Abstract
The prevalence of autism has increased dramatically. The objectives of this study were to explore attitudes toward prenatal diagnosis to detect autism prenatally and avoid having an affected child and to understand social acceptability of these disorders among students of allied health professions. In this study, college students of nursing and health systems management answered a structured self-report questionnaire (n = 305). The first part addressed the respondent’s personal data. The second part targeted the respondent’s attitudes toward prenatal diagnosis of non-life-threatening disorders, including autism spectrum disorders. We found that almost two thirds of the students responded that they would not proceed with a pregnancy if the child were diagnosed with autism, and more than half thought that they would not continue with a pregnancy if the fetus were diagnosed with Asperger’s. Age, level of religiosity, and years of education were influential. This study is limited in scope; however, the positive attitude of the students toward prenatal diagnosis to avoid having an affected child might also reflect a negative view of autism spectrum disorders in future health care professionals. Further research of attitudes and the social acceptability of autism spectrum disorders, particularly among health care professionals, is required.
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Notes
However, this might prove to be a difficult task as variable expressivity, pleiotropic effects, and incomplete penetrance associated with CNVs and SNVs associated with ASD present significant challenges for genetic counseling and PND (Jiang et al. 2014).
In fact, in Israel parents are actually funding chromosome microarray research (unknowingly). Even parents of perfectly normal children pursue this test (personal communication).
Almost 10,000 children are born with Down syndrome (DS) in the United States each year (one in 691 live births). Since birth rates of DS are highest among mothers of advanced maternal age, in many countries, the cost for PND is covered by most health care/insurance plans for women over the age of 35. However, current data show that 80 % of all children with DS are born to mothers under 35 years (Bunt and Bunt 2014). Hence PND for DS is now being offered also to younger women (personal communication).
Recently, a very popular TV drama and several documentaries have presented in Israel some of the difficulties potentially experienced by parents of a child with autism.
In the last Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), Asperger’s syndrome has been excluded from the ASDs. However, for the purpose of this study, since most people still recognize this term as a form of autism, we still use AS to address high functioning autism, according to DSM-4.
A limitation of this result, however, is that DS was included in this question and the respondents’ very negative view toward DS could have affected the overall negative attitude toward all the disorders in this item.
This link is assumed; further research is needed.
References
Amet, L. (2009). Autism and testosterone. Response to Simon Baron Cohen NowPublic News Coverage 2009. Retrieved (1.4.2011) from http://www.nowpublic.com/health/autism-and-testosterone-response-simon-baron-cohen.
Bunt, C. W., & Bunt, S. K. (2014). Role of the family physician in the care of children with Down syndrome. American Family Physician, 15, 851–858.
Baron-Cohen, S., Lutchmaya, S., & Knickmeyer, R. (2005). Prenatal testosterone in mind: Studies of amniotic fluid. Cambridge, MA: MIT Press/Bradford Books.
Boudreault, P., Baldwin, E. E., Fox, M., Dutton, L., Tullis, L. E., Linden, J., et al. (2010). Deaf adults’ reasons for genetic testing depend on cultural affiliation: results from a prospective, longitudinal genetic counseling and testing study. Journal of Deaf Studies and Deaf Education, 15, 209–227.
Brunger, J. W., Murray, G. S., O’Riordan, M., Matthews, A. L., Smith, R. J. H., & Robin, N. H. (2000). Parental attitudes toward genetic testing for pediatric deafness. American Journal of Human Genetics, 67, 1621–1625.
Byrne, A., & Pettigrew, C. M. (2010). Knowledge and attitudes of allied health professional students regarding the stroke rehabilitation team and the role of the speech and language therapist. International Journal of Language Communication Disorders, 45, 510–521.
Cassimos, D.C., Polychronopoulou, S.A., Tripsianis, G.I., & Syriopoulou-Delli, C.K. (2013). Views and attitudes of teachers on the educational integration of students with autism spectrum disorders. Developmental Neurorehabilitation.
Centers for Disease Control and Prevention (CDC1) (2014). Data & Statistics. Retrieved (20.7.2014) from http://www.cdc.gov/ncbddd/autism/data.html.
Centers for Disease Control and Prevention (CDC2) (2011). Facts about ASD. Retrieved (4.5.2011) from http://www.cdc.gov/ncbddd/autism/facts.html.
Centers for Disease Control and Prevention (CDC4) (2012). Facts about ASD. Retrieved (4.5.2012) from http://www.cdc.gov/ncbddd/autism/facts.html.
Centers for Disease Control and Prevention (CDC5) (2015). Data & Statistics. Retrieved (20.7.2015) from http://www.cdc.gov/ncbddd/autism/data.html.
Chen, L.S., Li, C., Wang, C.H., Amuta, A., Li, M., Huang T.Y., . . . Jung, E. (2014). Autism spectrum disorders: perceptions of genetic etiology and recurrence risk among Taiwanese parents of affected children. Clinical Genetics, 88,129−134.
