Classification of the comorbid symptomatic groups on autism spectrum disorder diagnosis

Ojea Rúa Manuel

doi:10.31686/ijier.vol9.iss6.3167

Authors

Ojea Rúa Manuel

(34) 630189639

https://orcid.org/0000-0002-9787-2520

DOI:

https://doi.org/10.31686/ijier.vol9.iss6.3167

Keywords:

Autism Spectrum Disorder, Comorbidity, Clinical and Educational Treatment

Abstract

A total of 126 people with a nuclear diagnosis of autism spectrum disorder (ASD) participated in this study, corresponding to Galicia Community (Spain), found through survey regarding significantly more common symptoms related this disorder nuclear diagnosis. Hence, main aim is delimiting symptoms symptomatic groups that co-occur to each other, regarding basic diagnosis of ASD, in order elaborate predictive processes of comorbid recurrence along ASD diagnosis and develop the related psycho- educational approach.

Data analysis, achieved throughout CLUSTER K-MEDIAS test of SPSS statistic, 23 version, allowed conclude there´s an interaction of symptoms recurrent themselves, which let conclude a classification of 3 symptomatic groups that make up basic comorbidity of ASD diagnosis: 1) group I, formed by epilepsy (2.00) and severe cognitive deficit (1.86) interaction, 2) II group, with significant interrelated scores in schizotypal features (.82) and anxiety processes (.77), and 3) III group, characterized by interaction between motor tics (1.92), cognitive deficit (1.54), hypersensitivity (1.23) and severe behavior problems (1.38).

It´s possible conclude these symptomatic groups are predictors variables of comorbidity associated with ASD to carry out effective psycho- social- educational implementation to people with ASD.

Author Biography

Ojea Rúa Manuel, (34) 630189639

Prof. Dr. Psycho- Pedagogy

References

Albantakis, L., Brandi, M. L., Zillekens, I. Ch., Henco, L., Weindel, L., Thaler, H., Schliephake, L., Timmermans, B., & Schilbach, L. (2020). Alexithymic and autistic traits: Relevance for comorbid depression and social phobia in adults with and without autism spectrum disorder. Autism, 24(8) 2046- 2056. DOI: 10.1177/1362361320936024 journals.sagepub.com/home/aut

Alfageh, B. A., Man, K. K. C., Besag, F. M. C., Alhawassi, T. M., Won, I. C. K., & Brauer, R. (2020). Psychotropic medication prescribing for neuropsychiatric comorbidities in individuals diagnosed with Autism Spectrum Disorder (ASD) in the UK. Journal of Autism and Developmental Disorders, 50, 625–633. https://doi.org/10.1007/s10803-019-04291-8 DOI: https://doi.org/10.1007/s10803-019-04291-8

American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). APA. https://doi.org/10.1176/appi.books.9780890425596 DOI: https://doi.org/10.1176/appi.books.9780890425596

Boothe, A., & Zuna, N. (2019). Epilepsy in children with ASD: An overview of evaluation procedures, child characteristics and treatment options. International Journal of Disability, Development and Education, 66(1), 1-18. http://dx.doi.org/10.1080/1034912X.2018.1437893 DOI: https://doi.org/10.1080/1034912X.2018.1437893

Brookman-Frazee, L., Drahota, A., & Stadnick, N. (2012) Therapist perspectives on community mental health services for children with autism spectrum disorders. Administration and Policy in Mental Health and Mental Health Services Research, 39(5): 365–373. https://doi.org/10.1007/s10488-012-0441-9 DOI: https://doi.org/10.1007/s10488-011-0355-y

Brookman- Frazee, L., Stadnick, N., Chlebowski, C., Baker-Ericzén, & Ganger, W. (2017). Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services. Autism, 22(8), 938–952. sagepub.com/journals-permissions DOI: 10.1177/1362361317712650 journals.sagepub.com/home/aut DOI: https://doi.org/10.1177/1362361317712650

European Medicines Agency. (2007). Assessment of the paediatric needs psychiatry. European Medicines Agency. https://www.ema.europa.eu/en/documents/other/assessment-paediatric-needs-psychiatry_en.pdf

Fietz, J., Valencia, N., & Silani, G. (2018). Alexithymia and autistic traits as possible predictors for traits related to depression, anxiety, and stress: A multivariate statistical approach. Journal of Evaluation in Clinical Practice, 24(4), 901- 908. https://doi.org/10.1111/jep.12961 DOI: https://doi.org/10.1111/jep.12961

Gagan, J., Petty, C., Wozniak J., Henin, A., Frito, R., Galdo, M., Kotarski, M., Walls, S., & Biederman, J. (2010) The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: a large comparative study of a psychiatrically referred population. Journal of Autism and Developmental Disorders 40(11), 1361-1370. https://doi.org/10.1007/s10803-010-0996-9 DOI: https://doi.org/10.1007/s10803-010-0996-9

