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The Challenge and Importance of Differentiating Trauma and Stress-Related Disorders from Autism Spectrum Disorders

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Trauma, Autism, and Neurodevelopmental Disorders

Abstract

Through a case vignette, the authors explore the significant diagnostic, systemic, and parental psychological challenges in arriving at an appropriate diagnosis and service plan for children presenting with (often overlapping) symptoms of ASD and TSRD. The supports that are available for children with a diagnosis of ASD are often designed to help families access therapeutic skill builders or support workers that can help teach social skills and pragmatic language skills; resources are offered to provide respite for families. Conversely, children with a TSRD will benefit most from being engaged in therapy with their primary caregiver, thus making outside skill builders and respite care providers less effective for achieving long term goals. While a personal support worker may reduce the amount of time that a child has to build a predictable and secure relationship with their caregiver, the challenge is that parents with a child with a TSRD may be similarly tired as parents of a child with ASD from managing behaviors and would themselves benefit from respite.

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References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013.

    Book  Google Scholar 

  2. Sadiq FA, Slator L, Skuse D, Law J, Gillberg C, Minnis H. Social use of language in children with reactive attachment disorder and autism spectrum disorders. Eur Child Adolesc Psychiatry. 2012;21(5):267–76.

    Article  Google Scholar 

  3. Rutter M, Andersen-Wood L, Beckett C, Bredenkamp D, Castle J, Groothues C, et al. Quasi-autistic patterns following severe early global privation. J Child Psychol Psychiatry. 1999;40(4):537–49.

    Article  Google Scholar 

  4. Hoksbergen R, ter Laak J, Rijk K, van Dijkum C, Stoutjesdijk F. Post-institutional autistic syndrome in Romanian adoptees. J Autism Dev Disord. 2005;35(5):615–23.

    Article  Google Scholar 

  5. Moran H. Clinical observations of the differences between children on the autism spectrum and those with attachment problems: The Coventry Grid. Good Autism Practice. 2010;11(2):46–59.

    Google Scholar 

  6. Shonkoff JP, Garner AS, Section on Developmental and Behavioral Pediatrics. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232–46.

    Article  Google Scholar 

  7. Shonkoff JP, Callister G, Oberklaid F. The science of early childhood development: closing the gap between what we know and what we do. Victoria: Department of Human Services; 2006.

    Google Scholar 

  8. Masten AS. Ordinary magic. Resilience processes in development. Am Psychol. 2001;56(3):227–38.

    Article  Google Scholar 

  9. Anda RF, Felitti VJ, Bremner JD, Walker JD, Whitfield C, Perry BD, et al. The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. 2006;256(3):174–86.

    Article  Google Scholar 

  10. Liu KY, King M, Bearman PS. Social influence and the autism epidemic. Am J Sociol. 2010;115(5):1387–434.

    Article  Google Scholar 

  11. Chakrabarti S, Fombonne E. Pervasive developmental disorders in preschool children: confirmation of high prevalence. Am J Psychiatr. 2005;162(6):1133–41.

    Article  Google Scholar 

  12. Rice CE, Rosanoff M, Dawson G, Durkin MS, Croen LA, Singer A, Yeargin-Allsopp M. Evaluating changes in the prevalence of the autism spectrum disorders (ASDs). Public Health Rev. 2012;34(2):1–22.

    Article  Google Scholar 

  13. Keyes KM, Susser E, Cheslack-Postava K, Fountain C, Liu K, Bearman PS. Cohort effects explain the increase in autism diagnosis among children born from 1992 to 2003 in California. Int J Epidemiol. 2012;41:495–503.

    Article  Google Scholar 

  14. American Academy of Pediatrics. Recommendations for preventive pediatric health care. 2015. https://www.aap.org/en-us/Documents/periodicity_schedule_oral_health.pdf.

  15. Shattuck PT. The contribution of diagnostic substitution to the growing administrative prevalence of autism in US special education. Pediatrics. 2006;117(4):1028–37.

    Article  Google Scholar 

  16. O’Connor TG, Zeanah CH. Attachment disorders: assessment strategies and treatment approaches. Attach Hum Dev. 2003;5(3):223–44.