Chen, L. S., Xu, L., Dhar, S. U., Li, M., Talwar, D., & Jung, E. (2015). Autism spectrum disorders: a qualitative study of attitudes toward prenatal genetic testing and termination decisions of affected pregnancies. Clinical Genetics, 88, 122–128.
Cohen, H., Amerine-Dickens, M., & Smith, T. (2006). Early intensive behavioral treatment: replication of the UCLA model in a community setting. Journal of Developmental and Behavioral Pediatrics, 27, 145–155.
Constantino, J. N., & Charman, T. (2015). Diagnosis of autism spectrum disorder: reconciling the syndrome, its diverse origins, and variation in expression. Lancet Neurology. doi:10.1016/S1474-4422(15)00151-9.
Fu, S., Dong, J., Wang, C., & Chen, G. (2010). Parental attitudes toward genetic testing for prelingual deafness in China. International Journal of Pediatric Otorhinolaryngology, 74, 1122–1125.
Geschwind, D., & State, M. W. (2015). Gene hunting in autism spectrum disorder: on the path to precision medicine. Lancet Neurology, 514, 1109–1120.
Giarelli, E., Ruttenberg, J., & Segal, A. (2012). Continuing education for nurses in the clinical management of autism spectrum disorders: results of a pilot evaluation. Journal of Continuing Education in Nursing, 43, 169–176.
Handler, E. G., Bhardwaj, A., & Jackson, D. S. (1994). Medical students’ and allied health care professionals’ perceptions toward the mentally retarded population. Journal of Developmental and Physical Disabilities, 6, 291–297.
Hashiloni-Dolev, Y. (2007). A life (un)worthy of living: Reproductive genetics in Israel and Germany. Dordrecht: Springer.
Insalaco, D., Ozkurt, E., & Santiago, D. (2007). The perceptions of students in the allied health professions towards stroke rehabilitation teams and the SLP’s role. Journal of Communiation Disorders, 40, 196–214.
Israeli Penal Code, sub-section 316a.
Jiang, Y. H., Wang, Y., Xiu, X., Choy, K. W., Pursley, A. N., & Cheung, S. W. (2014). Genetic diagnosis of autism spectrum disorders: the opportunity and challenge in the genomics era. Critical Reviews in Clinical Laboratory Sciences, 51, 249–262.
Johnson, C. P. (2004). Early clinical characteristics of children with autism. In V. B. Gupta (Ed.), Autistic spectrum disorders in children (pp. 85–123). New York: Marcel Dekker.
Kim, Y. S., Leventhal, B. L., Koh, Y. J., Fombonne, E., Laska, E., Lim, E. C., et al. (2011). Prevalence of autism spectrum disorders in a total population sample. The American Journal of Psychiatry, 168, 904–912.
Kubota, T., Miyake, K., Hariya, N., & Mochizuki, K. (2015). Epigenomic-basis of preemptive medicine for neurodevelopmental disorders. Current Genomics, 16, 175–182.
Leonard, H., Dixon, G., Whitehouse, A. J. O., Bourke, J., Aiberti, K., Nassar, N., et al. (2014). Unpacking the complex nature of the autism epidemic. Research in Autism Spectrum Disorders, 4, 548–554.
Maio, M., Carrion, P., Yaremco, E., & Austin, J. C. (2013) Awareness of genetic counseling and perceptions of its purpose: a survey of the Canadian public. J Genet Couns, 22, 762–70.
Matson, J. L., & Kozlowski, A. M. (2011). The increasing prevalence of autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 418–425.
Maurice, C. (1993). Let me hear your voice. A family triumph over autism. New York: Random House.
McAuliffe, T., & Barnett, F. (2010). Perceptions towards rural and remote practice: a study of final year occupational therapy students studying in a regional university in Australia. Australian Occupational Therapy Journal, 57, 293–300.
Menezo, Y. J. R., Elder, K., & Dale, B. (2015). Link between increased prevalence of autism spectrum disorder syndromes and oxidative stress, DNA methylation, and imprintingthe impact of the environment. JAMA Pediatrics, 169, 1066–1067.
Mercer, L., Creighton, S., Holden, J. J. A., & Lewis, M. E. S. (2006). Parental perspectives on the causes of an autism spectrum disorder in their children. Journal of Genetic Counseling, 15, 41–50.
Ministry of Social Affairs and Social services. Services for people with autism. Retrieved (4.4.2015) from http://www.molsa.gov.il/MisradHarevacha/Disabilities/Autism/otizem_PDD.htm. (In Hebrew).
Morbidity and Mortality Weekly Report (MMWR) Surveillance Summaries. (2012). 30, 1-19.
Mulloy, A., Lang, R., O’Reilly, M., et al. (2010). Gluten-free and casein-free diets in the treatment of autism spectrum disorders: a systematic review. Research in Autism Spectrum Disorders, 4, 328–339.
