Autism severity, co-occurring psychopathology, and intellectual functioning predict supportive school services for youth with autism spectrum disorder
Abstract
Supportive school services are a primary service modality for youth with autism spectrum disorder. Autism spectrum disorder, as well as co-occurring psychiatric symptoms and low intellectual abilities, interfere with academic achievement and therefore influence decisions about school services. Therefore, we examined the association of parent, teacher, and clinician ratings of autism spectrum disorder and co-occurring psychiatric symptom severity and intellectual functioning with school services. In total, 283 youth with autism spectrum disorder were assessed with clinical evaluation via the Autism Diagnostic Observation Schedule and parent and teacher versions of the CASI-4R (Child and Adolescent Symptom Inventory). Full Scale Intelligence Quotient scores were obtained from case records. Clinical and teacher evaluations of autism spectrum disorder severity predicted services and were more strongly associated with school services than parent ratings. Teacher ratings were only associated with common school services (e.g. speech/language therapy, occupational therapy, and/or social skills training) frequency at medium and high levels of clinician-rated autism spectrum disorder severity. Higher IQ and parent-rated externalizing symptoms predicted lower likelihood of receiving school services, whereas internalizing symptoms were not predictive of school services. Autism spectrum disorder symptoms may overshadow externalizing and internalizing symptoms when considering school service supports. Results highlight the importance of evaluating autism spectrum disorder severity via multiple sources, especially in cases of unclear symptom presentation, when examining correlates of school services for youth with autism spectrum disorder.
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References
Arivett DL, Rust JO, Brissie JS, et al. (2006) Special education teachers’ perceptions of school psychologists in the context of individualized education program meetings. Education 127(3): 378–389.
Barry TD, Lyman RD, Klinger LG (2002) Academic underachievement and attention-deficit/hyperactivity disorder: the negative impact of symptom severity on school performance. Journal of School Psychology 40(3): 259–283.
Berument SK, Rutter M, Lord C, et al. (1999) Autism screening questionnaire: diagnostic validity. The British Journal of Psychiatry 175(5): 444–451.
Chiang HL, Kao WC, Chou MC, et al. (2018) School dysfunction in youth with autistic spectrum disorder in Taiwan: the effect of subtype and ADHD. Autism Research 11: 857–869.
Childre A, Chambers CR (2005) Family perceptions of student centered planning and IEP meetings. Education and Training in Developmental Disabilities 40(3): 217–233.
Christensen DL, Baio J, Braun KVN, et al. (2016) Prevalence and characteristics of autism spectrum disorder among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2012. Morbidity and Mortality Weekly Report: Surveillance Summaries 65(3): 1–23.
Cohen J (1992) A power primer. Psychological Bulletin 112(1): 155–159.
Daley D, Van Der Oord S, Ferrin M, et al. (2014) Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the American Academy of Child and Adolescent Psychiatry 53(8): 835–847.
De Los Reyes A, Kazdin AE (2005) Informant discrepancies in the assessment of childhood psychopathology: a critical review, theoretical framework, and recommendations for further study. Psychological Bulletin 131(4): 483–509.
DeVincent C, Gadow KD, Strong G, et al. (2008) Screening for autism spectrum disorder with the Early Childhood Inventory-4. Journal of Developmental and Behavioral Pediatrics: JDBP 29(1): 1–10.
DeVincent CJ, Gadow KD (2009) Relative clinical utility of three Child Symptom Inventory-4 scoring algorithms for differentiating children with autism spectrum disorder vs. attention-deficit hyperactivity disorder. Autism Research 2(6): 312–321.
Dunn W (1999) Sensory Profile. San Antonio, TX: The Psychological Corporation.
Gadow KD, DeVincent CJ (2012) Comparison of children with autism spectrum disorder with and without schizophrenia spectrum traits: gender, season of birth, and mental health risk factors. Journal of Autism and Developmental Disorders 42: 2285–2296.
Gadow KD, Sprafkin J (2002) Child Symptom Inventory-4 Screening and Norms Manual. Stony Brook, NY: Checkmate Plus.
