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An Overview of Autism and Applied Behavior Analysis in the Gulf Cooperation Council in the Middle East

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Abstract

Despite the fact that autism is on the rise, there is paucity in the literature examining the treatment of autism in the Middle East and specifically the Gulf Cooperation Council (GCC). The current review investigates the past, present, and future status of interventions for autism based on Applied Behavior Analysis (ABA) in the six countries of the GCC, namely the Kingdom of Bahrain, the State of Kuwait, the Sultanate of Oman, the State of Qatar, the Kingdom of Saudi Arabia, and the United Arab Emirates. The aims of this paper were to provide a brief overview of autism and ABA clinical services and educational opportunities and to investigate the relevant research published from each of the six states of the GCC.

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References

  • Adams, J. B., Audhya, T., McDonough-Means, S., Rubin, R. A., Quig, D., Gesis, E., & Lee, W. (2011). Effect of a vitamin/mineral supplement on children and adults with autism. BMC Pediatrics, 11, 111.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ainsleigh, S.A. (2009, May). Behavior analytic services for children with autism spectrum disorder in Saudi Arabia. Paper presented at the 35th Annual Convention of the Association for Behavior Analysis International, Phoenix, AZ.

  • Al Ansari, A., & Al Dakheel, S. (2000). Effectiveness of social skills training for children with behavior problems: maintenance of skills. Bahrain Medical Bulletin, 22(2). Retrieved from: http://www.bahrainmedicalbulletin.com/june_2000/skills.pdf.

  • Al Ayadhi, L. Y. & Halepoto, D.M. (2011). General characteristics of children with autism spectrum disorder at autism research and treatment center, King Saud University, KSA. International Conference on Medical, Biological and Pharmaceutical Science. Retrieved from http://psrcentre.org/images/extraimages/7.%201211313.pdf.

  • Al-Adawi, S. (2006). Adolescence in Oman. In J. J. Arnett (Ed.), International encyclopedia of adolescence: a historical and cultural survey of young people around the world (pp. 713–728). New York: Routledge.

    Google Scholar 

  • Al-Ansari, A. M., & Ahmed, M. M. (2012). Parental age. Risk of autistic disorder. Neurosciences, 17, 382–383.

    PubMed  Google Scholar 

  • Al-Ansari, A. M., & Ahmed, M. M. (2013). Epidemiology of autistic disorder in Bahrain: prevalence and obstetric and familial characteristics. Eastern Mediterranean Health Journal, 19, 769–774.

    PubMed  Google Scholar 

  • Al-Attrash, M. & Al Sheyab, M. (2015, May). An Arabic Verbal Behavior and Functional Skills Assessment for Individuals with Autism and other Developmental Disabilities (VBFSA IADD). Poster session presented at the 41st Annual Convention of the Association for Behavior Analysis International, San Antonio, TX.

  • Al-Ayadhi, L. Y., Al-Drees, A. M., & Arfaj, A. M. (2013). Effectiveness of auditory integration therapy in autism spectrum disorders—prospective study. Autism Insights, 5, 13–20.

    Article  Google Scholar 

  • AlBedah, A., Khalil, M., Elolemy, A., Elsubai, I., & Khalil, A. (2011). Hijama (cupping): a review of the evidence. Focus on Alternative and Complementary Therapies, 16, 12–16.

    Article  Google Scholar 

  • Al-Farsi, Y. M., Al-Sharbati, M., Al-Farsi, O. A., Al-Shafaee, M., Brooks, D., & Mostafa, I. W. (2011). Prevalence of autism in Oman. Journal of Autism and Developmental Disorders, 41, 821–825.

    Article  PubMed  Google Scholar 

  • Al-Farsi, Y. M., Waly, M., Al-Sharbati, M., Al-Shafaee, M., Al-Farsi, O., Al-Fahdi, S., Ouhtit, A., Al-Khaduri, M., & Al-Adawi, S. (2012). Variation in socio-economic burden for caring of children with autism spectrum disorder in Oman: Caregiver perspectives. Journal of Autism and Developmental Disorders, 43, 1214–1221.

    Article  Google Scholar 

  • Al-Gadani, Y., El-Ansary, A., Attas, O., & Al-Ayadhi, L. (2009). Metabolic biomarkers related to oxidative stress and antioxidant status of Saudi autistic children. Clinical Biochemistry, 42, 1032–1040.

    Article  PubMed  Google Scholar 

  • Al-Hemoud, A. M., & Al-Asfoor, M. M. (2006). A behavior based safety approach at a K Kuwait research institution. Journal of Safety Research, 37(2), 201–206.

