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Published on: December 7, 2018
Family report of ASD concomitant with depression or anxiety among US children
Melissa L McPheeters1, Alaina Davis, J Richard Navarre
1Departments of Obstetrics and Gynecology and Medicine and Public Health, Vanderbilt University Medical Center, 2525 West End Ave., Suite 600, Nashville, TN 37203-1738, USA. melissa.mcpheeters@vanderbilt.edu
Insights
Children with autism spectrum disorder (ASD) have higher rates of depression and anxiety. Parents of these children also report greater concerns regarding their child
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Mental Health Research
Background:
- Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
- Children with ASD often experience co-occurring mental health conditions.
- Parental concerns are crucial indicators of a child's well-being.
Purpose of the Study:
- To estimate the prevalence of parent-reported depression or anxiety in children with ASD.
- To describe the specific concerns parents have for their children with ASD.
Main Methods:
- Analysis of the National Survey of Children's Health (2003-2004).
- Utilized a national sample of 102,353 parents.
- Identified children diagnosed with autism and those with co-occurring depression or anxiety.
Main Results:
- The prevalence of parent-reported depression or anxiety in children with ASD was 219 per 100,000.
- Parents of children with ASD reported significantly higher concerns about self-esteem, academic success, and bullying.
- A notable proportion of children with ASD (544 per 100,000) received an autism diagnosis.
Conclusions:
- Children with ASD face an elevated risk for depression and anxiety, particularly during adolescence.
- Integrated care addressing social, emotional, and clinical needs is vital for children with ASD.
- Clinicians should proactively screen for and manage mental health issues in children with ASD.
Abstract:
The objective is to estimate prevalence of parent-reported depression or anxiety among children with ASD, and describe parental concerns for their children. The design is Analysis of National Survey of Children's Health, 2003-2004. The participants are a national sample of 102,353 parents. 311,870 (544/100,000) parents of children ages 4-17 in the US reported that their child was diagnosed with autism. 125,809 also reported that their child had depression or anxiety (219/100,000). These parents report substantially higher concerns about their child's self-esteem, academic success, and potential to be bullied. Clinicians should take into account that children with ASD may face increased risk of depression or anxiety in adolescence. Coordinated care addressing social and emotional health in addition to clinical attention is important in this population.
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