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Gepubliceerd in: Journal of Autism and Developmental Disorders 9/2015

25-04-2015 | Original Paper

Poverty and the Growth of Emotional and Conduct Problems in Children with Autism With and Without Comorbid ADHD

Auteurs: Eirini Flouri, Emily Midouhas, Tony Charman, Zahra Sarmadi

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2015

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Abstract

We investigated the longitudinal relationship between socio-economic disadvantage (SED) and trajectories of emotional and conduct problems among children with autism spectrum disorder (ASD) who had comorbid attention deficit/hyperactivity disorder (ADHD; ASD + ADHD) or not (ASD − ADHD). The sample was 209 children with ASD who took part in the UK’s Millennium Cohort Study. Trajectories of problems across ages 3, 5 and 7 years were analyzed using growth curve models. The ASD − ADHD group decreased in conduct problems over time but the ASD + ADHD group continued on a high trajectory. Although SED was not a risk factor for ASD + ADHD, it was associated with elevated emotional problems among children with ASD + ADHD. This effect of SED on emotional problems was not attenuated by parenting or peer problems.
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Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.
go back to reference Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). Lancet, 368, 210–215. CrossRefPubMed Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). Lancet, 368, 210–215. CrossRefPubMed
go back to reference Bauminger, N., Solomon, M., & Rogers, S. J. (2010). Externalizing and internalizing behaviors in ASD. Autism Research, 3, 101–112. CrossRefPubMed Bauminger, N., Solomon, M., & Rogers, S. J. (2010). Externalizing and internalizing behaviors in ASD. Autism Research, 3, 101–112. CrossRefPubMed
go back to reference Bloom, B., Jones, L. I., & Freeman, G. (2013). Summary health statistics for US children: National Health Interview Survey, 2012. Vital and Health Statistics, 10, 1–73. Bloom, B., Jones, L. I., & Freeman, G. (2013). Summary health statistics for US children: National Health Interview Survey, 2012. Vital and Health Statistics, 10, 1–73.
go back to reference Boonen, H., Maljaars, J., Lambrechts, G., Zink, I., Van Leeuwen, K., & Noens, I. (2014). Behavior problems among school-aged children with autism spectrum disorder: Associations with children’s communication difficulties and parenting behaviors. Research in Autism Spectrum Disorders, 8, 716–725. CrossRef Boonen, H., Maljaars, J., Lambrechts, G., Zink, I., Van Leeuwen, K., & Noens, I. (2014). Behavior problems among school-aged children with autism spectrum disorder: Associations with children’s communication difficulties and parenting behaviors. Research in Autism Spectrum Disorders, 8, 716–725. CrossRef
go back to reference Bracken, B. (1998). Bracken basic concept scale revised: Examiner’s manual. London: The Psychological Corporation. Bracken, B. (1998). Bracken basic concept scale revised: Examiner’s manual. London: The Psychological Corporation.
go back to reference Bradley, R. H., & Corwyn, R. F. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53, 371–399. CrossRefPubMed Bradley, R. H., & Corwyn, R. F. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53, 371–399. CrossRefPubMed
go back to reference Charman, T., Pickles, A., Simonoff, E., Chandler, S., Loucas, T., & Baird, G. (2011). IQ in children with autism spectrum disorders: Population data from the SNAP Project. Psychological Medicine, 41, 619–627. CrossRefPubMed Charman, T., Pickles, A., Simonoff, E., Chandler, S., Loucas, T., & Baird, G. (2011). IQ in children with autism spectrum disorders: Population data from the SNAP Project. Psychological Medicine, 41, 619–627. CrossRefPubMed
go back to reference Conger, R. D., & Donnellan, M. B. (2007). An interactionist perspective on the socioeconomic context of human development. Annual Review of Psychology, 58, 175–199. CrossRefPubMed Conger, R. D., & Donnellan, M. B. (2007). An interactionist perspective on the socioeconomic context of human development. Annual Review of Psychology, 58, 175–199. CrossRefPubMed
go back to reference Due, P., Merlo, J., Harel-Fisch, Y., Damsgaard, M. T., Holstein, B., Hetland, J., & Lynch, J. (2009). Socioeconomic inequality in exposure to bullying during adolescence: A comparative, cross-sectional, multilevel study in 35 countries. American Journal of Public Health, 99, 907–914. PubMedCentralCrossRefPubMed Due, P., Merlo, J., Harel-Fisch, Y., Damsgaard, M. T., Holstein, B., Hetland, J., & Lynch, J. (2009). Socioeconomic inequality in exposure to bullying during adolescence: A comparative, cross-sectional, multilevel study in 35 countries. American Journal of Public Health, 99, 907–914. PubMedCentralCrossRefPubMed
go back to reference Elliot, C. D., Smith, P., & McCulloch, K. (1996). British ability scales II (2nd ed.). Windsor, UK: NFER-Nelson. Elliot, C. D., Smith, P., & McCulloch, K. (1996). British ability scales II (2nd ed.). Windsor, UK: NFER-Nelson.
