Behavioral Symptoms of Reported Abuse in Children and Adolescents with Autism Spectrum Disorder in Inpatient Settings
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The objective of this study was to examine how behavioral manifestations of trauma due to abuse are expressed in youth with autism spectrum disorder (ASD). Analysis of covariance (ANCOVA) compared outcomes between patients with a caregiver reported history of abuse and those without. Findings indicate that patients with ASD and reported abuse (i.e. physical, sexual, and/or emotional) have more intrusive thoughts, distressing memories, loss of interest, irritability, and lethargy than those without reported maltreatment. Those with clinical diagnoses of posttraumatic stress disorder (PTSD) had more severe and externalized symptoms than those with reported abuse not diagnosed with PTSD. Results emphasize the need for trauma screening measures to guide evidence-based treatments for children with ASD.
KeywordsAutism spectrum disorder (ASD) Posttraumatic stress disorder (PTSD) Psychological trauma Abuse Autism inpatient collection
The ADDIRC is made up of the co-investigators: Matthew Siegel, MD (PI) (Maine Medical Center Research Institute; Tufts University), Craig Erickson, MD (Cincinnati Children’s Hospital; University of Cincinnati), Robin L. Gabriels, PsyD (Children’s Hospital Colorado; University of Colorado), Desmond Kaplan, MD (Sheppard Pratt Health System), Carla Mazefsky, PhD (Western Psychiatric Institute and Clinics; University of Pittsburgh), Eric M. Morrow, MD, PhD (Bradley Hospital; Brown University), Giulia Righi, PhD (Bradley Hospital; Brown University), Susan L. Santangelo, ScD (Maine Medical Center Research Institute; Tufts University), and Logan Wink, MD (Cincinnati Children’s Hospital; University of Cincinnati). Collaborating investigators and staff: Jill Benevides, BS, Carol Beresford, MD, Carrie Best, MPH, Katie Bowen, LCSW, Briar Dechant, BS, Tom Flis, BCBA, LCPC, Holly Gastgeb, PhD, Angela Geer, BS, Louis Hagopian, PhD, Benjamin Handen, PhD, BCBA-D, Adam Klever, BS, Martin Lubetsky, MD, Kristen MacKenzie, BS, Zenoa Meservy, MD, John McGonigle, PhD, Kelly McGuire, MD, Faith McNeill, BA, Ernest Pedapati, MD, Christine Peura, BA, Joseph Pierri, MD, Christie Rogers, MS, CCC-SLP, Brad Rossman, MA, Jennifer Ruberg, LISW, Cathleen Small, PhD, Kahsi A. Smith, PhD, Nicole Stuckey, MSN, RN, Barbara Tylenda, PhD, Mary Verdi, MA, Jessica Vezzoli, BS, Deanna Williams, BA, and Diane Williams, PhD, CCC-SLP. We gratefully acknowledge the contributions of the coordinating site advisory group: Donald L. St. Germain, MD and Girard Robinson, MD, and our scientific advisory group: Connie Kasari, PhD., Bryan King, MD, James McCracken, MD, Christopher McDougle, MD, Lawrence Scahill, MSN, PhD, Robert Schultz, PhD and Helen Tager-Flusberg, PhD, the input of the funding organizations and the families and children who participated. The autism inpatient collection (AIC) phenotypic database and biorepository is supported by a grant from the Simons Foundation Autism Research Initiative and the Nancy Lurie Marks Family Foundation, (SFARI #296318 to MS).
JB conceived of the study, participated in its design and coordination and drafted the manuscript; ZP participated in the design of the study and performed the statistical analysis; KAS participated in the design of the study and helped draft the manuscript; CM helped conceive and coordinate the study; RG helped conceive the study, participated in its design and helped with the interpretation of data. All authors read and approved the final manuscript.
- Administration for Children and Families. (n.d.). FAM7. A Child maltreatment: Rate of substantiated maltreatment reports of children ages 0–17 by selected characteristics, 1998–2014. Retrieved July 19, 2016, from http://www.childstats.gov/americaschildren/tables/fam7a.asp?popup=true.
- Gadow, K. D., & Sprafkin, J. (2013). Child & adolescent symptom inventory (CASI-5) (5th ed.). Stony Brook: Checkmate Plus.Google Scholar
- King, R., & Desaulnier, C. L. (2011). Commentary: Complex post-traumatic stress disorder. Implications for individuals with autism spectrum disorders - part II. Journal on Developmental Disabilities, 17(1), 47–59.Google Scholar
- Lord, C., Rutter, M., DiLavore, P. C., Risi, S., Gotham, K., & Bishop, S. L. (2012). Autism Diagnostic Observation Schedule, second edition (ADOS-2). Manual (part I) (2nd ed.). Los Angeles: Western Psychological Services.Google Scholar
- Roid, G. H., Miller, L. J., Pomplun, M., & Koch, C. (2013). Leiter International Performance Scale, third edition (Leiter-3) manual. Wood Dale: Stoelting Company.Google Scholar
- Rutter, M., Bailey, A., & Lord, C. (2003). Social Communication Questionnaire. Torrance: WPS Publishing.Google Scholar
- Shalom, D. B., Mostofsky, S. H., Hazlett, R. L., Goldberg, M. C., Landa, R. J., Faran, Y., … Hoehn-Saric, R. (2006). Normal physiological emotions but difference in expression of conscious feelings in children with high-functioning autism. Journal of Autism and Developmental Disorders, 36, 395–400.CrossRefGoogle Scholar
- Siegel, M., Smith, K. A., Mazefsky, C., Gabriels, R. L., Erickson, C., Kaplan, D., … for the Autism and Developmental Disorders Inpatient Research Collaborative (AIC). (2015). The autism inpatient collection: Methods and preliminary sample description. Molecular Autism, 6, 61. doi: 10.1186/s13229-015-0054-8.CrossRefPubMedPubMedCentralGoogle Scholar
- Sparrow, S. S., Cicchetti, D. V., & Balla, D. A. (2005). Vineland Adaptive Behavior Scales, second edition (Vineland-II) manual. Circle Pines: AGS Publishing.Google Scholar
- Sullivan, P., & Cork, P.M. (1996). Developmental Disabilities Training Project. Omaha, NE: Center for Abused Children with Disabilities, Boys Town National Research Hospital, Nebraska Department of Health and Human Services.Google Scholar
- U.S. Department of Health and Human Services. (2012). Administration for children and families, administration on children, youth and families, children’s bureau. Child maltreatment 2012 [online]. Washington, DC: Government Printing Office.Google Scholar