Comorbids prevalence in children

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ASPartOfMe
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20 Jan 2021, 5:39 am

Study shows high prevalence of mental health conditions among children with autism

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Nearly 78 per cent of children with autism have at least one mental health condition and nearly half have two mental health conditions or more, according to a new U.S. study from the University of British Columbia's department of psychology and the AJ Drexel Autism Institute at Drexel University (Pennsylvania).

The study also found mental health conditions present in 44.8 per cent of pre-school age children with autism. The scope of the issue among that age group had not previously been established using a large, population-based sample.

By contrast, the study found that only 14.1 per cent of youth without autism (ages 3-17) had mental health conditions.

It is the first research since 2008 to examine the prevalence of mental health conditions among children with autism at a population level, and signals a need for healthcare systems to adapt to account for the overlap.

For a long time, mental health in kids with autism was neglected because the focus was on autism. There's much greater awareness now, but we don't have enough people trained to provide mental health treatments to kids on the autism spectrum. We need to bridge these two systems and the different sets of providers that tend to treat these children."

Dr. Connor Kerns, Assistant Professor, UBC's Psychology Department and Study's Lead Author

The researchers analyzed data from the 2016 National Survey of Children's Health, a survey of more than 42,000 caregivers with a total of 1,131 ASD-diagnosed children in their care.

These children were considered to also have a mental health condition if the parent/caregiver had reported a healthcare provider diagnosing the child with any of the following:

anxiety (39.5%)
depression (15.7%)
behavior/conduct problem (60.8%)
Tourette syndrome (1.8%)
ADHD (48.4%)

Mental health conditions became more prevalent as children with autism grew older.

The study compared the prevalence of mental health conditions in children with ASD, children with intellectual disabilities, and children with other ongoing, chronic conditions that require attention from the healthcare system. Mental health conditions were significantly more prevalent among children with autism than among the other groups.

The researchers hope these eye-opening new numbers will prompt changes to public policy that make it easier for mental health treatments to be approved and funded for children with autism.

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Jiheisho
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20 Jan 2021, 10:17 am

ASPartOfMe wrote:

anxiety (39.5%)
depression (15.7%)
behavior/conduct problem (60.8%)
Tourette syndrome (1.8%)
ADHD (48.4%)

This again raises the question central to the neurodiversity movement controversies. Is the "disease" autism responsible (ie these are autistic traits, not comorbids) , is the "autism unfriendly" world designed for NT's responsible, or is it because our brains are "different" in an autistic way, they are more likely to be different in another way or is it a combination of these factors?

IMHO opinion a combination of some if not all of the factors.[/quote]

Well, ASD and ADHD do share traits, but they also diverge. But a lot of disease have common traits, fever, headache, cough, etc., but that does not indicate the same cause. One challenge is that ASD is a cognitive problem that is diagnosed with behavior. Similar behavior can have multiple cognitive causes.

The question about anxiety and depression is a problem of whether they are a feature of ASD or they are result of trying to live in an NT world with ASD.

I guess one question is how many get the correct ASD diagnosis and how many don't? Is the system catching 95% of autistics or, for example, only 50%? Now it is not an easy question to answer--hard to measure a false negative--but how successful the process is is important.

I think another issue is how many are going around without knowing they have ASD while it is really impacting their lives. I had no idea I might I have ASD until I was about 54. I got my diagnosis last year at 56. The CDC estimated the prevalence of ASD in the adult population as 1 in 45 or 2.2%. That suggests a lot of people not getting diagnosis. A part of that is a lost generation that grew up in a world without the possibility of a dignosis because ASD had not been invented.

Barbotine
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20 Jan 2021, 10:32 am

Anxiety, depression or attention deficit are not autism comorbidities.

Anxiety, depresssion or attention deficit are not autism traits or symptoms

A greater likehood to have, at a given time, anxiety, depression or attention deficit is an autistic trait.

Yes, autistic brains are more different.

Autism has a double nature, not only a disease but also a difference.

"Attention deficit" is quite pathologizing, we are differently focused. We are sometimes like Walter Mitty but we can also sometimes be more focused than any neurotypical guy can be.

Joe90
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20 Jan 2021, 12:53 pm

Diseases either kill you or can be cured. Autism itself doesn't kill you nor can be cured. Therefore autism is not a disease.

