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The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan.

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Title: The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan.
Authors: Stein Elger, Rafaella, Chowdhury, Suman Kanti, Pacheco Garrillo, Maria, Sauls, Rachel, Sundaramurugan, Suruthi, Rozen, Emily, Puri, Harsha, Brice, Dowensly Jean, Liu, Jing, Bakour, Chighaf, Kirby, Russell S.
Source: Journal of Autism & Developmental Disorders. Sep2025, Vol. 55 Issue 9, p3193-3202. 10p.
Subjects: Autism risk factors, Treatment of autism, Disabilities, Risk assessment, Children's health, Adolescent health, Logistic regression analysis, Multivariate analysis, Families, Descriptive statistics, Early intervention (Education), Surveys, Odds ratio, Asperger's syndrome, Special education, Confidence intervals, Adverse childhood experiences, Children
Abstract: The purpose of this study is to examine the association between autism spectrum disorder (ASD) severity and having a special education or early intervention plan and the impact of adverse childhood experiences (ACEs) on this association. This study used the 2020–2021 National Survey of Children's Health (NSCH) and included 2,537 children aged 3–17 years old who currently have ASD. Multivariable logistic regression, controlling for demographic and family characteristics and health status, was used to explore the association between autism severity and having an early intervention plan. The analysis was stratified by the number of ACEs to explore their role in the association. Children with moderate or severe ASD were more likely to have a special education or early intervention plan than those with mild ASD in the crude and adjusted models. This association continued to be true for children who experienced 1 ACE (aOR: 2.28, 95%CI: 1.09–4.77) but not true for those who experienced no ACEs (aOR: 1.16, 95%CI: 0.70–1.94) and 2 or more ACEs (aOR: 1.84, 95%CI: 0.92–3.69). Results demonstrate that children with moderate or severe autism were more likely to receive early intervention or special education. This association changed depending on the number of ACEs experiences. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature 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: The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan.
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  Data: <searchLink fieldCode="AR" term="%22Stein+Elger%2C+Rafaella%22">Stein Elger, Rafaella</searchLink><br /><searchLink fieldCode="AR" term="%22Chowdhury%2C+Suman+Kanti%22">Chowdhury, Suman Kanti</searchLink><br /><searchLink fieldCode="AR" term="%22Pacheco+Garrillo%2C+Maria%22">Pacheco Garrillo, Maria</searchLink><br /><searchLink fieldCode="AR" term="%22Sauls%2C+Rachel%22">Sauls, Rachel</searchLink><br /><searchLink fieldCode="AR" term="%22Sundaramurugan%2C+Suruthi%22">Sundaramurugan, Suruthi</searchLink><br /><searchLink fieldCode="AR" term="%22Rozen%2C+Emily%22">Rozen, Emily</searchLink><br /><searchLink fieldCode="AR" term="%22Puri%2C+Harsha%22">Puri, Harsha</searchLink><br /><searchLink fieldCode="AR" term="%22Brice%2C+Dowensly+Jean%22">Brice, Dowensly Jean</searchLink><br /><searchLink fieldCode="AR" term="%22Liu%2C+Jing%22">Liu, Jing</searchLink><br /><searchLink fieldCode="AR" term="%22Bakour%2C+Chighaf%22">Bakour, Chighaf</searchLink><br /><searchLink fieldCode="AR" term="%22Kirby%2C+Russell+S%2E%22">Kirby, Russell S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Sep2025, Vol. 55 Issue 9, p3193-3202. 10p.
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  Label: Abstract
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  Data: The purpose of this study is to examine the association between autism spectrum disorder (ASD) severity and having a special education or early intervention plan and the impact of adverse childhood experiences (ACEs) on this association. This study used the 2020–2021 National Survey of Children's Health (NSCH) and included 2,537 children aged 3–17 years old who currently have ASD. Multivariable logistic regression, controlling for demographic and family characteristics and health status, was used to explore the association between autism severity and having an early intervention plan. The analysis was stratified by the number of ACEs to explore their role in the association. Children with moderate or severe ASD were more likely to have a special education or early intervention plan than those with mild ASD in the crude and adjusted models. This association continued to be true for children who experienced 1 ACE (aOR: 2.28, 95%CI: 1.09–4.77) but not true for those who experienced no ACEs (aOR: 1.16, 95%CI: 0.70–1.94) and 2 or more ACEs (aOR: 1.84, 95%CI: 0.92–3.69). Results demonstrate that children with moderate or severe autism were more likely to receive early intervention or special education. This association changed depending on the number of ACEs experiences. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature 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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      – Type: doi
        Value: 10.1007/s10803-024-06444-w
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 3193
    Subjects:
      – SubjectFull: Autism risk factors
        Type: general
      – SubjectFull: Treatment of autism
        Type: general
      – SubjectFull: Disabilities
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Children's health
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      – SubjectFull: Adolescent health
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Multivariate analysis
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      – SubjectFull: Families
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Early intervention (Education)
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      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Odds ratio
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Special education
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Adverse childhood experiences
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      – SubjectFull: Children
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      – TitleFull: The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan.
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              Text: Sep2025
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