Current Issues in Epidemiogical Studies of Autism

Detalhes bibliográficos
Autor(a) principal: Fombonne, Éric
Data de Publicação: 2019
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Psicologia (Universidade Presbiteriana Mackenzie. Online)
Texto Completo: http://editorarevistas.mackenzie.br/index.php/ptp/article/view/12869
Resumo: Epidemiological surveys have increased in number and complexity. This paper focuses on a few selected issues that persist in the field of autism epidemiology today. Recent surveys have improved case ascertainment by including a regular school survey component, and they have consistently identified cases which were undiagnosed. However, the logistic of these surveys is complex, and the data analysis of these complex survey designs can lead to serious over- and sometimes under-estimation of overall population prevalence. Other issues discussed concern techniques used to confirm and validate caseness in surveys. Surveys relying on mechanical use of diagnostic algorithms or single questionnaire answers are plagued with measurement error. The impact of the repeated changes in nosographical systems and the recent changes of DSM-5 are discussed. Issues specific to surveys of adults and preschoolers are briefly reviewed. Finally, contributions from international studies and the need for further cross-cultural comparisons are considered.
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spelling Current Issues in Epidemiogical Studies of AutismActualizaciones en Epidemiología del AutismoAtualizações em Epidemiologia do AutismoTranstorno do Espectro Autistaepidemiológicoprevalênciametodologiasaúde globalTranstorno del Espectro Autistaepidemiológicoprevalenciametodologiasalud globalAutism Spectrum Disorderepidemiologyprevalencemethodologyglobal healthEpidemiological surveys have increased in number and complexity. This paper focuses on a few selected issues that persist in the field of autism epidemiology today. Recent surveys have improved case ascertainment by including a regular school survey component, and they have consistently identified cases which were undiagnosed. However, the logistic of these surveys is complex, and the data analysis of these complex survey designs can lead to serious over- and sometimes under-estimation of overall population prevalence. Other issues discussed concern techniques used to confirm and validate caseness in surveys. Surveys relying on mechanical use of diagnostic algorithms or single questionnaire answers are plagued with measurement error. The impact of the repeated changes in nosographical systems and the recent changes of DSM-5 are discussed. Issues specific to surveys of adults and preschoolers are briefly reviewed. Finally, contributions from international studies and the need for further cross-cultural comparisons are considered.Estudios epidemiológicos han aumentado en número y complejidad. Este artículo se centra en problemas que persisten en el campo de la epidemiología del autismo. Investigaciones recientes han mejorado la detección de casos, incluido el componente de investigación en la escuela. Esto ha identificado casos que no fueron diagnosticados. Sin embargo, la logística de encuestas es compleja y el análisis de los datos puede llevar a sobreestimación o subestimación de la prevalencia de la populacion. Otros temas discutidos son las técnicas utilizadas para confirmar y validar la investigación. La pesquisa basada en el uso mecánico de algoritmos o cuestionario está plagada de errores de medición. Se discute el impacto de los cambios repetidos en los sistemas nosográficos y los cambios recientes en el DSM-5. Las preguntas para la investigación con adultos y niños se revisan brevemente. Se consideran las contribuciones de los estudios internacionales y la necesidad de más comparaciones interculturales.Os estudos epidemiológicos aumentaram em número e complexidade. Este artigo tem como foco alguns problemas que ainda persistem no campo da epidemiologia do autismo. As pesquisas mais recentes aprimoraram os métodos de averiguação de casos, principalmente incluindo coleta de dados em escolas regulares. Essa estratégia tem, consistentemente, permitido a identificação de casos que anteriormente ficavam sem diagnóstico. Entretanto, a logística dessas pesquisas é complexa e a análise de dados desses estudos pode levar a uma sobrestimação e, às vezes, a uma subestimação da prevalência global da população. Outra temática discutida neste artigo diz respeito às técnicas usadas para confirmar e validar pesquisas. Estudos baseados no uso mecânico de algoritmos ou em pontuação de um único questionário podem levar a erros de medição. O impacto das frequentes mudanças nos sistemas nosográficos e as recentes alterações no DSM-5 são discutidas. Questões específicas para pesquisas com adultos e crianças são brevemente revisadas. Finalmente, são consideradas contribuições de estudos internacionais e a necessidade de mais comparações interculturais.Editora Mackenzie2019-10-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://editorarevistas.mackenzie.br/index.php/ptp/article/view/1286910.5935/1980-6906/psicologia. v21n3p405-417The