Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity

Introduction: Intellectual disability (ID) is frequently associated as a comorbidity in autism spectrum disorders (ASD). This study investigated a) how similar the heterogeneity in the cognitive and socio-emotional developmental profiles was for children with ASD and ID, b) the difference between th...

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Main Authors: Marie-Anna Bernard Paulais, Camilla Mazetto, Eric Thiébaut, Maria Clara Nassif, Maria Thereza Costa Coelho De Souza, Ana Paula Stefani, Romuald Blanc, Maria Pilar Gattegno, Fethia Aïad, Nadia Sam, Lina Belal, Laid Fekih, Kelley Kaye, Yves Contejean, Jaqueline Wendland, Catherine Barthélémy, Frédérique Bonnet-Brilhault, Jean-Louis Adrien
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-07-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00508/full
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author Marie-Anna Bernard Paulais
Marie-Anna Bernard Paulais
Camilla Mazetto
Camilla Mazetto
Camilla Mazetto
Eric Thiébaut
Maria Clara Nassif
Maria Thereza Costa Coelho De Souza
Ana Paula Stefani
Romuald Blanc
Romuald Blanc
Maria Pilar Gattegno
Maria Pilar Gattegno
Fethia Aïad
Nadia Sam
Lina Belal
Laid Fekih
Kelley Kaye
Yves Contejean
Jaqueline Wendland
Catherine Barthélémy
Frédérique Bonnet-Brilhault
Jean-Louis Adrien
author_facet Marie-Anna Bernard Paulais
Marie-Anna Bernard Paulais
Camilla Mazetto
Camilla Mazetto
Camilla Mazetto
Eric Thiébaut
Maria Clara Nassif
Maria Thereza Costa Coelho De Souza
Ana Paula Stefani
Romuald Blanc
Romuald Blanc
Maria Pilar Gattegno
Maria Pilar Gattegno
Fethia Aïad
Nadia Sam
Lina Belal
Laid Fekih
Kelley Kaye
Yves Contejean
Jaqueline Wendland
Catherine Barthélémy
Frédérique Bonnet-Brilhault
Jean-Louis Adrien
author_sort Marie-Anna Bernard Paulais
collection DOAJ
description Introduction: Intellectual disability (ID) is frequently associated as a comorbidity in autism spectrum disorders (ASD). This study investigated a) how similar the heterogeneity in the cognitive and socio-emotional developmental profiles was for children with ASD and ID, b) the difference between the subjects’ profiles and those of typically developing children (TD) matched for developmental levels, c) the skills existing with the lowest and highest developmental levels, and d) the relationship between developmental profiles in ASD and the severity of autism, ID, and the overall developmental level.Participants: The sample was comprised of 119 children (101 boys and 18 girls) who ranged in chronological age (CA) from 21 months to 14 years (M = 5 years 2 months; SD = 2 years 6 months) with developmental levels lower than 24 months. They came from three countries (France = 40, Brazil = 40, and Algeria = 39). The control group was comprised of 40 TD children from these same countries who ranged in CA from 4 to 24 months (M = 1 year 3 months; SD = 5 months). The ASD diagnosis was carried out according to International Statistical Classification of Diseases and Related Health Problems-10th Edition (ICD-10), Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR), Diagnostic and Statistical Manual of Mental Disorders-5th ed (DSM-5) criteria and the Childhood Autism Rating Scale (CARS).Measures: Children were tested using the Social Cognitive Evaluation Battery (SCEB; Adrien, 2007) by trained psychologists from public and private institutions specialized in the diagnosis of autism and interventions in this field. The SCEB explores 16 functional abilities, in both cognitive and socio-emotional areas, and allows the calculation of domain and area developmental levels and heterogeneity indices for the global, cognitive, and socio-emotional areas.Results: Children with ASD developmental profiles show very high heterogeneity as opposed to TD children. Regardless of the country of origin, there are similarities between the heterogeneous cognitive and socio-emotional developmental profiles of the children with ASD, whose profiles are characterized by lower developmental levels of language and vocal imitation skills, and a relationship between these developmental heterogeneities and the degree of severity of autistic symptomatology, intellectual disability, and overall development level. The implications of this study are presented for clinical assessment and intervention purposes in ASD and ID.
