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Brief Report: Prevalence of Co-occurring Epilepsy and Autism Spectrum Disorder: The U.S. National Survey of Children’s Health 2011–2012

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Abstract

Epilepsy is reported to co-occur in individuals with autism spectrum disorder (ASD). Previous studies across the world have found prevalence estimates ranging from 4 to 38 %. We examined parent-reported prevalence of co-occurring epilepsy and ASD in the most recent U.S. National Survey of Children’s Health, 2011–2012. All analyses accounted for survey weights to account for the complex sampling design. In the overall analytic sample of 85,248 children ages 2–17, there were 1604 children with ASD (prevalence of 1.8 %) and 1083 children with epilepsy (prevalence of 1.2 %). Epilepsy was reported to co-occur in 8.6 % of ASD cases. In children with ASD, the co-occurrence of epilepsy was associated with increasing child age, female gender, intellectual disability, speech problems and lower socioeconomic status.

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References

  • 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(9531), 210–215. doi:10.1016/s0140-6736(06)69041-7.

    Article  PubMed  Google Scholar 

  • Blumberg, S. J., Bramlett, M. D., Kogan, M. D., Schieve, L. A., Jones, J. R., & Lu, M. C. (2013). Changes in prevalence of parent-reported autism spectrum disorder in school-aged US children: 2007 to 2011–2012. National Health Statistics Reports, 65(20), 1–7.

    Google Scholar 

  • Bolton, P. F., Carcani-Rathwell, I., Hutton, J., Goode, S., Howlin, P., & Rutter, M. (2011). Epilepsy in autism: Features and correlates. The British Journal of Psychiatry, 198(4), 289–294.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cederlund, M., & Gillberg, C. (2004). One hundred males with Asperger syndrome: A clinical study of background and associated factors. Developmental Medicine & Child Neurology, 46(10), 652–660.

    Article  Google Scholar 

  • Danielsson, S., Gillberg, I. C., Billstedt, E., Gillberg, C., & Olsson, I. (2005). Epilepsy in young adults with autism: A prospective population-based follow-up study of 120 individuals diagnosed in childhood. Epilepsia, 46(6), 918–923. doi:10.1111/j.1528-1167.2005.57504.x.

    Article  PubMed  Google Scholar 

  • Gillberg, C., Billstedt, E., Sundh, V., & Gillberg, I. C. (2010). Mortality in autism: A prospective longitudinal community-based study. Journal of Autism and Developmental Disorders, 40(3), 352–357.

    Article  PubMed  Google Scholar 

  • Heaney, D. C., MacDonald, B. K., Everitt, A., Stevenson, S., Leonardi, G. S., Wilkinson, P., & Sander, J. W. (2002). Socioeconomic variation in incidence of epilepsy: Prospective community based study in south east England. BMJ, 325(7371), 1013–1016.

    Article  PubMed  PubMed Central  Google Scholar 

  • Idring, S., Lundberg, M., Sturm, H., Dalman, C., Gumpert, C., Rai, D., Magnusson, C., et al. (2015). Changes in prevalence of autism spectrum disorders in 2001–2011: Findings from the Stockholm youth cohort. Journal of Autism and Developmental Disorders, 45(6), 1766–1773. doi:10.1007/s10803-014-2336-y.

    Article  PubMed  Google Scholar 

  • Jokiranta, E., Sourander, A., Suominen, A., Timonen-Soivio, L., Brown, A. S., & Sillanpää, M. (2014). Epilepsy among children and adolescents with autism spectrum disorders: A population-based study. Journal of Autism and Developmental Disorders, 44(10), 2547–2557.

    Article  PubMed  Google Scholar 

  • Kielinen, M., Rantala, H., Timonen, E., Linna, S. L., & Moilanen, I. (2004). Associated medical disorders and disabilities in children with autistic disorder: A population-based study. Autism: The International Journal of Research and Practice, 8(1), 49–60. doi:10.1177/1362361304040638.

    Article  Google Scholar 

  • Kramer, M. S., Seguin, L., Lydon, J., & Goulet, L. (2000). Socio-economic disparities in pregnancy outcome: Why do the poor fare so poorly? Paediatric and Perinatal Epidemiology, 14(3), 194–210.

    Article  PubMed  Google Scholar 

  • Liptak, G. S., Benzoni, L. B., Mruzek, D. W., Nolan, K. W., Thingvoll, M. A., Wade, C. M., & Fryer, G. E. (2008). Disparities in diagnosis and access to health services for children with autism: Data from the National Survey of Children’s Health. Journal of Developmental & Behavioral Pediatrics, 29(3), 152–160.

