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Articoli

No. 2 (2022)

The parental perception of emotional-behavioral changes in children with autism spectrum disorder, 4 months after the onset of the pandemic period

DOI
https://doi.org/10.3280/rip2022oa13999
Submitted
giugno 21, 2022
Published
2022-06-24

Abstract

Autism spectrum disorder refers to a neurodevelopment disorder that is characterized by difficulties with social communication and social interaction and restricted and repetitive patterns in behaviors, interests, and activities. During the lockdown, when social isolation and distancing become mandatory for everyone, disruption of daily routines (school, therapy, free time) is a risk factor especially for families with a child with autism disorder, because their children may have a freeze in the progress they had painstakingly achieved up to that point. In this study, we monitored 81 families of children with autism disorder, assessed before the onset of the lockdown and approximately 4 months later, to see which childrenʼs behaviors had worsened and which had remained stable or improved. The families were interviewed, in February and July 2020, using standardized rating scales. The results showed an intensification in the children of motor restlessness, difficulty in sleep regulation, while there were no worsening in self-harming or hetero-aggressive behaviors, nor in personal autonomy. It should be considered that all the families involved in the present research were involved in therapeutic paths and did not interrupt the path of psychological support (online), with the specific objective of supporting them in their parental role in the most critical phases experienced by the children, and in making them more active in the processes of consolidation of the competences acquired by the children. 

