News in early intervention in autism

Marie-Maude Geoffray1, Marion Thevenet, Nicolas Georgieff

  • 1Department of child and adolescent psychiatry, 95 Boulevard Pinel, CH le Vinatier, 69500 BRON, France, Marie-Maude.geoffray@ch-le-vinatier.fr.

Psychiatria Danubina
|September 25, 2016
PubMed

Insights

Early intervention for Autism Spectrum Disorder (ASD) focuses on socio-communicative skills and caregiver interaction, leveraging brain plasticity. While promising, rigorous evidence and methodological concerns remain for effective treatments.

Area of Science:

  • Neurodevelopmental Disorders
  • Pediatric Psychology
  • Early Childhood Intervention

Background:

  • Autism Spectrum Disorder (ASD) is a neurodevelopmental condition impacting socio-communicative interaction and learning.
  • Early non-medical interventions aim to improve the prognosis for children with ASD.
  • Understanding current hypotheses and scientific support for early intervention is crucial.

Purpose of the Study:

  • To review current hypotheses, intervention models, and scientific evidence for early intervention in ASD.
  • To analyze intervention strategies for children under three years old with ASD.
  • To evaluate the quality of evidence supporting early ASD interventions.

Main Methods:

  • Literature search of Medline (2010-2015) for interventions in children under 3 with ASD.
  • Data extraction from systematic reviews and randomized controlled trials.
  • Focus on studies with moderate to high GRADE quality of evidence.

Main Results:

  • Early intervention is grounded in brain plasticity, targeting infants at risk before full ASD presentation.
  • Interventions emphasize developmental hierarchies in socio-communicative skills and caregiver-child dyadic relationships.
  • Recent years show advancements in early intervention strategies and systematic evaluations.

Conclusions:

  • Few early ASD interventions possess strong GRADE recommendations due to methodological concerns.
  • Caution is advised for policy recommendations despite the importance of service access.
  • There is a need for financing and designing rigorous research projects in early ASD intervention.
Abstract

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