Gadow KD, Sprafkin J (2005) Child and Adolescent Symptom Inventory-4R. Stony Brook, NY: Checkmate Plus.
Gadow KD, Sprafkin J (2008) Adolescent Symptom Inventory-4 Screening and Norms Manual. Stony Brook, NY: Checkmate Plus.
Gadow KD, DeVincent CJ, Pomeroy J, et al. (2004) Psychiatric symptoms in preschool children with PDD and clinic and comparison samples. Journal of Autism and Developmental Disorders 34(4): 379–393.
Gadow KD, Devincent CJ, Pomeroy J, et al. (2005) Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism 9(4): 392–415.
Gadow KD, Kaat AJ, Lecavalier L (2013) Relation of symptom-induced impairment with other illness parameters in clinic-referred youth. Journal of Child Psychology and Psychiatry and Allied Disciplines 54(11): 1198–1207.
Gadow KD, Schwartz J, DeVincent C, et al. (2008) Clinical utility of autism spectrum disorder scoring algorithms for the Child Symptom Inventory-4. Journal of Autism and Developmental Disorders 38(3): 419–427.
Goin-Kochel RP, Myers BJ, Mackintosh VH (2007) Parental reports on the use of treatments and therapies for children with autism spectrum disorders. Research in Autism Spectrum Disorders 1(3): 195–209.
Gotham K, Pickles A, Lord C (2012) Trajectories of autism severity in children using standardized ADOS scores. Pediatrics 130(5): e1278–e1284.
Gotham K, Risi S, Pickles A, et al. (2007) The autism diagnostic observation schedule: revised algorithms for improved diagnostic validity. Journal of Autism and Developmental Disorders 37: 613–627.
Green VA, Pituch KA, Itchon J, et al. (2006) Internet survey of treatments used by parents of children with autism. Research in Developmental Disabilities 27(1): 70–84.
Hallett V, Lecavalier L, Sukhodolsky DG, et al. (2013) Exploring the manifestations of anxiety in children with autism spectrum disorders. Journal of Autism and Developmental Disorders 43: 2341–2352.
Havdahl KA, Hus Bal V, Huerta M, et al. (2016) Multidimensional influences on autism symptom measures: implications for use in etiological research. Journal of the American Academy of Child & Adolescent Psychiatry 55(12): 1054–1063.e3.
Hess K, Morrier M, Heflin L, et al. (2008) Autism treatment survey: services received by children with autism spectrum disorders in public school classrooms. Journal of Autism & Developmental Disorders 38(5): 961–971.
Hoover-Dempsey KV, Sandler HM (1997) Why do parents become involved in their children’s education? Review of Educational Research 67(1): 3–42.
Hus V, Bishop S, Gotham K, et al. (2013) Factors influencing scores on the social responsiveness scale. Journal of Child Psychology and Psychiatry and Allied Disciplines 54(2): 216–224.
Individuals with Disabilities Education Act (2004) U.S.C.
Jones DE, Foster EM (2009) Service use patterns for adolescents with ADHD and comorbid conduct disorder. The Journal of Behavioral Health Services & Research 36(4): 436–449.
Kaat AJ, Gadow KD, Lecavalier L (2013) Psychiatric symptom impairment in children with autism spectrum disorders. Journal of Abnormal Child Psychology 41(6): 959–969.
Kim H, Keifer CM, Rodriguez-Seijas C, et al. (2017) Structural hierarchy of autism spectrum disorder symptoms: an integrative framework. Journal of Child Psychology and Psychiatry 59: 30–38.
Lecavalier L, Gadow KD, DeVincent CJ, et al. (2008) Validation of DSM-IV model of psychiatric syndromes in children with autism spectrum disorders. Journal of Autism & Developmental Disorders 39(2): 278–289.
Lecavalier L, Gadow KD, DeVincent CJ, et al. (2009) Deconstructing the PDD clinical phenotype: internal validity of the DSM-IV. Journal of Child Psychology and Psychiatry and Allied Disciplines 50(10): 1246–1254.