Muhle, R., Trentacoste, S. V., & Rapin, I. (2004). The genetics of autism. Pediatrics, 113, e472–e486.
Narcisa, V., Discenza, M., Vaccari, E., Rosen-Sheidley, B., Hardan, A. Y., & Couchon, E. (2013). Parental interest in a genetic risk assessment test for autism spectrum disorders. Clinical Pediatrics, Philadelphia, 52, 139–146.
Ousseny, Z., Yoshida, C., Grether, J. K., Van de Water Davis, J., & Croen, L. A. (2015). Maternal infection during pregnancy and autism spectrum disorders. Journal of Autism and Developmental Disorders, 45, 4015–4025.
Ozonoff, S., Young, G. S., Carter, A., Messinger, D., Yirmiya, N., Zwaigenbaum, L., et al. (2011). Recurrence risk for autism spectrum disorders: a baby siblings research consortium study. Pediatrics, 128, e488–e495.
Pace, J. E., Shin, M., & Rasmussen, S. A. (2010). Understanding attitudes toward people with Down syndrome. American Journal of Medical Genetics Part A, 152A, 2185–2192.
Raz, A., & Schicktanz, S. (2009). Lay perceptions of genetic testing in Germany and Israel: the interplay of national culture and individual experience. New Genetics and Society, 28, 401–414.
Remennick, L. (2006). The quest for the perfect baby: why do Israeli women seek prenatal genetic testing? Sociology of Health & Illness, 28, 21–26.
Ryan, T. A., & Scior, K. (2014). Medical students’ attitudes towards people with intellectual disabilities: a literature review. Research in Developmental Disabilities, 35, 2316–2328.
Sallows, G., & Graupner, T. D. (2005). Intensive behavioral treatment for children with autism: four-year outcome and predictors. American Journal on Mental Retardation, 110, 417–438.
Scior, K., Addai-Davis, J., Kenyon, M., & Sheridan, J. C. (2013). Stigma, public awareness about intellectual disability and attitudes to inclusion among different ethnic groups. Journal of Intellectual Disability Research, 57, 1014–1026.
Scior, K. (2011). Public awareness, attitudes and beliefs regarding intellectual disability: a systematic review. Research in Developmental Disabilities, 32, 2164–2182.
Seewooruttun, L., & Scior, K. (2014). Interventions aimed at increasing knowledge and improving attitudes towards people with intellectual disabilities among lay people. Research in Developmental Disabilities, 35, 3482–3495.
Selkirk, C. G., McCarthy Veach, P., Lian, F., Schimmenti, L., & LeRoy, B. S. (2009). Parents’ perceptions of autism spectrum disorder etiology and recurrence risk and effects of their perceptions on family planning: recommendations for genetic counselors. Journal of Genetic Counseling, 18, 507–519.
Silva, M.L.T., Schalock, M., Gabrielsen K.L. et al. (2015). Early intervention with a parent-delivered massage protocol directed at tactile abnormalities decreases severity of autism and improves child-to-parent interactions: A replication study. Autism Research and Treatment, ID 904585. doi:10.1155/2015/904585.
Simonstein, F. (2014). Autism, Asperger syndrome, genetic testing and parenting. EUBIOS, 24, 119–123.
Simonstein, F., & Mashiach-Eizenberg, M. (2016). Understanding reproductive genetics, reproductive risk and attitudes towards genetic tools. Genetic Counseling. doi:10.1007/s10897-015-9850-8.
Strunk, J. A. (2009). School nurses’ knowledge of autism spectrum disorders. Journal of School Nursing, 25, 445–452.
The Cochrane Library (2015). http://www.thecochranelibrary.com/details/browseReviews/579405/Autistic-spectrum-disorder.html.
Thomas, M. S. C., Davis, R., Karmiloff-Smith, A., Knowland, V. C. P., & Charman, T. (2015). The over-pruning hypothesis of autism. Developmental Science. doi:10.1111/desc.12303.
Volk, H. E., Lurmann, F., Penfold, B., Hertz-Picciotto, I., & McConnell, R. (2013). Traffic-related air pollution, particulate matter, and autism. JAMA Psychiatry, 70, 71–77.
Wagner, A. K., & Stewart, P. J. (2001). An internship for college students in physical medicine and rehabilitation: effects on awareness, career choice, and disability perceptions. American Journal of Physical Medicine & Rehabilitation, 80, 459–465.
Walsh, P. (2010). Asperger syndrome and the supposed obligation not to bring disabled lives into the world. Journal of Medical Ethics, 36, 521–524.
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Frida Simonstein and Michal Mashiach-Eizenberg that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
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Simonstein, F., Mashiach-Eizenberg, M. Attitudes Toward Autism Spectrum Disorders Among Students of Allied Health Professions. J Genet Counsel 25, 1276–1285 (2016). https://doi.org/10.1007/s10897-016-9969-2
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DOI: https://doi.org/10.1007/s10897-016-9969-2