    Article  PubMed  Google Scholar 

  • Al-Hilawani, Y. A., Koch, K. R., & Braaten, S. R. (2008). Enhancing services for students with mild disabilities in the Middle East Gulf region: a Kuwait initiative. TEACHING Exceptional Children Plus, 4, Article 1. Retrieved fromhttp://escholarship.bc.edu/education/tecplus/vol4/iss5/art1

  • Al-Kandari, M. T. (2006). Parenting an autistic child in Kuwait: Kuwaiti mothers’ voice and experiences with children labeled autistic. Retrieved from School of Syracuse University, New York (doctoral dissertation).

  • Almasoud, H. (2010). Services and support for individuals with autism: a comparative study between the UK and Saudi Arabia. College of Education, King Saud University. Retrieved from http://faculty.ksu.edu.sa/almasoud/DocLib29/.

  • Almasoud, H. (2013). Educating students with autism spectrum conditions (ASCs) in Saudi Arabia: policy, practice, and provision for inclusive and special education. Retrievedfrom http://hananalmasoud.hubpages.com/hub/Educating-students-with-autism- spectrum-conditions-in-Saudi-Arabia

  • Almulla, N. (2013). Diagnosis and management of a 7-year old child with an autism spectrum disorder (ASD) in Bahrain: a case study. International Journal of Scientific Study, 1, 33–37.

    Google Scholar 

  • Alqahtani, M. J. (2012). Understanding autism in Saudi Arabia: a qualitative analysis of community and cultural context. Journal of Pediatric Neurology, 10, 15–22.

    Google Scholar 

  • Alqassab, N. (2015). Middle East ABA. Retrieved from https://www.abainternational.org/constituents/chapters/non-us-chapter-details.aspx

  • Al-Qassab, N. (2001). Saudi Arabia. Retrieved from http://saba.abainternational.org/grants/international-development-grant/nour-al- qassab/

  • Alquraini, T. (2011). Special education in Saudi Arabia: challenges, perspective, and future possibilities. International Journal of Special Education, 26, 149–159.

    Google Scholar 

  • Alquraini, T. (2013). Legislative rules for students with disabilities in the United States and Saudi Arabia: a comparative study. International Interdisciplinary Journal of Education, 2, 601–614.

    Article  Google Scholar 

  • Al-Salehi, S. M., Al-Hifthy, E. H., & Ghaziuddin, M. (2009). Autism in Saudi Arabia: presentation, clinical correlates, and comorbidity. Transcultural Psychiatry, 46, 340–347.

    Article  PubMed  Google Scholar 

  • Al-Shammari, Z. (2006). Special education teachers’ attitudes toward autistic students in the autism school in the state of Kuwait: a case study. Journal of Instructional Psychology, 33, 170–178. Retrieved from http://www.freepatentsonline.com/article/Journal-Instructional-Psychology/157946273.html.

    Google Scholar 

  • Al-Sharbati, M., Al-Farsi, Y. M., Ouhtit, A., Waly, M., Al-Shafaee, M., Al-Farsi, O., Al- Khaduri, M., Al-Said, M., & Al-Adawi, S. (2015). Awareness about autism among school teachers in Oman: a cross-sectional study. Autism, 19, 6–13.

    Article  PubMed  Google Scholar 

  • Al-Yafee, Y., Al-Ayadhi, L., & El-Ansary, A. (2011). Novel metabolic biomarkers related to sulphur-dependent detoxification pathways in autistic patients of Saudi Arabia. BMC Neurology, 11, 139.

    Article  PubMed  PubMed Central  Google Scholar 

  • Al-Zahrani, A. (2013). Prevalence and clinical characteristics of autism spectrum disorders in school-age children in Taif- KSA. International Journal of Medical Science and Public Health, 2, 578–582.

    Google Scholar 

  • Arabian Gulf University. (2010). Programs of college of graduate studies. Retrieved fromhttp://www.agu.edu.bh/english/colleges/grad_programs.aspx

  • Ashkanani, A. G. (2000). An investigative study into the current understanding of autism and provision for autistic children in Kuwait. United Kingdom: University of Hull (unpublished doctoral dissertation).

    Google Scholar 

  • Association for Behavior Analysis International. (2015). Retrieved from https://www.abainternational.org/

  • Autism Speaks. (2015). Retrieved from https://www.autismspeaks.org.

  • Bahrain Society for Children with Behavioral and Communication Difficulties. (2015). R Retrieved from http://www.childbehavior.org

  • Behavior Analyst Certification Board (n.d.). Retrieved from http://www.bacb.com/

  • Brown, J. (2013). The cultural appropriateness of inclusive education in Saudi Arabia: how useful are western ideals or concepts? University of Exeter (doctoral dissertation). Retrieved from https://www.academia.edu/8473865/Issues_in_Special_Needs_and_Inclusive_Education.