go back to reference Emerson, E., Blacher, J., Einfeld, S., Hatton, C., Robertson, J., & Stancliffe, R. J. (2014). Environmental risk factors associated with the persistence of conduct difficulties in children with intellectual disabilities and autistic spectrum disorders. Research in Developmental Disabilities, 35, 3508–3517. CrossRefPubMed Emerson, E., Blacher, J., Einfeld, S., Hatton, C., Robertson, J., & Stancliffe, R. J. (2014). Environmental risk factors associated with the persistence of conduct difficulties in children with intellectual disabilities and autistic spectrum disorders. Research in Developmental Disabilities, 35, 3508–3517. CrossRefPubMed
go back to reference Emerson, E., & Hatton, C. (2007). Mental health of children and adolescents with intellectual disabilities in Britain. The British Journal of Psychiatry, 191, 493–499. CrossRefPubMed Emerson, E., & Hatton, C. (2007). Mental health of children and adolescents with intellectual disabilities in Britain. The British Journal of Psychiatry, 191, 493–499. CrossRefPubMed
go back to reference Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586. CrossRefPubMed Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586. CrossRefPubMed
go back to reference Gray, K., Keating, C., Taffe, J., Brereton, A., Einfeld, S., & Tonge, B. (2012). Trajectory of behavior and emotional problems in autism. American Journal on Intellectual and Developmental Disabilities, 117, 121–133. CrossRefPubMed Gray, K., Keating, C., Taffe, J., Brereton, A., Einfeld, S., & Tonge, B. (2012). Trajectory of behavior and emotional problems in autism. American Journal on Intellectual and Developmental Disabilities, 117, 121–133. CrossRefPubMed
go back to reference Greenberg, J. S., Seltzer, M. M., Hong, J., & Orsmond, G. I. (2006). Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism. American Journal of Mental Retardation, 111, 229–249. CrossRefPubMed Greenberg, J. S., Seltzer, M. M., Hong, J., & Orsmond, G. I. (2006). Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism. American Journal of Mental Retardation, 111, 229–249. CrossRefPubMed
go back to reference Holtmann, M., Bölte, S., & Poustka, F. (2007). Attention deficit hyperactivity disorder symptoms in pervasive developmental disorders: Association with autistic behavior domains and coexisting psychopathology. Psychopathology, 40, 172–177. CrossRefPubMed Holtmann, M., Bölte, S., & Poustka, F. (2007). Attention deficit hyperactivity disorder symptoms in pervasive developmental disorders: Association with autistic behavior domains and coexisting psychopathology. Psychopathology, 40, 172–177. CrossRefPubMed
go back to reference Iizuka, C., Yamashita, Y., Nagamitsu, S., Yamashita, T., Araki, Y., Ohya, T., et al. (2010). Comparison of the strengths and difficulties questionnaire (SDQ) scores between children with high functioning autism spectrum disorder (HFASD) and attention-deficit/hyperactivity disorder (AD/HD). Brain and Development, 32, 609–612. CrossRefPubMed Iizuka, C., Yamashita, Y., Nagamitsu, S., Yamashita, T., Araki, Y., Ohya, T., et al. (2010). Comparison of the strengths and difficulties questionnaire (SDQ) scores between children with high functioning autism spectrum disorder (HFASD) and attention-deficit/hyperactivity disorder (AD/HD). Brain and Development, 32, 609–612. CrossRefPubMed
go back to reference Jang, J., Matson, J. L., Williams, L. W., Tureck, K., Goldin, R. L., & Cervantes, P. E. (2013). Rates of comorbid symptoms in children with ASD, ADHD, and comorbid ASD and ADHD. Research in Developmental Disabilities, 34, 2369–2378. CrossRefPubMed Jang, J., Matson, J. L., Williams, L. W., Tureck, K., Goldin, R. L., & Cervantes, P. E. (2013). Rates of comorbid symptoms in children with ASD, ADHD, and comorbid ASD and ADHD. Research in Developmental Disabilities, 34, 2369–2378. CrossRefPubMed