    Article  Google Scholar 

  • Lyall, K., Constantino, J. N., Weisskopf, M. G., Roberts, A. L., Ascherio, A., & Santangelo, S. L. (2014). Parental social responsiveness and risk of autism spectrum disorder in offspring. JAMA Psychiatry, 71(8), 936–942.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mouridsen, S. E., Rich, B., & Isager, T. (1999). Epilepsy in disintegrative psychosis and infantile autism: A long-term validation study. Developmental Medicine and Child Neurology, 41(2), 110–114.

    Article  PubMed  Google Scholar 

  • Schendel, D. E., Overgaard, M., Christensen, J., Hjort, L., Jorgensen, M., Vestergaard, M., & Parner, E. T. (2016). Association of psychiatric and neurologic comorbidity with mortality among persons with Autism Spectrum Disorder in a Danish population. JAMA Pediatrics, 170(3), 243–250. doi:10.1001/jamapediatrics.2015.3935.

    Article  PubMed  Google Scholar 

  • Schieve, L. A., Rice, C., Yeargin-Allsopp, M., Boyle, C. A., Kogan, M. D., Drews, C., & Devine, O. (2012). Parent-reported prevalence of autism spectrum disorders in US-born children: An assessment of changes within birth cohorts from the 2003 to the 2007 National Survey of Children’s Health. Maternal and Child Health Journal, 16(1), 151–157.

    Article  Google Scholar 

  • Schieve, L. A., Tian, L. H., Baio, J., Rankin, K., Rosenberg, D., Wiggins, L., Devine, O., et al. (2014). Population attributable fractions for three perinatal risk factors for autism spectrum disorders, 2002 and 2008 autism and developmental disabilities monitoring network. Annals of Epidemiology, 24(4), 260–266. doi:10.1016/j.annepidem.2013.12.014.

    Article  PubMed  PubMed Central  Google Scholar 

  • Steffenburg, S., Steffenburg, U., & Gillberg, C. (2003). Autism spectrum disorders in children with active epilepsy and learning disability: Comorbidity, pre- and perinatal background, and seizure characteristics. Developmental Medicine and Child Neurology, 45(11), 724–730.

    Article  PubMed  Google Scholar 

  • Sun, Y., Vestergaard, M., Pedersen, C. B., Christensen, J., Basso, O., & Olsen, J. (2008). Gestational age, birth weight, intrauterine growth and risk for epilepsy. American Journal of Epidemiology, 167(3), 262–270. doi:10.1093/aje/kwm316.

    Article  PubMed  Google Scholar 

  • Tuchman, R., Cuccaro, M., & Alessandri, M. (2010). Autism and epilepsy: Historical perspective. Brain & Development, 32(9), 709–718. doi:10.1016/j.braindev.2010.04.008.

    Article  Google Scholar 

  • Tuchman, R., & Rapin, I. (2002). Epilepsy in autism. Lancet Neurology, 1(6), 352–358.

    Article  PubMed  Google Scholar 

  • Valvo, G., Baldini, S., Brachini, F., Apicella, F., Cosenza, A., Ferrari, A. R., Sicca, F., et al. (2013). Somatic overgrowth predisposes to seizures in autism spectrum disorders. PLoS One, 8(9), e75015. doi:10.1371/journal.pone.0075015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Viscidi, E. W., Triche, E. W., Pescosolido, M. F., McLean, R. L., Joseph, R. M., Spence, S. J., & Morrow, E. M. (2013). Clinical characteristics of children with autism spectrum disorder and co-occurring epilepsy. PLoS One, 8(7), e67797. doi:10.1371/journal.pone.0067797.

    Article  PubMed  PubMed Central  Google Scholar 

  • Yasuhara, A. (2010). Correlation between EEG abnormalities and symptoms of autism spectrum disorder (ASD). Brain & Development, 32(10), 791–798. doi:10.1016/j.braindev.2010.08.010.

    Article  Google Scholar 

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Author Contributions

ST and BL participated in study conception and design; Acquisition of data: Analysis and interpretation of data: Drafting of manuscript: Critical revision. DR and MH participated in: Analysis and interpretation of data: Drafting of manuscript: Critical revision.

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Correspondence to Brian K. Lee.

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The authors declare no conflicts of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The National Survey of Children’s Health study protocol was approved by the National Center for Health Statistics Research Ethics Review Board and the Abt Associates Institutional Review Board.

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Thomas, S., Hovinga, M.E., Rai, D. et al. Brief Report: Prevalence of Co-occurring Epilepsy and Autism Spectrum Disorder: The U.S. National Survey of Children’s Health 2011–2012. J Autism Dev Disord 47, 224–229 (2017). https://doi.org/10.1007/s10803-016-2938-7

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  • DOI: https://doi.org/10.1007/s10803-016-2938-7

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