What do Cochrane systematic reviews say about interventions for autism spectrum disorders?
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/1516-3180.2017.0058200317 https://repositorio.unifesp.br/handle/11600/54964 |
Resumo: | CONTEXT AND OBJECTIVE: Autism spectrum disorders (ASDs) include autistic disorder, Asperger's disorder and pervasive developmental disorder. The manifestations of ASDs can have an important impact on learning and social functioning that may persist during adulthood. The aim here was to summarize the evidence from Cochrane systematic reviews on interventions for ASDs. DESIGN AND SETTING: Review of systematic reviews, conducted within the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo. METHODS: We included and summarized the results from Cochrane systematic reviews on interventions for ASDs. RESULTS: Seventeen reviews were included. These found weak evidence of benefits from acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups, Theory of Mind cognitive model, aripiprazole, risperidone, tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRI) |
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What do Cochrane systematic reviews say about interventions for autism spectrum disorders?Autism spectrum disorderTherapeuticsReview [Publication type]Evidence-based practiceEvidence-based medicineCONTEXT AND OBJECTIVE: Autism spectrum disorders (ASDs) include autistic disorder, Asperger's disorder and pervasive developmental disorder. The manifestations of ASDs can have an important impact on learning and social functioning that may persist during adulthood. The aim here was to summarize the evidence from Cochrane systematic reviews on interventions for ASDs. DESIGN AND SETTING: Review of systematic reviews, conducted within the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo. METHODS: We included and summarized the results from Cochrane systematic reviews on interventions for ASDs. RESULTS: Seventeen reviews were included. These found weak evidence of benefits from acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups, Theory of Mind cognitive model, aripiprazole, risperidone, tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRI)this last only for adults. No benefits were found for sound therapies, chelating agents, hyperbaric oxygen therapy, omega-3, secretin, vitamin B6/magnesium and SSRI for children. CONCLUSION: Acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups and the Theory of Mind cognitive model seem to have benefits for patients with autism spectrum disorders (very low to low-quality evidence). Aripiprazole, risperidone, tricyclic antidepressants and SSRI (this last only for adults) also showed some benefits, although associated with higher risk of adverse events. Experimental studies to confirm a link between probable therapies and the disease, and then high-quality long-term clinical trials, are needed.Univ Fed Sao Paulo Unifesp, EPM, Discipline Evidence Based Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, EPM, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Evidence Based Hlth Program, Sao Paulo, SP, BrazilCochrane Brazil, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, EPM, Discipline Evidence Based Med, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, EPM, Sao Paulo, SP, BrazilUniv Fed Sao Paulo Unifesp, Evidence Based Hlth Program, Sao Paulo, SP, BrazilWeb of ScienceAssociacao Paulista Medicina2020-07-17T14:02:43Z2020-07-17T14:02:43Z2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion192-201application/pdfhttp://dx.doi.org/10.1590/1516-3180.2017.0058200317Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 2, p. 192-201, 2017.10.1590/1516-3180.2017.0058200317WOS000402009700017.pdf1516-3180https://repositorio.unifesp.br/handle/11600/54964WOS:000402009700017engSao Paulo Medical JournalSao Pauloinfo:eu-repo/semantics/openAccessLyra, Larissa [UNIFESP]Rizzo, Luiz Eduardo [UNIFESP]Sunahara, Camila Sa [UNIFESP]Pachito, Daniela Vianna [UNIFESP]Cruz Latorraca, Carolina de Oliveira [UNIFESP]Cabrera Martimbianco, Ana LuizaRiera, Rachel [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-02T10:42:43Zoai:repositorio.unifesp.br/:11600/54964Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-02T10:42:43Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
title |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
spellingShingle |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? Lyra, Larissa [UNIFESP] Autism spectrum disorder Therapeutics Review [Publication type] Evidence-based practice Evidence-based medicine |
title_short |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
title_full |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
title_fullStr |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
title_full_unstemmed |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
title_sort |
What do Cochrane systematic reviews say about interventions for autism spectrum disorders? |
author |
Lyra, Larissa [UNIFESP] |
author_facet |
Lyra, Larissa [UNIFESP] Rizzo, Luiz Eduardo [UNIFESP] Sunahara, Camila Sa [UNIFESP] Pachito, Daniela Vianna [UNIFESP] Cruz Latorraca, Carolina de Oliveira [UNIFESP] Cabrera Martimbianco, Ana Luiza Riera, Rachel [UNIFESP] |
author_role |
author |
author2 |
Rizzo, Luiz Eduardo [UNIFESP] Sunahara, Camila Sa [UNIFESP] Pachito, Daniela Vianna [UNIFESP] Cruz Latorraca, Carolina de Oliveira [UNIFESP] Cabrera Martimbianco, Ana Luiza Riera, Rachel [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Lyra, Larissa [UNIFESP] Rizzo, Luiz Eduardo [UNIFESP] Sunahara, Camila Sa [UNIFESP] Pachito, Daniela Vianna [UNIFESP] Cruz Latorraca, Carolina de Oliveira [UNIFESP] Cabrera Martimbianco, Ana Luiza Riera, Rachel [UNIFESP] |
dc.subject.por.fl_str_mv |
Autism spectrum disorder Therapeutics Review [Publication type] Evidence-based practice Evidence-based medicine |
topic |
Autism spectrum disorder Therapeutics Review [Publication type] Evidence-based practice Evidence-based medicine |
description |
CONTEXT AND OBJECTIVE: Autism spectrum disorders (ASDs) include autistic disorder, Asperger's disorder and pervasive developmental disorder. The manifestations of ASDs can have an important impact on learning and social functioning that may persist during adulthood. The aim here was to summarize the evidence from Cochrane systematic reviews on interventions for ASDs. DESIGN AND SETTING: Review of systematic reviews, conducted within the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de Sao Paulo. METHODS: We included and summarized the results from Cochrane systematic reviews on interventions for ASDs. RESULTS: Seventeen reviews were included. These found weak evidence of benefits from acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups, Theory of Mind cognitive model, aripiprazole, risperidone, tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRI) |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017 2020-07-17T14:02:43Z 2020-07-17T14:02:43Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1516-3180.2017.0058200317 Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 2, p. 192-201, 2017. 10.1590/1516-3180.2017.0058200317 WOS000402009700017.pdf 1516-3180 https://repositorio.unifesp.br/handle/11600/54964 WOS:000402009700017 |
url |
http://dx.doi.org/10.1590/1516-3180.2017.0058200317 https://repositorio.unifesp.br/handle/11600/54964 |
identifier_str_mv |
Sao Paulo Medical Journal. Sao Paulo, v. 135, n. 2, p. 192-201, 2017. 10.1590/1516-3180.2017.0058200317 WOS000402009700017.pdf 1516-3180 WOS:000402009700017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Sao Paulo Medical Journal |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
192-201 application/pdf |
dc.coverage.none.fl_str_mv |
Sao Paulo |
dc.publisher.none.fl_str_mv |
Associacao Paulista Medicina |
publisher.none.fl_str_mv |
Associacao Paulista Medicina |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268404671971328 |