  • Center for Autism Research (2014). Retrieved from http://cfar.kfshrc.edu.sa/HomeEnglish.aspx

  • Centers for Disease Control and Prevention (2014). CDC estimates 1 in 68 children has been identified with autism spectrum disorder. Retrieved from http://www.cdc.gov/media/releases/2014/p0327-autism-spectrum-disorder.html

  • Cooperation Council for the Arab States of the Gulf. (2012). http://www.gcc-sg.org/eng/

  • Eapen, V., Mabrouk, A. A., Zoubeidi, T., & Yunis, F. (2007). Prevalence of pervasive developmental disorders in preschool children in the UAE. Journal of Tropical Pediatrics, 53, 202–205.

    Article  PubMed  Google Scholar 

  • El-Ansary, A., & Ayadhi, A. (2012). Neuroinflammation in autism spectrum disorders. Journal of Neuroinflammation, 9, 265.

    Article  PubMed  PubMed Central  Google Scholar 

  • Eldin, A. S., Habib, D., Noufal, A., Farrag, K. B., Al-Sharbatt, M., Badr, H., Moussa, A. E., & Gaddour, N. (2008). Use of M-CHAT for a multinational screening of young children with autism in Arab countries. International Review of Psychiatry, 20, 281–289.

    Article  Google Scholar 

  • El-Hazmi, M., Al-Swailem, A. S., Warsy, A. S., Swailem, A. M., Sulaimaini, A. A., & Meshari, A. (1995). Consanguinity among the Saudi Arabian population. Journal of Medical Genetics, 32, 623–626.

    Article  PubMed  PubMed Central  Google Scholar 

  • Elsabbagh, M., Divan, G., Koh, Y., Kim, Y. S., Kauchali, S., Marcin, C., & Fombone, E. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5, 160–179.

    Article  PubMed  PubMed Central  Google Scholar 

  • El-Tarras, A. E., Awad, N. S., Mitwaly, N., Alsulaimani, A. A., & Said, M. M. (2012). Association between polymorphisms of SLC6A3 and DRD1 genes and autism among Saudi Arabia Taif population using PRC-restriction fragment length polymorphism. African Journal of Biotechnology, 11(54), 11665–11670.

    Google Scholar 

  • Emirates College for Advanced Education. (n.d.) Retrieved from http://www.ecae.ac.ae

  • Emirates News Agency. (2015). Complementary medicine witnessing growth in UAE with more than 200 registered practitioners. Press release. Retrieved from: http://www.wam.ae/en/news/emirates/1395275403443.html

  • Faras, H., Ateeqi, N., & Tidmarsh, L. (2010). Autism spectrum disorders. Annals of Saudi Medicine, 30, 295–300.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fatany, S. (2009). Saudi challenges and reforms. Cairo, Egypt: CPMR: Arab Center for Publications, Media, and Research.

  • Fields, J. I. (1996). Aetiologies of autism: psychodynamic, pharmacological, and behavioural, related to Kuwait. Early Childhood Development and Care, 125, 27–51.

    Article  Google Scholar 

  • Frost, L., & Bondy, A. (2002). The picture exchange communication system training manual (2nd ed.). Cherry Hill: Pyramid Educational Consultants.

    Google Scholar 

  • Fuller, T. (2014, May). Behavior analysis around the world: current efforts in bringing our discipline to everyone. Paper presented at the 40th Annual Convention of the Association for Behavior Analysis International, Chicago, IL.

  • Haimour, A., & Obaidat, Y. F. (2013). School teachers’ knowledge about autism in Saudi Arabia. World Journal of Education, 3, 45–56.

    Article  Google Scholar 

  • Hughes, V. (2011). Researchers track down autism rates across the globe. Retrieved from http://sfari.org/news-and-opinion/news/2011/researchers-track-down-autism-rates-acr oss-the-globe

  • Hussein, H., & Taha, G. (2013). Autism spectrum disorders: a review of the literature from Arab countries. Middle East Current Psychiatry, 20, 106–116.

    Article  Google Scholar 

  • Hussein, H., Taha, G. R., & Almanasef, A. (2011). Characteristics of autism spectrum disorders in a sample of Egyptian and Saudi patients. Child and Adolescent Psychiatry and Mental Health, 5, 2–12.

    Article  Google Scholar 

  • Japan International Cooperation Agency. (2002). Country profile on disability: Kingdom of Saudi Arabia. Retrieved from http://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article = 1233&context = gladnetcollect.