Hemming, L., Haddock, G., Shaw, J., & Pratt, D. (2019). Alexithymia and its associations with depression, suicidality, and aggression: An overview of the literature. Frontiers in Psychiatry, 10, 1- 7. https://doi.org/10.3389/ fpsyt.2019.00203 DOI: https://doi.org/10.3389/fpsyt.2019.00203

Hofmann, S. G. (2014). Interpersonal emotion regulation model of mood and anxiety disorders. Cognitive Therapy and Research, 38(5), 483- 492. https://doi.org/10.1007/s10608- 014-9620-1 DOI: https://doi.org/10.1007/s10608-014-9620-1

Leader, G., Tuohy, E., Chen, J. L., Mannion, A., & Gilroy, S. P. (2020). Feeding problems, gastrointestinal symptoms, challenging behavior and sensory issues in children and adolescents with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 50, 1401–1410 https://doi.org/10.1007/s10803-019-04357-7 DOI: https://doi.org/10.1007/s10803-019-04357-7

Murray, M. J. (2010). Attention-deficit/ hyperactivity disorder in the context of autism spectrum disorders. Current Psychiatry Reports, 12(5), 382–388. https://doi.org/10.1007/s11920-010-0145-3. DOI: https://doi.org/10.1007/s11920-010-0145-3

Nah, Y. H., Brewer, N., Young, R. L., & Flower, R. (2018). Brief report: Screening adults with Autism Spectrum Disorder for anxiety and depression. Journal of Autism and Developmental Disorders, 48, 1841–1846 https://doi.org/10.1007/s10803-017-3427-3 DOI: https://doi.org/10.1007/s10803-017-3427-3

National Institute for Health and Care Excellence. (2013). Autism spectrum disorder in under 19 s: Support and management. National Institute for Health and Care Excellence. Autism spectrum disorder in under 19s: support and management (nice.org.uk)

Rydzewska, E., Hughes- McCormack, L. A., Gillberg, Ch., Henderson, A., MacIntyre, C., Rintoul, J., & Coope, S. A. (2018). Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: Observational study of a whole country population. Autism, 23(5), 1201–1209. sagepub.com/journals-permissions DOI: 10.1177/1362361318791279 journals.sagepub.com/home/aut DOI: https://doi.org/10.1177/1362361318791279

Seiverling, L., Towle, P., Hendy, H. M., & Pantelides, J. (2018). Prevalence of feeding problems in young children with and without autism spectrum disorder: A chart review study. Journal of Early Intervention, 40(4), 335–346. https://doi.org/10.1177/1053815118789396 DOI: https://doi.org/10.1177/1053815118789396

Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47(8), 921–929. DOI: 10.1097/CHI.0b013e318179964f DOI: https://doi.org/10.1097/CHI.0b013e318179964f

Syriopoulou- Delli, Ch., Polychronopoulou, S. A., Kolaitis, G., & · Antoniou, A. S. G. (2019). Views of teachers on anxiety symptoms in students with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders, 49, 704–720 https://doi.org/10.1007/s10803-018-3752-1 DOI: https://doi.org/10.1007/s10803-018-3752-1

Tsai, L. (2000). Children with autism spectrum disorder: Medicine today and in the new millennium. Focus on Autism and Other Developmental Disabilities, 15, 138–145. https://www.ncbi.nlm.nih.gov/pubmedhealth/n/cer137/appe DOI: https://doi.org/10.1177/108835760001500302

Wang, G., Li, W. L., Han, Y., Gao, L., Dai, W., Su, Y. Y., & Zhang, X. (2019). Sensory processing problems and comorbidities in chinese preschool children with Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 49, 4097- 4108. https://doi.org/10.1007/s10803-019-04125-7 DOI: https://doi.org/10.1007/s10803-019-04125-7

Williams, W. C., Morelli, S. A., Ong, D. C., & Zaki, J. (2018). Interpersonal emotion regulation: Implications for affiliation, perceived support, relationships, and well-being. Journal of Personality and Social Psychology, 115(2), 224- 254. https://doi.org/10.1037/pspi0000132 DOI: https://doi.org/10.1037/pspi0000132

Zachor, D. A., & Ben- Itzchak, E. (2019). From toddlerhood to adolescence: Which characteristics among toddlers with Autism Spectrum Disorder predict adolescent Attention Deficit/Hyperactivity symptom severity? A long- term follow- up study. Journal of Autism and Developmental Disorders, 49, 3191–3202 https://doi.org/10.1007/s10803-019-04042-9 DOI: https://doi.org/10.1007/s10803-019-04042-9