go back to reference Karalunas, S. L., Geurts, H. M., Konrad, K., Bender, S., & Nigg, J. T. (2014). Annual research review: Reaction time variability in ADHD and autism spectrum disorders: Measurement and mechanisms of a proposed trans-diagnostic phenotype. Journal of Child Psychology and Psychiatry, 55, 685–710. PubMedCentralCrossRefPubMed Karalunas, S. L., Geurts, H. M., Konrad, K., Bender, S., & Nigg, J. T. (2014). Annual research review: Reaction time variability in ADHD and autism spectrum disorders: Measurement and mechanisms of a proposed trans-diagnostic phenotype. Journal of Child Psychology and Psychiatry, 55, 685–710. PubMedCentralCrossRefPubMed
go back to reference Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189. CrossRefPubMed Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60, 184–189. CrossRefPubMed
go back to reference Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007. Pediatrics, 124, 1395–1403. CrossRefPubMed Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., et al. (2009). Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007. Pediatrics, 124, 1395–1403. CrossRefPubMed
go back to reference Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use for US children with ADHD, 2007. Pediatrics, 127, 462–470. PubMedCentralCrossRefPubMed Larson, K., Russ, S. A., Kahn, R. S., & Halfon, N. (2011). Patterns of comorbidity, functioning, and service use for US children with ADHD, 2007. Pediatrics, 127, 462–470. PubMedCentralCrossRefPubMed
go back to reference Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592. CrossRefPubMed Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20, 561–592. CrossRefPubMed
go back to reference Malmberg, L. E., & Flouri, E. (2011). The comparison and interdependence of maternal and paternal influences on child mental health and resilience. Journal of Clinical Child and Adolescent Psychology, 40, 434–444. CrossRefPubMed Malmberg, L. E., & Flouri, E. (2011). The comparison and interdependence of maternal and paternal influences on child mental health and resilience. Journal of Clinical Child and Adolescent Psychology, 40, 434–444. CrossRefPubMed
go back to reference Midouhas, E., Yogaratnam, A., Flouri, E., & Charman, T. (2013). Psychopathology trajectories of children with autism spectrum disorder: The role of family poverty and parenting. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 1057–1065. CrossRefPubMed Midouhas, E., Yogaratnam, A., Flouri, E., & Charman, T. (2013). Psychopathology trajectories of children with autism spectrum disorder: The role of family poverty and parenting. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 1057–1065. CrossRefPubMed
go back to reference Musser, E. D., Hawkey, E., Kachan-Liu, S. S., Lees, P., Roullet, J. B., Goddard, K., & Nigg, J. T. (2014). Shared familial transmission of autism spectrum and attention-deficit/hyperactivity disorders. Journal of Child Psychology and Psychiatry, 55, 819–827. PubMedCentralCrossRefPubMed Musser, E. D., Hawkey, E., Kachan-Liu, S. S., Lees, P., Roullet, J. B., Goddard, K., & Nigg, J. T. (2014). Shared familial transmission of autism spectrum and attention-deficit/hyperactivity disorders. Journal of Child Psychology and Psychiatry, 55, 819–827. PubMedCentralCrossRefPubMed
go back to reference Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). The effect of parenting behaviors on subsequent child behavior problems in autistic spectrum conditions. Research in Autism Spectrum Disorders, 2, 249–263. CrossRef Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). The effect of parenting behaviors on subsequent child behavior problems in autistic spectrum conditions. Research in Autism Spectrum Disorders, 2, 249–263. CrossRef
go back to reference Petterson, S. M., & Albers, A. B. (2001). Effects of poverty and maternal depression on early child development. Child Development, 72, 1794–1813. CrossRefPubMed Petterson, S. M., & Albers, A. B. (2001). Effects of poverty and maternal depression on early child development. Child Development, 72, 1794–1813. CrossRefPubMed
go back to reference Pianta, R. C. (1992). New directions in child development :Vol. 57. Beyond the parent: The role of other adults in children’s lives. San Francisco: Jossey-Bass. Pianta, R. C. (1992). New directions in child development :Vol. 57. Beyond the parent: The role of other adults in children’s lives. San Francisco: Jossey-Bass.
