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10.1097/DBP.0000000000000037

http://scihub22266oqcxt.onion/10.1097/DBP.0000000000000037
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C4487510!4487510!24799263
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suck abstract from ncbi


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pmid24799263      J+Dev+Behav+Pediatr 2014 ; 35 (4): 247-56
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  • Intervention History of Children and Adolescents with High-Functioning Autism and Optimal Outcomes #MMPMID24799263
  • Orinstein AJ; Helt M; Troyb E; Tyson KE; Barton ML; Eigsti IM; Naigles L; Fein DA
  • J Dev Behav Pediatr 2014[May]; 35 (4): 247-56 PMID24799263show ga
  • Objective: Autism spectrum disorders (ASDs) were once considered lifelong disorders, but recent findings indicate that some children with ASDs no longer meet diagnostic criteria for any ASD and reach normal cognitive function. These children are considered to have achieved ?optimal outcomes? (OO). The present study aimed to retrospectively examine group differences in the intervention history of children and adolescents with OO and those with high-functioning autism (HFA) Method: The current study examined intervention histories in 34 individuals with OO and 44 individuals with HFA (currently ages 8-21), who did not differ on age, sex, nonverbal IQ or family income. Intervention history was collected through detailed parent questionnaires. Results: Children in the OO group had earlier parent concern, received earlier referrals to specialists, and earlier and more intensive intervention than those in the HFA group. Substantially more OO children received Applied Behavior Analysis (ABA) therapy than HFA children, although the intensity of ABA did not vary between groups. Children in the HFA group were more likely to have received medication, especially anti-psychotics and anti-depressants. There were no group differences in the percent of children receiving special diets or supplements. Conclusion: These data suggest that OO individuals generally receive earlier, more intense interventions and more ABA, while HFA individuals receive more pharmacologic treatments. While the use of retrospective data is a clear limitation to the current study, the substantial differences in reported provision of early intervention, and ABA in particular, are highly suggestive and should be replicated in prospective studies.
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