    Article  Google Scholar 

  17. Ainsworth MDS, Blehar MC, Waters E, Wall S. Patterns of attachment: a psychological study of the strange situation. Hillsdale: Erlbaum; 1978.

    Google Scholar 

  18. Sprafkin J, Volpe RJ, Gadow KD, Nolan EE, Kelly K. A DSM-IV–referenced screening instrument for preschool children: the Early Childhood Inventory-4. J Am Acad Child Adolesc Psychiatry. 2002;41(5):604–12.

    Article  Google Scholar 

  19. O’Connor TG, Rutter M, Beckett C, Keaveney L, Kreppner JM. The effects of global severe privation on cognitive competence: extension and longitudinal follow-up. Child Dev. 2000;71(2):376–90.

    Article  Google Scholar 

  20. Chaffin M, Hanson R, Saunders BE, Nichols T, Barnett D, Zeanah C, et al. Report of the APSAC task force on attachment therapy, reactive attachment disorder, and attachment problems. Child Maltreat. 2006;11(1):76–89.

    Article  Google Scholar 

  21. Hanson RF, Spratt EG. Reactive attachment disorder: what we know about the disorder and implications for treatment. Child Maltreat. 2000;5(2):137–45.

    Article  Google Scholar 

  22. Dawson G, Jones EJ, Merkle K, Venema K, Lowy R, Faja S, et al. Early behavioral intervention is associated with normalized brain activity in young children with autism. J Am Acad Child Adolesc Psychiatry. 2012;51(11):1150–9.

    Article  Google Scholar 

  23. Virués-Ortega J. Applied behavior analytic intervention for autism in early childhood: meta-analysis, meta-regression and dose–response meta-analysis of multiple outcomes. Clin Psychol Rev. 2010;30(4):387–99.

    Article  Google Scholar 

  24. Volkmar F, Siegel M, Woodbury-Smith M, King B, McCracken J, State M, The American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI). Practice parameter for the assessment and treatment of children and adolescents with autism spectrum disorder. J Am Acad Child Adolesc Psychiatry. 2014;53(2):237–57.

    Article  Google Scholar 

  25. Zeanah CH, Gleason MM. Annual research review: attachment disorders in early childhood–clinical presentation, causes, correlates, and treatment. J Child Psychol Psychiatry. 2015;56(3):207–22.

    Article  Google Scholar 

  26. McGoron L, Gleason MM, Smyke AT, Drury SS, Nelson CA, Gregas MC, Zeanah CH. Recovering from early deprivation: attachment mediates effects of caregiving on psychopathology. J Am Acad Child Adolesc Psychiatry. 2012;51(7):683–93.

    Article  Google Scholar 

  27. Allen B, Timmer SG, Urquiza AJ. Parent–Child Interaction Therapy as an attachment-based intervention: theoretical rationale and pilot data with adopted children. Child Youth Serv Rev. 2014;47:334–41.

    Article  Google Scholar 

  28. Batzer S, Berg T, Godinet MT, Stotzer RL. Efficacy or chaos? Parent–child interaction therapy in maltreating populations: a review of research. Trauma Violence Abuse. 2018;19(1):3–19. https://doi.org/10.1177/1524838015620819.

    Article  PubMed  Google Scholar 

  29. Thomas R, Zimmer-Gembeck MJ. Parent-child interaction therapy: an evidence-based treatment for child maltreatment. Child Maltreat. 2012;17(3):1–14. https://doi.org/10.1177/1077559512459555.

    Article  Google Scholar 

  30. Garland AF, Landsverk JL, Hough RL, Ellis-MacLeod E. Type of maltreatment as a predictor of mental health service use for children in foster care. Child Abuse Negl. 1996;20(8):675–88.

    Article  Google Scholar 

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Correspondence to Amanda Van Scoyoc .

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Van Scoyoc, A., Marquardt, M.B., Phelps, R.A. (2018). The Challenge and Importance of Differentiating Trauma and Stress-Related Disorders from Autism Spectrum Disorders. In: Fogler, J., Phelps, R. (eds) Trauma, Autism, and Neurodevelopmental Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-00503-0_5

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