go back to reference Rai, D., Lewis, G., Lundberg, M., Araya, R., Svensson, A., Dalman, C., et al. (2012). Parental socioeconomic status and risk of offspring autism spectrum disorders in a Swedish population-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 467–476. CrossRefPubMed Rai, D., Lewis, G., Lundberg, M., Araya, R., Svensson, A., Dalman, C., et al. (2012). Parental socioeconomic status and risk of offspring autism spectrum disorders in a Swedish population-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 467–476. CrossRefPubMed
go back to reference Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park: Sage. Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods (2nd ed.). Newbury Park: Sage.
go back to reference Rommelse, N. N., Franke, B., Geurts, H. M., Hartman, C. A., & Buitelaar, J. K. (2010). Shared heritability of attention-deficit/hyperactivity disorder and autism spectrum disorder. European Child and Adolescent Psychiatry, 19, 281–295. PubMedCentralCrossRefPubMed Rommelse, N. N., Franke, B., Geurts, H. M., Hartman, C. A., & Buitelaar, J. K. (2010). Shared heritability of attention-deficit/hyperactivity disorder and autism spectrum disorder. European Child and Adolescent Psychiatry, 19, 281–295. PubMedCentralCrossRefPubMed
go back to reference Russell, G., Rodgers, L. R., & Ford, T. (2013). The strengths and difficulties questionnaire as a predictor of parent-reported diagnosis of autism spectrum disorder and attention deficit hyperactivity disorder. Plos One, 8, 80247. CrossRef Russell, G., Rodgers, L. R., & Ford, T. (2013). The strengths and difficulties questionnaire as a predictor of parent-reported diagnosis of autism spectrum disorder and attention deficit hyperactivity disorder. Plos One, 8, 80247. CrossRef
go back to reference Russell, G., Rodgers, L. R., Ukoumunne, O. C., & Ford, T. (2014). Prevalence of parent-reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study. Journal of Autism and Developmental Disorders, 44, 31–40. CrossRefPubMed Russell, G., Rodgers, L. R., Ukoumunne, O. C., & Ford, T. (2014). Prevalence of parent-reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study. Journal of Autism and Developmental Disorders, 44, 31–40. CrossRefPubMed
go back to reference Simonoff, E., Jones, C. R., Baird, G., Pickles, A., Happé, F., & Charman, T. (2013). The persistence and stability of psychiatric problems in adolescents with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 54, 186–194. CrossRefPubMed Simonoff, E., Jones, C. R., Baird, G., Pickles, A., Happé, F., & Charman, T. (2013). The persistence and stability of psychiatric problems in adolescents with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 54, 186–194. CrossRefPubMed
go back to reference Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929. CrossRefPubMed Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929. CrossRefPubMed
go back to reference Straus, M. A., & Hamby, S. L. (1997). Measuring physical and psychological maltreatment of children with the conflict tactics scale. In G. Kaufman-Kantor & J. L. Jasinski (Eds.), Out of the darkness: Contemporary perspectives on family violence. Thousand Oaks, CA: Sage. Straus, M. A., & Hamby, S. L. (1997). Measuring physical and psychological maltreatment of children with the conflict tactics scale. In G. Kaufman-Kantor & J. L. Jasinski (Eds.), Out of the darkness: Contemporary perspectives on family violence. Thousand Oaks, CA: Sage.
