Autism in Children: Clinical Features, Management and Challenges

Authors

  • Angela Frank-Briggs Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt

DOI:

https://doi.org/10.60787/tnhj.v12i2.85

Keywords:

Autism, Features, Poor awareness, Management challenges

Abstract

Background: The prevalence of autism world-wide is estimated to be between 1 per 91-110 children. Awareness in the USA and many other developed countries is relatively high and increasing, information on this condition in Nigeria among the public and the medical community is sparse.

Objective: This paper highlights the clinical features and management of autism. It also discusses current challenges of autism and its management.

Method: Data was sourced from literature in world health organization (WHO) and published articles on autism and internet Medline publications.

Results: Autism is characterized by impaired social interaction, problems with verbal and nonverbal communication, unusual repetitive or severely limited activities and interests. The impact of these behaviors can range from mild to disabling. Autism affects all races, ethnic groups and socioeconomic levels, the exact cause is unknown and there is no cure for it. Management is multidisciplinary including educational therapy, psychotherapy, drug treatment amongst others. The combined problems of malaria, malnutrition, pneumonia, HIV/AIDS and other infectious illnesses may be masking emphasis on this neurodevelopmental condition.

Conclusions: Autism is a common neurodevelopmental disorder worldwide. Management of the condition is challenging. Creating awareness, improving skills in its diagnosis and optimal management will promote better outcome in affected children.

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References

World Health Organization. F84. Pervasive developmental disorders 10th ed. International Statistical Classification of Diseases and Related Health Problems, 2006.

Rajendran G, Mitchell P. Cognitive theories of autism. Dev Rev 2007; 27 (2): 224–260.

Penn HE. Neurobiological correlates of autism: a review of recent research. Child Neuropsychol 2006; 12 (1): 57–79.

Lord C, Cook EH, Leventhal BL, Amaral DG. Autism spectrum disorders. Neuron 2000 28 (2): 355–363.

Myers SM, Johnson CP. Council on Children with Disabilities "Management of children with autism spectrum disorders". Pediatrics 2007; 120 (5): 1162–1182.

Freitag CM. The genetics of autistic disorders and its clinical relevance: a review of the literature. Mol Psychiatry 2007; 12 (1): 2–22.

Kuhn R, Cahn CH. Eugen Bleuler's concepts ofpsychopathology. Hist Psychiatry 2004; 15 (3): 361–366.

Wolff S. The history of autism. Eur Child Adolesc Psychiatry 2004; 13 (4): 201–208.

Asperger H. Das psychisch abnormale Kind (in German). Wien Klin Wochenschr 1938; 51: 1314–1317.

Kanner L .Autistic disturbances of affective contact. Nerv Child 2: 217–50. Reprint (1968). Acta Paedopsychiatr 1943; 35 (4): 100–136.

Lyons V, Fitzgerald M. Asperger (1906–1980) and Kanner (1894–1981), the two pioneers of autism". J Autism Dev Disord 2007; 37 (10): 2022–2023.

Fombonne E. Modern views of autism. Can J Psychiatry 2003; 48 (8): 503–505.

Happé F, Ronald A, Plomin R. Time to give up on a single explanation for autism. Nat Neurosci 2006; 9 (10): 1218–1220.

Volkmar F, Chawarska K, Klin A. Autism in infancy and early childhood. Annu Rev Psychol 2005; 56: 315–336.

Sigman M, Spence SJ, Wang AT. Autism from developmental and neuropsychological perspectives. Annu Rev Clin Psychol 2006; 2: 327–355.

Tager-Flusberg H, Caronna E. Language disorders: autism and other pervasive developmental disorders". Pediatr Clin North Am 2007; 54 (3): 469–481.

Lam KSL, Aman MG. "The Repetitive Behavior Scale-Revised: independent validation in individuals with autism spectrum disorders". J Autism Dev Disord 2007; 37 (5): 855– 866.

Dominick KC, Davis NO, Lainhart J, Tager-Flusberg H, Folstein S. Atypical behaviors in children with autism and children with a history of language impairment. Res Dev Disabil 2007; 28 (2): 145–162.

Bodfish JW, Symons FJ, Parker DE, Lewis MH. Varieties of repetitive behaviour in autism: comparisons to mental retardation. J Autism Dev Disord 2000; 30 (3)

Treffert DA. Savant syndrome: an extraordinary condition—a synopsis: past, present, future. Wisconsin Medical Society; 2006.

Montes G, Halterman JS. Psychological functioning and coping among mothers of children with autism: a population-based study. Pediatrics 2007; 119 (5): 1040–1046.

Orsmond GI, Seltzer MM. "Siblings of individuals with autism spectrum disorders across the life course". Ment Retard Dev Disabil Res Rev 2007; 13 (4): 313–320.

Abrahams BS, Geschwind DH. "Advances in autism genetics: on the threshold of a new neurobiology". Nat Rev Genet 2008; 9 (5): 341–355.

Szpir M. Tracing the origins of autism: a spectrum ofnew studies. Environ Health Perspect 2007; 114 (7): A412–418.

Arndt TL, Stodgell CJ, Rodier PM. "The teratology ofautism". Int J Dev Neurosci 2005; 23 (2–3): 189–199.

Kolevzon A, Gross R, Reichenberg A. Prenatal and perinatal risk factors for autism. Arch Pediatr Adolesc Med 2007; 161 (4): 326–333.

Gerber JS, Offit PA. "Vaccines and autism: a tale ofshifting hypotheses". Clin Infect Dis 2009; 48 (4): 456–461

Taylor B. "Vaccines and the changing epidemiology ofautism". Child Care Health Dev 2006; 32 (5): 511–519.

Cohen D, Pichard N, Tordjman S, Baumann C, Burglen L, Excoffier E, Lazar G. Special genetic disorders and autism: Clinical contribution towards their identification. Journal of autism and developmental disorders 2005; 35 (1) : 103-116.

Zafeiriou DI, Ververi A, Vargiami E. Childhood autism and associated comorbidities. Brain Dev 2007; 29 (5): 257–272.

Williams J, Brayne C (2006). "Screening for autism spectrum disorders: what is the evidence?" Autism 10 (1): 11–35.

Wetherby AM, Brosnan-Maddox S, Peace V, Newton L (2008). "Validation of the Infant-Toddler Checklist as a broadband screener for autism spectrum disorders from 9 to 24 months of age". Autism 12 (5): 487–511.

Wallis KE, Pinto-Martin J (2008). "The challenge ofscreening for autism spectrum disorder in a culturally diverse society". Acta Paediatr 97 (5): 539–540.

Baird G, Cass H, Slonims V. "Diagnosis of autism". BMJ 2003; 327 (7413): 488–493.

Dover CJ, Le Couteur A. "How to diagnose autism". Arch Dis Child 2007; 92 (6): 540–545.

Cass H. “Visual impairment and autism: current questions and future research". Autism 1998; (2): 117–138.

Rogers SJ, Vismara LA. "Evidence-based comprehensive treatments for early autism". J Clin Child Adolesc Psychol 2008; 37 (1): 8–38.

Eikeseth S. "Outcome of comprehensive psycho-educational interventions for young children with autism". Res Dev Disabil 2009; 30 (1): 158–178.

Oswald DP, Sonenklar NA (2007). "Medication use among children with autism spectrum disorders". J Child Adolesc Psychopharmacol 2007; 17 (3): 348–355.

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Published

2015-12-09

How to Cite

Frank-Briggs, A. (2015). Autism in Children: Clinical Features, Management and Challenges. The Nigerian Health Journal, 12(2), 27. https://doi.org/10.60787/tnhj.v12i2.85
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