Lecavalier L, Gadow KD, DeVincent CJ, et al. (2011) Validity of DSM-IV syndromes in preschoolers with autism spectrum disorders. Autism 15(5): 527–543.
Lerner M, Reyes ADL, Drabick D, et al. (2017) Informant discrepancy defines discrete, clinically-useful autism spectrum disorder subgroups. Journal of Child Psychology and Psychiatry 58: 829–839.
Lord C, Luyster R, Guthrie W, et al. (2012) Patterns of developmental trajectories in toddlers with autism spectrum disorder. Journal of Consulting and Clinical Psychology 80(3): 477–489.
Lord C, Rutter M, DiLavore P, et al. (1999) Manual for the Autism Diagnostic Observation Schedule. Los Angeles, CA: Western Psychological Services.
Mandell D, Walrath C, Manteuffel B, et al. (2005) Characteristics of children with autistic spectrum disorders served in comprehensive community-based mental health settings. Journal of Autism & Developmental Disorders 35(3): 313–321.
Martin J. E., Marshall L. H., Sale P. (2004). A 3-year study of middle, junior high, and high school IEP meetings. Excep-tional Children. https://doi.org/10.1177/001440290407000302
Mazefsky CA, Filipink R, Lindsey J, et al. (2011) Medical evaluation and comorbid psychiatric disorders. In: Lubetsky M.J, Handen B.L. (Eds.), Autism Spectrum Disorder. New York: Oxford University Press, pp.41–84.
Minshew NJ, Goldstein G, Taylor HG, et al. (1994) Academic achievement in high functioning autistic individuals. Journal of Clinical and Experimental Neuropsychology 16(2): 261–270.
Narendorf SC, Shattuck PT, Sterzing PR (2011) Mental health service use among adolescents with an autism spectrum disorder. Psychiatric Services 62(8): 975–978.
Noland RM, Gabriels RL (2004) Screening and identifying children with autism spectrum disorders in the public school system: the development of a model process. Journal of Autism and Developmental Disorders 34(3): 265–277. Available at: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed6&NEWS=N&AN=2004284949
Patten E, Baranek GT, Watson LR, et al. (2013) Child and family characteristics influencing intervention choices in autism spectrum disorders. Focus on Autism and Other Developmental Disabilities 28: 138–146.
Rodriguez-Seijas C, Gadow K, Rosen T, et al. (under revision) Transdiagnostic psychiatric comorbidity and autism spectrum disorder.
Rosen TE, Mazefsky CA, Vasa RA, et al. (2018) Co-occurring psychiatric conditions in autism spectrum disorder. International Review of Psychiatry 30(1): 40–61.
Schopler E, Reichler RJ, Renner BR (1988) Childhood Autism Rating Scale (CARS). Los Angeles, CA: Western Psychological Services.
Spann SJ, Kohler FW, Soenksen D (2003) Examining parent’s involvement in and perceptions of special education services: an interview with families in a parent support group. Focus on Autism and Other Developmental Disabilities 18(4): 228–237.
Spaulding CJ, Lerner MD, Gadow KD (2017) Trajectories and correlates of special education supports for youth with ASD and psychiatric comparisons. Autism 21: 423–435.
Szatmari P, Archer L, Fisman S, et al. (1994) Parent and teacher agreement in the assessment of pervasive developmental disorders. Journal of Autism and Developmental Disorders 24(6): 703–717.
Thomas KC, Ellis AR, McLaurin C, et al. (2007) Access to care for autism-related services. Journal of Autism and Developmental Disorders 37(10): 1902–1912.
Wei X, Wagner M, Christiano ERA, et al. (2014) Special education services received by students with autism spectrum disorders from preschool through high school. The Journal of Special Education 48(3): 167–179.
White SW, Scahill L, Klin A, et al. (2007) Educational placements and service use patterns of individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders 37(8): 1403–1412.
Zablotsky B, Boswell K, Smith C (2012) An evaluation of school involvement and satisfaction of parents of children with autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities 117(4): 316–330.
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Article first published online: March 8, 2019
Issue published: October 2019
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