go back to reference Taylor, J. L., & Seltzer, M. M. (2010). Changes in the autism behavioral phenotype during the transition to adulthood. Journal of Autism and Developmental Disorders, 40, 1431–1446. PubMedCentralCrossRefPubMed Taylor, J. L., & Seltzer, M. M. (2010). Changes in the autism behavioral phenotype during the transition to adulthood. Journal of Autism and Developmental Disorders, 40, 1431–1446. PubMedCentralCrossRefPubMed
go back to reference Tonge, B. J., Brereton, A. V., Gray, K. M., & Einfeld, S. L. (1999). Behavioural and emotional disturbance in high-functioning autism and Asperger’s syndrome. Autism, 3, 117–130. CrossRef Tonge, B. J., Brereton, A. V., Gray, K. M., & Einfeld, S. L. (1999). Behavioural and emotional disturbance in high-functioning autism and Asperger’s syndrome. Autism, 3, 117–130. CrossRef
go back to reference Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G. A., Berridge, D. M., & Vagenas, D. (2013). Is there a bidirectional relationship between maternal well-being and child behavior problems in autism spectrum disorders? Longitudinal analysis of a population-defined sample of young children. Autism Research, 6, 201–211. CrossRefPubMed Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G. A., Berridge, D. M., & Vagenas, D. (2013). Is there a bidirectional relationship between maternal well-being and child behavior problems in autism spectrum disorders? Longitudinal analysis of a population-defined sample of young children. Autism Research, 6, 201–211. CrossRefPubMed
go back to reference Tye, C., Asherson, P., Ashwood, K. L., Azadi, B., Bolton, P., & McLoughlin, G. (2014). Attention and inhibition in children with ASD, ADHD and co-morbid ASD + ADHD: An event-related potential study. Psychological Medicine, 44, 1101–1116. CrossRefPubMed Tye, C., Asherson, P., Ashwood, K. L., Azadi, B., Bolton, P., & McLoughlin, G. (2014). Attention and inhibition in children with ASD, ADHD and co-morbid ASD + ADHD: An event-related potential study. Psychological Medicine, 44, 1101–1116. CrossRefPubMed
go back to reference van der Meer, J. M., Oerlemans, A. M., van Steijn, D. J., Lappenschaar, M. G., de Sonneville, L. M., Buitelaar, J. K., & Rommelse, N. N. (2012). Are autism spectrum disorder and attention-deficit/hyperactivity disorder different manifestations of one overarching disorder? Cognitive and symptom evidence from a clinical and population-based sample. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1160–1172. CrossRefPubMed van der Meer, J. M., Oerlemans, A. M., van Steijn, D. J., Lappenschaar, M. G., de Sonneville, L. M., Buitelaar, J. K., & Rommelse, N. N. (2012). Are autism spectrum disorder and attention-deficit/hyperactivity disorder different manifestations of one overarching disorder? Cognitive and symptom evidence from a clinical and population-based sample. Journal of the American Academy of Child and Adolescent Psychiatry, 51, 1160–1172. CrossRefPubMed
go back to reference Yerys, B. D., Wallace, G. L., Sokoloff, J. L., Shook, D. A., James, J. D., & Kenworthy, L. (2009). Attention deficit/hyperactivity disorder symptoms moderate cognition and behavior in children with autism spectrum disorders. Autism Research, 2, 322–333. PubMedCentralPubMed Yerys, B. D., Wallace, G. L., Sokoloff, J. L., Shook, D. A., James, J. D., & Kenworthy, L. (2009). Attention deficit/hyperactivity disorder symptoms moderate cognition and behavior in children with autism spectrum disorders. Autism Research, 2, 322–333. PubMedCentralPubMed
Metagegevens
Titel
Poverty and the Growth of Emotional and Conduct Problems in Children with Autism With and Without Comorbid ADHD
Auteurs
Eirini Flouri
Emily Midouhas
Tony Charman
Zahra Sarmadi
Publicatiedatum
25-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 9/2015
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-015-2456-z