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spelling doaj.art-473c87c947a74691ac9aff7dc3b7ec542022-12-21T22:21:42ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-07-011010.3389/fpsyt.2019.00508429161Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a ComorbidityMarie-Anna Bernard Paulais0Marie-Anna Bernard Paulais1Camilla Mazetto2Camilla Mazetto3Camilla Mazetto4Eric Thiébaut5Maria Clara Nassif6Maria Thereza Costa Coelho De Souza7Ana Paula Stefani8Romuald Blanc9Romuald Blanc10Maria Pilar Gattegno11Maria Pilar Gattegno12Fethia Aïad13Nadia Sam14Lina Belal15Laid Fekih16Kelley Kaye17Yves Contejean18Jaqueline Wendland19Catherine Barthélémy20Frédérique Bonnet-Brilhault21Jean-Louis Adrien22Laboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FrancePsychology Office ESPAS-IDDEES, Pont-Ste-Maxence and Bordeaux, FranceLaboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FranceCARI Psichology and Education, São Paulo, BrazilInstitute of Psychology, University of São Paulo, São Paulo, BrazilLorrain Laboratory of Psychology and Neurosciences of Behaviors’ Dynamics (2LPN), University of Lorraine, Nancy, FranceCARI Psichology and Education, São Paulo, BrazilInstitute of Psychology, University of São Paulo, São Paulo, BrazilCARI Psichology and Education, São Paulo, BrazilLaboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FranceUMR 1253, iBrain, University of Tours, INSERM, Tours, FranceLaboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FrancePsychology Office ESPAS-IDDEES, Bordeaux, FranceLanguage, Cognition and Interaction Laboratory, University of Blida 2 Lounici Ali, Blida, AlgeriaLanguage, Cognition and Interaction Laboratory, University of Blida 2 Lounici Ali, Blida, AlgeriaFaculty of Social and Human Sciences, University Abdelhamid Ibn Badis, Mostaganem, Algeria0Laboratory of Psychometric and Its Applications, University Abou Beker Belkaid, Tlemcen, Algeria1Child Psychiatry Department of Sainte Anne Hospital, CREDAT, Paris, France1Child Psychiatry Department of Sainte Anne Hospital, CREDAT, Paris, FranceLaboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FranceUMR 1253, iBrain, University of Tours, INSERM, Tours, FranceUMR 1253, iBrain, University of Tours, INSERM, Tours, FranceLaboratory of Psychopathology and Health Processes (EA n°4057), Institute of Psychology, University of Paris, Paris, FranceIntroduction: Intellectual disability (ID) is frequently associated as a comorbidity in autism spectrum disorders (ASD). This study investigated a) how similar the heterogeneity in the cognitive and socio-emotional developmental profiles was for children with ASD and ID, b) the difference between the subjects’ profiles and those of typically developing children (TD) matched for developmental levels, c) the skills existing with the lowest and highest developmental levels, and d) the relationship between developmental profiles in ASD and the severity of autism, ID, and the overall developmental level.Participants: The sample was comprised of 119 children (101 boys and 18 girls) who ranged in chronological age (CA) from 21 months to 14 years (M = 5 years 2 months; SD = 2 years 6 months) with developmental levels lower than 24 months. They came from three countries (France = 40, Brazil = 40, and Algeria = 39). The control group was comprised of 40 TD children from these same countries who ranged in CA from 4 to 24 months (M = 1 year 3 months; SD = 5 months). The ASD diagnosis was carried out according to International Statistical Classification of Diseases and Related Health Problems-10th Edition (ICD-10), Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR), Diagnostic and Statistical Manual of Mental Disorders-5th ed (DSM-5) criteria and the Childhood Autism Rating Scale (CARS).Measures: Children were tested using the Social Cognitive Evaluation Battery (SCEB; Adrien, 2007) by trained psychologists from public and private institutions specialized in the diagnosis of autism and interventions in this field. The SCEB explores 16 functional abilities, in both cognitive and socio-emotional areas, and allows the calculation of domain and area developmental levels and heterogeneity indices for the global, cognitive, and socio-emotional areas.Results: Children with ASD developmental profiles show very high heterogeneity as opposed to TD children. Regardless of the country of origin, there are similarities between the heterogeneous cognitive and socio-emotional developmental profiles of the children with ASD, whose profiles are characterized by lower developmental levels of language and vocal imitation skills, and a relationship between these developmental heterogeneities and the degree of severity of autistic symptomatology, intellectual disability, and overall development level. The implications of this study are presented for clinical assessment and intervention purposes in ASD and ID.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00508/fullautism spectrum disorderintellectual disabilityComorbidityheterogeneitiescognitive and socioemotional developmental profilesThe Social Cognitive Evaluation Battery
spellingShingle Marie-Anna Bernard Paulais
Marie-Anna Bernard Paulais
Camilla Mazetto
Camilla Mazetto
Camilla Mazetto
Eric Thiébaut
Maria Clara Nassif
Maria Thereza Costa Coelho De Souza
Ana Paula Stefani
Romuald Blanc
Romuald Blanc
Maria Pilar Gattegno
Maria Pilar Gattegno
Fethia Aïad
Nadia Sam
Lina Belal
Laid Fekih
Kelley Kaye
Yves Contejean
Jaqueline Wendland
Catherine Barthélémy
Frédérique Bonnet-Brilhault
Jean-Louis Adrien
Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
Frontiers in Psychiatry
autism spectrum disorder
intellectual disability
Comorbidity
heterogeneities
cognitive and socioemotional developmental profiles
The Social Cognitive Evaluation Battery
title Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
title_full Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
title_fullStr Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
title_full_unstemmed Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
title_short Heterogeneities in Cognitive and Socio-Emotional Development in Children With Autism Spectrum Disorder and Severe Intellectual Disability as a Comorbidity
title_sort heterogeneities in cognitive and socio emotional development in children with autism spectrum disorder and severe intellectual disability as a comorbidity
topic autism spectrum disorder
intellectual disability
Comorbidity
heterogeneities
cognitive and socioemotional developmental profiles
The Social Cognitive Evaluation Battery
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00508/full
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