Pivotal response treatment for school-aged children and adolescents with autism spectrum disorder: a randomized controlled trial

Pivotal Response Treatment (PRT) is promising for children with Autism Spectrum Disorder (ASD), but more methodologically robust designed studies are needed. In this randomized controlled trial, forty-four children with ASD, aged 9-15 years, were randomly allocated to PRT (n = 22) or treatment-as-usual (TAU; n = 22). Measurements were obtained after 12- and 20-weeks treatment, and 2-month follow-up. PRT resulted in significant greater improvements on parent-rated social-communicative skills after 12 weeks treatment (p = .004, partial eta(2) = 0.22), compared to TAU. Furthermore, larger gains in PRT compared to TAU were observed on blindly rated global functioning, and parent-rated adaptive socialization skills and attention problems. Implications for clinical practice and suggestions for future research are discussed.Education and Child Studie

Room for improvement in non-pharmacological systemic sclerosis care?-a cross-sectional online survey of 650 patients

Background/ objective: To gain insight in the use of current systemic sclerosis (SSc) care provided by health professionals from the patient perspective. We focused on referral reasons, treatment goals, the alignment with unmet care needs, and outcome satisfaction. Methods: Dutch SSc patients from 13 participating rheumatology departments were invited to complete an online survey. Descriptive statistics were used to describe current use of non-pharmacological care and outcome satisfaction. Reasons for referral and treatment goals were encoded in International Classification of Function and Disability (ICF) terms. Results: We included 650 patients (mean (standard deviation [SD]) age, 59.4 (11.4) years. 50% had contact with a health professional in the past year; 76.3% since disease onset. Physiotherapists were the most frequently visited in the past year (40.0%), followed by dental hygienists (11.4%) and podiatrists (9.2%). The three most common referral reasons were pain, joint mobility and cardiovascular functions. Fatigue, Raynaud's phenomenon, physical limitations, reduced hand function and joint problems were mentioned by more than 25% of all respondents as unmet needs. The proportion of patients treated in the past year by a health professional who were satisfied with knowledge and expertise of their health professionals was 74.4%; 73% reported improved daily activities and better coping with complaints. However, 48.9% perceived that the collaboration between rheumatologist and health professional was never or only sometimes sufficient. Conclusion: Despite the high outcome satisfaction and good accessibility of health professionals, there are obstacles in the access to non-pharmacological care and communication barriers between health professionals and rheumatologists

International consensus statement for the screening, diagnosis, and treatment of adolescents with concurrent Attention-Deficit/Hyperactivity Disorder and substance use disorder

Education and Child Studie

[Genes, environment and autism spectrum disorders]

Contains fulltext : 136167.pdf (publisher's version ) (Open Access

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Contains fulltext : 204481.pdf (publisher's version ) (Open Access)Rede uitgesproken bij de aanvaarding van het ambt van hoogleraar Psychiatrie aan de Radboud Universiteit/het Radboudumc op 14 juni 201918 p

Autisme, de noodzaak tot integratie van kennis, organisatie en perspectieven

Oratie uitgesproken door Prof.dr. W.G. Staal bij de aanvaarding van het ambt van hoogleraar op het gebied van Autismespectrumstoornissen: Neurobiologie, Neurocognitie en Behandeling aan de Universiteit Leiden op vrijdag 4 mei 2018Oratie uitgesproken door Prof.dr. W.G. Staal bij de aanvaarding van het ambt van hoogleraar op het gebied van Autismespectrumstoornissen: Neurobiologie, Neurocognitie en Behandeling aan de Universiteit Leiden op vrijdag 4 mei 2018Development Psychopathology in context: clinical setting