  • Kaya, N., Colka, D., Albakheet, A., Al-Owain, M., Abu-Dheim, N., Al-Younes, B., & Ozand, P. (2012). A novel x-linked disorder with developmental delays and autistic features. Annals of Neurology, 71, 498–508.

    Article  PubMed  Google Scholar 

  • Keenan, M., Dillenburger, K., Röttgers, H.-R., Dounavi, K., Jónsdóttir, S. L., Moderato, P., & Martin, N. (2015). Autism and ABA: the gulf between North America and Europe. Review Journal of Autism and Developmental Disorders. doi:10.1007/s40489-014-0045-2.

    Google Scholar 

  • Kelly, M.P. (2014). ABA Saudi Arabia. Retrieved fromhttp://saba.abainternational.org/grants/international-development-grant/michelle-kelly/

  • Kelly, M.P. & Al-Haddad, M. (2014, May). ABA in Saudi Arabia: Dar al Hekma College BCaBA course sequence. Poster session presented at the 40th Annual Convention of the Association for Behavior Analysis International, Chicago, IL.

  • Kelly, M.P., Tennant, L., & Al-Hassan, S. (2015, May). Autism treatments used by parents in Abu Dhabi, United Arab Emirates. Poster session presented at 41st AnnualConvention of the Association for Behavior Analysis International, San Antonio, TX.

  • Kuwait Association for Learning Difficulties (2014). Directory of the psychological service in the State of Kuwait. Retrieved from http://www.kaldkuwait.com/ContentPage.aspx?Goud8eGM+YNQVQwWp/LbTAbEjv0meIaNZTcRPpfPGUe8HhzZK7uHf6aBehidiqSQ

  • Kuwait Center for Autism. (1999). 1st international conference in the Middle East on autism and communication deficits. February 14th-16th, 2000 (Kuwait). Journal of Autism and Developmental Disorders, 29, 431.

    Article  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P.C., & Risi, S. (2000). Autism Diagnostic Observation Schedule (ADOS). Los Angeles, California: Western Psychological Services.

  • Malott, M.E., Al-Qassab, N, Hayes, L., Marr, M.J., Johnson, K., Williamson, P. & R Richardson, S. (2003). ABA delegation works toward the establishment of behavior analysis in the Middle East. Association for Behavior Analysis International Newsletter, 26, p. 1–6. Retrieved from https://www.abainternational.org/media/7953/vol263.pdf.

  • Mayberry, J. F. (2015). The need to develop a statutory regulatory body for the practice of Al-Hijama. Perspectives in Public Health, 135, 270–271.

    PubMed  Google Scholar 

  • Ministry of Education. (2015). Education in the UAE. Retrieved from https://www.moe.gov.ae/English/Pages/UAE/UaeEdu.aspx

  • Ministry of Social Development. (2014) Public rehabilitation centers statistics 2013. Manama: Ministry of Social Development.

  • Morrow, E. M., Yoo, S. Y., Flavell, S., Kim, T., Lin, Y., Hill, R. S., & Walsh, C. (2008). Identifying autism loci and genes by tracing recent shared ancestry. Science, 321, 218–223.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mostafa, A. (2011) Addressing autism in the Arab world. Nature Middle East, 147; Published online 2 November 2011.

  • Murshid, E. Z. (2011). Characteristics and dental experiences of autistic children in Saudi Arabia: cross-sectional study. Journal of Autism and Development Disabilities, 41, 1629–1634.

    Article  Google Scholar 

  • National Autism Center. (2009). National standards report. Retrieved from http://www.nationalautismcenter.org/resources/

  • National Autism Center. (2015). Findings and conclusions: national standards report, phase 2. Addressing the need for evidence-based practice guidelines for autism spectrum disorder. Retrieved from http://www.nationalautismcenter.org/resources/

  • Ouhtit, A., Al-Farsi, Y., Al-Sharbati, M., Waly, M., Gupta, I., Al-Farsi, O., Al-Adawi, S. (2015). Underlying factors behind the low prevalence of autism spectrum disorders in Oman: Sociocultural perspective. Sultan Qaboos University Medical Journal, 15, 213–217.

  • PECS- UK Resources. (2015). PECS training manual 2nd edition—Arabic version. Retrieved from http://www.pecs-unitedkingdom.com/shop/product_info.php/products_id/140

  • Profanter, A. (2009). Facing the challenges of children and youth with special abilities and needs on the fringes of Omani society. Children and Youth Services Review, 31, 8–15.

