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Health-related quality of life in children with autism spectrum disorders and children with developmental language disorders
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Coales, Catherine, Heaney, Natalie, Ricketts, Jessie, Dockrell, Julie E., Lindsay, Geoff, Palikara, Olympia and Charman, Tony (2019) Health-related quality of life in children with autism spectrum disorders and children with developmental language disorders. Autism & Developmental Language Impairments, 4 . 239694151985122. doi:10.1177/2396941519851225 ISSN 2396-9415.
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WRAP-Health-related-quality-life-children-austism-spectrum-children-developmental-language-2019.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (435Kb) | Preview |
Official URL: http://dx.doi.org/10.1177/2396941519851225
Abstract
Background and aims
There is a paucity of literature investigating health-related quality of life in neurodevelopmental populations including children with developmental language disorders and children with autism spectrum disorder. Health-related quality of life in these two groups remains poorly understood. Furthermore, studies have typically relied on reports from caregivers and teachers rather than using self-report measures. The aim of the current study is to compare the levels and profiles of self-reported health-related quality of life of children with developmental language disorders and children with autism spectrum disorder.
Methods
Participants comprised 114 7-to-13-year-old children with developmental language disorders (n = 63) and children with autism spectrum disorder (n = 51) attending mainstream school. Self-reported health-related quality of life was measured using the KIDSCREEN-52. We also collected standardised measures of receptive language, autism spectrum disorder symptoms, nonverbal IQ and emotional and behavioural problems.
Results
Children with developmental language disorders reported health-related quality of life commensurate with normative ranges, except for 2 of the 10 dimensions; the Moods and Emotions domain and the Social acceptance/bullying domain, which were below norms. Children with autism spectrum disorder reported significantly lower health-related quality of life compared to norms and the developmental language disorders group. However, when the effects of non-verbal ability and language – on which the groups were not matched – were covaried most group differences fell to non-significance or disappeared. Child characteristics showed few associations with dimensions of health-related quality of life across groups.
Conclusions
Children with autism spectrum disorder may be particularly vulnerable to poorer health-related quality of life and the relevant professionals need to be aware of this. Children with developmental language disorders exhibit a profile of health-related quality of life more in-line with average ranges. However, certain domains warrant monitoring and may benefit from intervention. Many of the between-group differences in self-reported health-related quality of life disappeared when non-verbal and language ability were covaried, though neither of the covariates was systematically related to scores. Other within-child factors such as emotional understanding and competence should be explored in future studies.
Implications
Further research into child and contextual factors may elucidate risk or protective factors for health-related quality of life in children with neurodevelopmental disorders.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HN Social history and conditions. Social problems. Social reform L Education > LB Theory and practice of education R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) Faculty of Social Sciences > Centre for Education Studies (2013- ) |
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| Library of Congress Subject Headings (LCSH): | Language disorders in children , Children with autism spectrum disorders , Children with autism spectrum disorders -- Behavior modification , Behavior disorders in children, Quality of life -- Children -- Health aspects, Well-being | ||||||||
| Journal or Publication Title: | Autism & Developmental Language Impairments | ||||||||
| Publisher: | SAGE Publications | ||||||||
| ISSN: | 2396-9415 | ||||||||
| Official Date: | 1 January 2019 | ||||||||
| Dates: |
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| Volume: | 4 | ||||||||
| Article Number: | 239694151985122 | ||||||||
| DOI: | 10.1177/2396941519851225 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 21 December 2021 | ||||||||
| Date of first compliant Open Access: | 22 December 2021 | ||||||||
| RIOXX Funder/Project Grant: |
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