718371150709391360

Challenges Surrounding the Diagnosis of Autism in Children

Ejemplares similares