Journal Of Psychology: Theory and Practice ; Vol. 21 No. 3 (2019); 405-417Revista Psicología: Teoría y Práctica; Vol. 21 Núm. 3 (2019); 405-417Revista Psicologia: Teoria e Prática; v. 21 n. 3 (2019); 405-4171980-69061516-3687reponame:Psicologia (Universidade Presbiteriana Mackenzie. Online)instname:Universidade Presbiteriana Mackenzie (UPM)instacron:UPMenghttp://editorarevistas.mackenzie.br/index.php/ptp/article/view/12869/10344Copyright (c) 2019 Éric Fombonnehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFombonne, Éric2023-07-25T21:36:34Zoai:ojs.editorarevistas.mackenzie.br:article/12869Revistahttp://editorarevistas.mackenzie.br/index.php/ptp/indexPRIhttp://editorarevistas.mackenzie.br/index.php/ptp/oairevistapsico@mackenzie.br1980-69061516-3687opendoar:2023-07-25T21:36:34Psicologia (Universidade Presbiteriana Mackenzie. Online) - Universidade Presbiteriana Mackenzie (UPM)false
dc.title.none.fl_str_mv Current Issues in Epidemiogical Studies of Autism
Actualizaciones en Epidemiología del Autismo
Atualizações em Epidemiologia do Autismo
title Current Issues in Epidemiogical Studies of Autism
spellingShingle Current Issues in Epidemiogical Studies of Autism
Fombonne, Éric
Transtorno do Espectro Autista
epidemiológico
prevalência
metodologia
saúde global
Transtorno del Espectro Autista
epidemiológico
prevalencia
metodologia
salud global
Autism Spectrum Disorder
epidemiology
prevalence
methodology
global health
title_short Current Issues in Epidemiogical Studies of Autism
title_full Current Issues in Epidemiogical Studies of Autism
title_fullStr Current Issues in Epidemiogical Studies of Autism
title_full_unstemmed Current Issues in Epidemiogical Studies of Autism
title_sort Current Issues in Epidemiogical Studies of Autism
author Fombonne, Éric
author_facet Fombonne, Éric
author_role author
dc.contributor.author.fl_str_mv Fombonne, Éric
dc.subject.por.fl_str_mv Transtorno do Espectro Autista
epidemiológico
prevalência
metodologia
saúde global
Transtorno del Espectro Autista
epidemiológico
prevalencia
metodologia
salud global
Autism Spectrum Disorder
epidemiology
prevalence
methodology
global health
topic Transtorno do Espectro Autista
epidemiológico
prevalência
metodologia
saúde global
Transtorno del Espectro Autista
epidemiológico
prevalencia
metodologia
salud global
Autism Spectrum Disorder
epidemiology
prevalence
methodology
global health
description Epidemiological surveys have increased in number and complexity. This paper focuses on a few selected issues that persist in the field of autism epidemiology today. Recent surveys have improved case ascertainment by including a regular school survey component, and they have consistently identified cases which were undiagnosed. However, the logistic of these surveys is complex, and the data analysis of these complex survey designs can lead to serious over- and sometimes under-estimation of overall population prevalence. Other issues discussed concern techniques used to confirm and validate caseness in surveys. Surveys relying on mechanical use of diagnostic algorithms or single questionnaire answers are plagued with measurement error. The impact of the repeated changes in nosographical systems and the recent changes of DSM-5 are discussed. Issues specific to surveys of adults and preschoolers are briefly reviewed. Finally, contributions from international studies and the need for further cross-cultural comparisons are considered.
publishDate 2019
dc.date.none.fl_str_mv 2019-10-17
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://editorarevistas.mackenzie.br/index.php/ptp/article/view/12869
10.5935/1980-6906/psicologia. v21n3p405-417
url http://editorarevistas.mackenzie.br/index.php/ptp/article/view/12869
identifier_str_mv 10.5935/1980-6906/psicologia. v21n3p405-417
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://editorarevistas.mackenzie.br/index.php/ptp/article/view/12869/10344
dc.rights.driver.fl_str_mv Copyright (c) 2019 Éric Fombonne
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Éric Fombonne
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora Mackenzie
publisher.none.fl_str_mv Editora Mackenzie
dc.source.none.fl_str_mv The Journal Of Psychology: Theory and Practice ; Vol. 21 No. 3 (2019); 405-417
Revista Psicología: Teoría y Práctica; Vol. 21 Núm. 3 (2019); 405-417
Revista Psicologia: Teoria e Prática; v. 21 n. 3 (2019); 405-417
1980-6906
1516-3687
reponame:Psicologia (Universidade Presbiteriana Mackenzie. Online)
instname:Universidade Presbiteriana Mackenzie (UPM)
instacron:UPM
instname_str Universidade Presbiteriana Mackenzie (UPM)
instacron_str UPM
institution UPM
reponame_str Psicologia (Universidade Presbiteriana Mackenzie. Online)
collection Psicologia (Universidade Presbiteriana Mackenzie. Online)
repository.name.fl_str_mv Psicologia (Universidade Presbiteriana Mackenzie. Online) - Universidade Presbiteriana Mackenzie (UPM)
repository.mail.fl_str_mv revistapsico@mackenzie.br
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