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Barbotine
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20 Jan 2021, 2:36 pm

There are thousands of diseases that won't kill nor can be cured. Many of them are caused by a genetic defect.

kraftiekortie
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20 Jan 2021, 2:46 pm

Autism is not caused by an infectious agent; therefore, it's not a disease.

It's a "condition."

People who are autistic (in the absence of a disease, of course) cannot infect others with autism.

Barbotine
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20 Jan 2021, 3:01 pm

I didn't wrote that autism is an infectious disease, obviously it is not the case.

kraftiekortie
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20 Jan 2021, 3:05 pm

Autism is not a mental illness, either.

It's a neurological condition. Some people are quite disabled from it....some people are not as disabled by it.

I would compare it to "Spina Bifida." Spina Bifida is a condition (not a disease) with a dramatic range of possible presentations. It's a genetic condition.

Autism is a condition with a dramatic range of possible presentations. It is also sometimes a genetic condition.

Barbotine
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20 Jan 2021, 3:20 pm

Spina bifida is also a disease, just look at this definition of a disease

kraftiekortie
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20 Jan 2021, 3:54 pm

So....what's your point?

In the vernacular, Spina Bifida is not considered a disease. It's only considered a disease via the formal definition. People with Spina Bifida are not considered "diseased." Nor are people with autism.

Maybe a bad analogy, after all (oh well).

Autism, in many cases, does not come with any physical "pathology."

Joe90
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20 Jan 2021, 4:19 pm

I was always told that autism is not a disease. Those wiki pages can be altered by anyone to win a debate.

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Barbotine
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20 Jan 2021, 4:22 pm

@kraftiekortie :lol: :lol: :lol:

You've got so much to learn about autism.

kraftiekortie
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20 Jan 2021, 4:43 pm

I know a good deal about autism.

I know it could produce pathology in the brain----but it frequently doesn't produce evident pathology.

I hope you don't have a bone to pick with people with autism. If you don't, then welcome.

If you do.....we don't want you here.

HeroOfHyrule
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20 Jan 2021, 5:03 pm

Quote:

https://www.healthwriterhub.com/disease-disorder-condition-syndrome-whats-the-difference/#:~:text=A%20disorder%20is%20a%20disruption,or%20regular%20feelings%20of%20wellbeing.
A disease is a pathophysiological response to internal or external factors.
A disorder is a disruption to regular bodily structure and function.
A syndrome is a collection of signs and symptoms associated with a specific health-related cause.
A condition is an abnormal state of health that interferes with normal or regular feelings of wellbeing.

Quote:

https://amastyleinsider.com/2011/11/21/condition-disease-disorder/
Condition simply indicates a state of health, whether well or ill; a condition conferring illness might be further classified as a disease or a disorder—however, condition might be used in place of disease or disorder when a value-neutral term is desired.
Disease denotes a condition characterized by functional impairment, structural change, and the presence of specific signs and symptoms. As an aside, Dorland’s equates the terms illness and sickness with disease; while these are often used to indicate the state or experience of disease, they are also sometimes used as value-neutral alternatives for disease.
Disorder, in contrast, denotes a condition characterized by functional impairment without structural change and, while certain disorders or categories of disorders might be accompanied by specific signs and symptoms, their presence is not required for a condition to be termed a disorder. Like condition, disorder is sometimes used as a value-neutral term in place of disease.—Phil Sefton, ELS

Autism is characterized by functional impairment and does not cause structural change. It does not cause a "pathophysiological response to internal or external factors". Autism is a disorder, not a disease.

Edna3362
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20 Jan 2021, 7:24 pm

Could've care less if it's called or categorized as a disease or a disorder.

I'd rather want to know if in every each case, those comorbidities are innate or developed comorbidities of autism, or that said comorbidities made autism, or that there isn't autism but just mimicking behaviors comorbidities.

The how's and why's.
I could care less after that part of the process, but anyone wanting to skip this part of the mystery and jump at whatever outcome (cure/prevention/etc.) is foolish. :lol:

As far as I've known, if comorbidities are stacked like a queue, it's usually ADHD that came from the higher stack than autism itself.

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CockneyRebel
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20 Jan 2021, 11:31 pm

I am not diseased, I'm disordered.

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