References

  1. Altena, E., Baglioni, C., Espie, C. A., Ellis, J., Gavriloff, D., Holzinger, B., & Riemann, D. (2020). Dealing with sleep problems during home confinement due to the COVID- 19 outbreak: Practical recommendations from a task force of the European CBT- I Academy. Journal of Sleep Research. DOI: 10.1111/jsr.13052.
  2. Alhuzimi, T. (2021). Stress and emotional wellbeing of parents due to change in routine for children with Autism Spectrum Disorder (ASD) at home during COVID-19 pandemic in Saudi Arabia. Research in Developmental Disabilities, 108. DOI: 10.1016/j.ridd.2020.103822.
  3. Althiabi, Y. (2021). Attitude, anxiety and perceived mental health care needs among parents of children with Autism Spectrum Disorder (ASD) in Saudi Arabia during COVID-19 pandemic. Research in Developmental Disabilities, 111. DOI: 10.1016/j.ridd.2021.103873.
  4. Ameis, S. H., Lai, M. C., Mulsant, B. H., & Szatmari, P. (2020). Coping, fostering resilience, and driving care innovation for autistic people and their families during the COVID-19 pandemic and beyond. Molecular Autism, 11(1), 1-9. DOI: 10.1186/s13229-020-00365-y.
  5. APA_ American Psychiatric Association (2013). American Psychiatric Association ʼs Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry.
  6. Baribeau, D. A., Vigod, S., Pullenayegum, E., Kerns, C. M., Mirenda, P., Smith, I. M., ... & Szatmari, P. (2020). Repetitive behavior severity as an early indicator of risk for elevated anxiety symptoms in autism spectrum disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 59(7), 890-899. DOI: 10.1016/j.jaac.2019.08.478.
  7. Baweja, R., Brown, S. L., Edwards, E. M., & Murray, M. J. (2022). COVID-19 pandemic and impact on patients with autism spectrum disorder. Journal of Autism and Developmental Disorders, 52(1), 473-482. DOI: 10.1007/s10803-021-04950-9.
  8. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395, 912-920. DOI: 10.1016/S0140-6736(20)30460-8.
  9. Cohen, I., L., & Sudhalter, V. (2005); PDD behavior inventory (PDDBI). Lutz, FL: Psychological Assessment Resources. Italian Eds. Emberti Gialloreti, L., & Benassi, F., Hogrefe Ed., Florence 2014.
  10. Colizzi, M., Sironi, E., Antonini, F., Ciceri, M. L., Bovo, C., & Zoccante, L. (2020a). Psychosocial and behavioral impact of COVID-19 in autism spectrum disorder: an online parent survey. Brain Sciences, 10(6). DOI: 10.3390/brainsci10060341.
  11. Colizzi, M., Sironi, E., Antonini, F., Ciceri, M. L., Bovo, C., & Zoccante, L. (2020b). The covid-19 outbreak impact on well-being among people with autism spectrum disorder in italy: an n= 527 web-based survey. Journal of the American Academy of Child and Adolescent Psychiatry, 59(10). DOI: 10.1016/j.jaac.2020.08.428.
  12. Di Renzo, M., Bianchi Di Castelbianco, F., Vanadia, E., Petrillo, M., DʼErrico, S., Racinaro, L., & Rea, M. (2020). Parent-Reported Behavioural Changes in Children With Autism Spectrum Disorder During the COVID-19 Lockdown in Italy. Continuity in Education, 1(1). DOI: 10.5334/cie.20.
  13. Di Renzo, M. (2017). The Theoretical Principles of the Body-Centered Therapy to Promote Affective Attunement in Children with Autism Spectrum Disorder, Journal of Behavioral and Brain Science, 7(12), 545-556. DOI: 10.4236/jbbs.2017.712039.
  14. Di Renzo, M., Vanadia, E., Petrillo, M., Trapolino, D., Racinaro, L., Rea, M., & Bianchi di Castelbianco, F. (2020). A therapeutic approach for ASD: method and outcome of the DERBBI-developmental, emotional regulation and body-based intervention. International Journal of Psychoanalysis and Education, 12(1), 59-75.
  15. Ersoy, K., Altin, B., Sarikaya, B. B., & Özkardaş, O. G. (2020). The comparison of impact of health anxiety on dispositional hope and psychological wellbeing of mothers who have children diagnosed with autism and mothers who have normal children, in Covid-19 pandemic. Sosyal Bilimler Araştırma Dergisi, 9(2), 117-126.
  16. Evans, D. W., Kleinpeter, F. L., Slane, M. M., & Boomer, K. (2014). Adaptive and maladaptive correlates of repetitive behavior and restricted interests in persons with Down syndrome and developmentally-matched typical children: A two-year longitudinal sequential design. PLoS One, 9(4), DOI: 10.1371/journal.pone.0093951.
  17. Ferri, R., Orsini, A., Rea, M. (2014). ABAS-II. Contributo alla taratura italiana (1-18 anni). Firenze, Giunti Organizzazioni Speciali.
  18. Golberstein, E., Wen, H., & Miller, B. F. (2020). Coronavirus disease 2019 (COVID-19) and mental health for children and adolescents. JAMA pediatrics. DOI: 10.1001/jamapediatrics.2020.1456.
  19. Harrison, P., & Oakland, T. (2003). ABAS-II - Adaptive Behavior Assessment System (2nd ed.). Los Angeles: Western Psychological Services. Italian Eds. Ferri, R., Orsini, A., & Rea, M., Giunti O.S. Organizzazioni Speciali, Florence 2014.
  20. ISS_Istituto Superiore di Sanità (2020). Indicazioni ad interim per un appropriato sostegno delle persone nello spettro autistico nell’attuale scenario emergenziale SARS-CoV-2 [Interim indications for appropriate support to people with ASD in the current SARS-CoV-2 emergency]. Rapporti ISS COVID-19, 8/2020.
  21. Khan, Y. S., Khan, A. W., El Tahir, M., Hammoudeh, S., Al Shamlawi, M., & Alabdulla, M. (2021). The impact of COVID-19 pandemic social restrictions on individuals with autism spectrum disorder and their caregivers in the State of Qatar: A cross-sectional study. Research in developmental disabilities, 119, 104090. DOI: 10.1016/j.ridd.2021.104090.
  22. Lam, K., Bodfish, J., & Pivan, J. (2008). Evidence for three subtypes of repetitive behavior in autism that differ in familiality and association with other symptoms. Journal of Child Psychology and Psychiatry, 49, 1193-1200. DOI: 10.1111/j.1469-7610.2008.01944.x.
  23. Levante, A., Petrocchi, S., Bianco, F., Castelli, I., Colombi, C., Keller, R., ... & Lecciso, F. (2021). Psychological Impact of COVID-19 Outbreak on Families of Children with Autism Spectrum Disorder and Typically Developing Peers: An Online Survey. Brain Sciences, 11(6), DOI: 10.3390/brainsci11060808.
  24. Manning, J., Billian, J., Matson, J., Allen, C., Soares, N. (2020). Perceptions of Families of Individuals with Autism Spectrum Disorder during the COVID-19 Crisis. Journal of Autism Developmental Disorder, 22,1-9. DOI: 10.1007/s10803-020-04760-5.
  25. McIntosh, D. N., Miller, L. J., & Shyu, V. (1999). Development and validation of the short sensory profile. In W. Dunn (Ed.), The sensory profile examiner’s manual. San Antonio, TX: The Psychological Corporation.
  26. Mutluer, T., Doenyas, C., & Aslan Genc, H. (2020). Behavioral implications of the Covid-19 process for autism spectrum disorder, and individualsʼ comprehension of and reactions to the pandemic conditions. Frontiers in psychiatry. DOI: 10.3389/fpsyt.2020.561882.
  27. Narzisi, A. (2020). Handle the Autism Spectrum Condition during Coronavirus (COVID-19) Stay at Home Period: Ten Tips for Helping Parents and Caregivers of Young Children. Brain Science, 10(4). DOI: /10.3390/brainsci10040207.
  28. Newschaffer, C. J., Croen, L. A., Daniels, J., Giarelli, E., Grether, J. K., Levy, S. E., ... & Windham, G. C. (2007). The epidemiology of autism spectrum disorders. Annu. Rev. Public Health, 28, 235-258. DOI: 10.1146/annurev.publhealth.28.021406.144007.
  29. Rogers, S. J., Hepburn, S., & Wehner, E. (2003). Parent reports of sensory symptoms in toddlers with autism and those with other developmental disorders. Journal of autism and developmental disorders, 33(6), 631-642. DOI: 10.1023/B:JADD.0000006000.38991.a7.
  30. Yılmaz, B., Azak, M., & Şahin, N. (2021). Mental health of parents of children with autism spectrum disorder during COVID-19 pandemic: A systematic review. World Journal of Psychiatry, 11(7). DOI: 10.5498/wjp.v11.i7.388.

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