Autism Spectrum Disorder Management Practices and Level of Knowledge Among General Pediatricians

  • Ayşe Aysima Özçelik GAZİANTEP UNİVERSİTY
  • Şebnem Soysal Gazi University Faculty of Medicine
  • Ebru Arhan Gazi University Faculty of Medicine
  • Ercan Demir Gazi University Faculty of Medicine
  • Kıvılcım Gücüyener Gazi University Faculty of Medicine
  • Ayşe Serdaroğlu Gazi University Faculty of Medicine
Keywords: Autistic spectrum disorder, pediatrician, practices, knowledge

Abstract

Objectives: Early diagnosis of Autistic Spectrum Disorder (ASD) is challenging and may be delayed up to preschool years since there is no pathognomonic sign or laboratory test to detect the illness. For early diagnosis and treatment, pediatricians  should be aware of the psychological disorders and medical issues that children withASD encounter.  Pediatricians play  an important role in the early recognition of ASD, because they are usually the first point of contact for children with ASD. Methods: This study focuses on the role of pediatricians’ awareness of autism and its effects on the life events of the autistic children. The study involved 270 volunteer pediatricians (residents, pediatricians), from state  and university hospitals.Results: ASD that the participants were most commonly aware of were lack of attention to social stimuli, fewer smiles, and  not looking at the faces of others, not responding to their own name, delayed speech in the presence of  hearing  and gastrointestinal problems such as vomiting and eating .Conclusions:  The results of the present study show that pediatricians do not have the through knowledge of DSM-IV autism criteria and ASD. They have stated that they are not familiar with comprehensive evaluation techniques or are not comfortable with making the diagnosis of  autism spectrum disorders, have inadequate knowledge about the effect of the disease on the rest of the patient life as an adult. They have also stated that   having spending some time in child and adult psychiatry clinics will make them feel more comfortable while approaching those patients.

Author Biographies

Ayşe Aysima Özçelik, GAZİANTEP UNİVERSİTY
Division of Pediatric Neurology
Şebnem Soysal, Gazi University Faculty of Medicine
Division of Pediatric Neurology
Ebru Arhan, Gazi University Faculty of Medicine
Division of Pediatric Neurology
Kıvılcım Gücüyener, Gazi University Faculty of Medicine
Division of Pediatric Neurology
Ayşe Serdaroğlu, Gazi University Faculty of Medicine
Division of Pediatric Neurology

References

Johnson CP, Myers SM; American Academy of Pediatrics,Council on Children With Disabilities. Identification and evaluation of children with autism spectrum disorders. Pediatrics.2007;120:1183–1215.

Volkmar FR, Lord C, Bailey A, Schultz RT, Klin A. Autism and pervasive developmental disorders. J Child Psychol Psychiatry 2000;45: 135-70.

Developmental Disabilities Monitoring Network Surveillance Year 2010 Principal Investigators; Centers for Disease Control and Prevention (CDC). Prevalence of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites, United States, 2010. MMWR Surveill Summ. 2014 Mar 28;63:1-21.

Dosreis S, Weiner CL, Johnson L, Newschaffer CJ. Autism spectrum disorder screening and management practices among general pediatric providers. J Dev Behav Pediatr. 2006;27 Suppl 2:88–94.

Filipek PA, Accardo PJ, Ashwal S, et al. Practice parameter: screening and diagnosis of autism: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child. Neurology Society. Neurology 2000; 55: 468-79.

Filipek PA, Accardo PJ, Baranek GT, et al. The screening and diagnosis of autistic spectrum disorders. J Autism Dev Disord. 1999; 29: 439-84.

Committee on Children With DisabilitiesAmerican Academy of Pediatrics: The pediatrician's role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics 2001;107: 1221-6.

Kleinman JM, Ventola PE, Pandey J, et al. Diagnostic Stability in Very Young Children with Autism Spectrum Disorders. J Autism Dev Disord. 2008; 38: 606-15.

Turner LM, Stone WL. Variability in outcome for children with an ASD diagnosis at age 2. J Child Psychol Psychiatry. 2007;48: 793-802.

American Psychiatric AssociationDiagnostic and Statistical Manual of Mental Disorders. (4th Ed.- Text Revision). Washington DC: APB Press., 2000.

Prevalence of autism spectrum disorders — Au¬tism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008. MMWR Surveillance Summaries. 2012;61:1-19.

Spence SJ, Sharifi P, Wiznitzer M. Autism spectrum disorder: screening, diagnosis, and medical evaluation. Semin Pediatr Neurol 2004;11:186-95.

Tanguay PE. Pervasive developmental disorders: a 10-year review. J Am Acad Child Adolesc Psychiatry 2000; 39:1079-95.

Şenol S. Yaygın Gelişimsel Bozukluklar. In : Şenol S, editors. Çocuk ve gençlik ruh sağlığı. 2nd edn. Ankara: HYB Press, 2006:216-30.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013. pp. 50–9.

Kim SK. Recent update of autism spectrum disorders. Korean J Pediatr. 2015;58:8-14

Sudhinaraset A, Kuo A. Parents' perspectives on the role of pediatricians in autism diagnosis. J Autism Dev Disord. 2013;43:747-8.

Published
2015-10-01
Section
Original Research