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A longitudinal comparison of emotional, behavioral and attention problems in autistic and typically developing children.

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Title: A longitudinal comparison of emotional, behavioral and attention problems in autistic and typically developing children.
Authors: Wright, N. (AUTHOR), Courchesne, V. (AUTHOR), Pickles, A. (AUTHOR), Bedford, R. (AUTHOR), Duku, E. (AUTHOR), Kerns, C. M. (AUTHOR), Bennett, T. (AUTHOR), Georgiades, S. (AUTHOR), Hill, J. (AUTHOR), Richard, A. (AUTHOR), Sharp, H. (AUTHOR), Smith, I. M. (AUTHOR), Vaillancourt, T. (AUTHOR), Zaidman-Zait, A. (AUTHOR), Zwaigenbaum, L. (AUTHOR), Szatmari, P. (AUTHOR), Elsabbagh, M. (AUTHOR)
Source: Psychological Medicine. Dec2023, Vol. 53 Issue 16, p7707-7719. 13p.
Subjects: Parent attitudes, Child development, Behavior disorders in children, Attention-deficit hyperactivity disorder, Child Behavior Checklist, Comparative studies, Sex distribution, Autism, Affective disorders, Descriptive statistics, Attention, Research funding, Statistical models, Emotions, Longitudinal method, Mental illness, Parents
Abstract: Background: Mental health problems are elevated in autistic individuals but there is limited evidence on the developmental course of problems across childhood. We compare the level and growth of anxious-depressed, behavioral and attention problems in an autistic and typically developing (TD) cohort. Methods: Latent growth curve models were applied to repeated parent-report Child Behavior Checklist data from age 2–10 years in an inception cohort of autistic children (Pathways, N = 397; 84% boys) and a general population TD cohort (Wirral Child Health and Development Study; WCHADS; N = 884, 49% boys). Percentile plots were generated to quantify the differences between autistic and TD children. Results: Autistic children showed elevated levels of mental health problems, but this was substantially reduced by accounting for IQ and sex differences between the autistic and TD samples. There was small differences in growth patterns; anxious-depressed problems were particularly elevated at preschool and attention problems at late childhood. Higher family income predicted lower base-level on all three dimensions, but steeper increase of anxious-depressed problems. Higher IQ predicted lower level of attention problems and faster decline over childhood. Female sex predicted higher level of anxious-depressed and faster decline in behavioral problems. Social-affect autism symptom severity predicted elevated level of attention problems. Autistic girls' problems were particularly elevated relative to their same-sex non-autistic peers. Conclusions: Autistic children, and especially girls, show elevated mental health problems compared to TD children and there are some differences in predictors. Assessment of mental health should be integrated into clinical practice for autistic children. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A longitudinal comparison of emotional, behavioral and attention problems in autistic and typically developing children.
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  Data: <searchLink fieldCode="AR" term="%22Wright%2C+N%2E%22">Wright, N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Courchesne%2C+V%2E%22">Courchesne, V.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Pickles%2C+A%2E%22">Pickles, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bedford%2C+R%2E%22">Bedford, R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Duku%2C+E%2E%22">Duku, E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kerns%2C+C%2E+M%2E%22">Kerns, C. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bennett%2C+T%2E%22">Bennett, T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Georgiades%2C+S%2E%22">Georgiades, S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hill%2C+J%2E%22">Hill, J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Richard%2C+A%2E%22">Richard, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharp%2C+H%2E%22">Sharp, H.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Smith%2C+I%2E+M%2E%22">Smith, I. M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vaillancourt%2C+T%2E%22">Vaillancourt, T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zaidman-Zait%2C+A%2E%22">Zaidman-Zait, A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zwaigenbaum%2C+L%2E%22">Zwaigenbaum, L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Szatmari%2C+P%2E%22">Szatmari, P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elsabbagh%2C+M%2E%22">Elsabbagh, M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Psychological+Medicine%22">Psychological Medicine</searchLink>. Dec2023, Vol. 53 Issue 16, p7707-7719. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders+in+children%22">Behavior disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Behavior+Checklist%22">Child Behavior Checklist</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Autism%22">Autism</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Attention%22">Attention</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+models%22">Statistical models</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Mental health problems are elevated in autistic individuals but there is limited evidence on the developmental course of problems across childhood. We compare the level and growth of anxious-depressed, behavioral and attention problems in an autistic and typically developing (TD) cohort. Methods: Latent growth curve models were applied to repeated parent-report Child Behavior Checklist data from age 2–10 years in an inception cohort of autistic children (Pathways, N = 397; 84% boys) and a general population TD cohort (Wirral Child Health and Development Study; WCHADS; N = 884, 49% boys). Percentile plots were generated to quantify the differences between autistic and TD children. Results: Autistic children showed elevated levels of mental health problems, but this was substantially reduced by accounting for IQ and sex differences between the autistic and TD samples. There was small differences in growth patterns; anxious-depressed problems were particularly elevated at preschool and attention problems at late childhood. Higher family income predicted lower base-level on all three dimensions, but steeper increase of anxious-depressed problems. Higher IQ predicted lower level of attention problems and faster decline over childhood. Female sex predicted higher level of anxious-depressed and faster decline in behavioral problems. Social-affect autism symptom severity predicted elevated level of attention problems. Autistic girls' problems were particularly elevated relative to their same-sex non-autistic peers. Conclusions: Autistic children, and especially girls, show elevated mental health problems compared to TD children and there are some differences in predictors. Assessment of mental health should be integrated into clinical practice for autistic children. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1017/S0033291723001599
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Child development
        Type: general
      – SubjectFull: Behavior disorders in children
        Type: general
      – SubjectFull: Attention-deficit hyperactivity disorder
        Type: general
      – SubjectFull: Child Behavior Checklist
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      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Affective disorders
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Attention
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      – SubjectFull: Research funding
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      – SubjectFull: Statistical models
        Type: general
      – SubjectFull: Emotions
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Mental illness
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      – SubjectFull: Parents
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      – TitleFull: A longitudinal comparison of emotional, behavioral and attention problems in autistic and typically developing children.
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