    Article  Google Scholar 

  • Qatar University. (2015). Retrieved from http://www.qu.edu.qa

  • Rehman, A., Ul-Ain Baloch, N., & Awais, M. (2014). Practice of cupping (Hijama) and the risk of bloodborne infections. American Journal of Infection Control, 42, 1139.

    Article  PubMed  Google Scholar 

  • Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 512–520.

    Article  PubMed  Google Scholar 

  • Robins, D., Fein, D. & Barton, M. (2009). The Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F). Retrieved from https://www.m-c chat.org/_references/mchatdotorg.pdf

  • Ruddy, L., Booth, N., Gaw, M., Liao, Y., Dounavi, K., & Dillenburger, K. (2015). Autism in the air: using point of view video priming and natural environment teaching to help children with autism travel by plane. Good Autism Practice, 16, 25–32.

    Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003a). Social Communication Questionnaire (SCQ). Los Angeles, CA: Western Psychological Services.

  • Rutter, M., Le Couteur, A., Lord, C. (2003b) Autism diagnostic interview—revised. Los Angeles: Western Psychological Services.

  • Salhia, H. O., Al-Nasser, L. A., Taher, L. S., Al-Khathaami, A. M., & El-Metwally, A. A. (2014). Systematic review of the epidemiology of autism in Arab Gulf countries. N Neurosciences (Riyadh), 19, 291–296.

    Google Scholar 

  • Samadi, S.A., & McConkey, R. (2011). Autism in developing countries: lessons from Iran. Autism Research and Treatment. Retrieved from http://www.hindawi.com/journals/aurt/2011/145359/

  • Sartawi, A. M. (1999). Educational and behavioural characteristics of autistic children in United Arab Emirates. International Journal of Rehabilitation Research, 22, 337–339.

    Article  PubMed  Google Scholar 

  • Saudi Arabian Cultural Bureau. (2014). The King Abdullah scholarship program. Retrieved from http://www.saudibureau.org/en/inside.php?ID = 16.

  • Saudi-US Relations Information Service. (2012). King Abdullah scholarship program: the Saudi Arabian educational youth stride. Retrieved from http://susris.com/2012/07/30/king-abdullah-scholarship-program-the-saudi-arabian- educational-youth-stride.

  • Scull, N. C., Khullar, N., Al-Awadhi, N., & Erheim, R. (2014). A qualitative study of the perceptions of mental health care in Kuwait. International Perspectives in Psychology: Research, Practice, Consultation, 3, 284–299.

    Google Scholar 

  • Society for the Advancement of Behavior Analysis. (2015). Retrieved from http://saba.abainternational.org

  • Sultan Qaboos University. (2014). http://www.squ.edu.om

  • Taha, G., & Hussein, H. (2014). Autism spectrum disorders in developing countries: lessons from the Arab world. In V. B. Patel (Ed.), Comprehensive guide to autism (pp. 2509–2531). New York: Springer Science.

    Chapter  Google Scholar 

  • Taylor, C., & Albasri, W. (2014). The impact of Saudi Arabia King Abdullah’s scholarship program in the US. Open Journal of Social Sciences, 2, 109–118.

    Article  Google Scholar 

  • Weber, A. S. (2012). Inclusive education in the Gulf Cooperation Council. Journal of Education and Instructional Studies in the world, 2, 85–97.

    Google Scholar 

  • Western Psychological Services. (2015). Retrieved from http://www.wpspublish.com/app/

  • Wong, C., Odom, S. L., Hume, K. A., Cox, C. W., Fettig, A., Kurcharczyk, S., & Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: a comprehensive review. Journal of Autism and Developmental Disorders, 45, 1951–1966.

    Article  PubMed  Google Scholar 

  • World Population Review. (2015). United Arab Emirates population 2015. Retrieved from http://worldpopulationreview.com/countries/united-arab-emirates-population/.

  • Yazbak, F. E. (2004). Autism seems to be increasing worldwide, if not in London. British Medical Journal, 328, 226–227.

    Article  PubMed  PubMed Central  Google Scholar 

  • Zeina, R. M., Al-Ayadhi, L., & Bashir, S. (2014). Autism spectrum disorder: main problem waiting for solution in Kingdom of Saudi Arabia. World Academy of Science, Engineering, and Technology: International Journal of Medical, Health, Pharmaceutical, and Biomedical Engineering, 8, 491–494.

    Google Scholar 

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Kelly, M.P., Alireza, I., Busch, H.E. et al. An Overview of Autism and Applied Behavior Analysis in the Gulf Cooperation Council in the Middle East. Rev J Autism Dev Disord 3, 154–164 (2016). https://doi.org/10.1007/s40489-016-0073-1

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