Abstract

Objectives: Early diagnosis of Autistic Spectrum Disorder (ASD) is challenging and may be delayed up to preschool years since there is no pathognomonic sign or laboratory test to detect the illness. For early diagnosis and treatment, pediatricians should be aware of the psychological disorders and medical issues that children withASD encounter. Pediatricians play an important role in the early recognition of ASD, because they are usually the first point of contact for children with ASD. Methods: This study focuses on the role of pediatricians’ awareness of autism and its effects on the life events of the autistic children. The study involved 270 volunteer pediatricians (residents, pediatricians), from state and university hospitals. Results: ASD that the participants were most commonly aware of were lack of attention to social stimuli, fewer smiles, and not looking at the faces of others, not responding to their own name, delayed speech in the presence of hearing and gastrointestinal problems such as vomiting and eating . Conclusions: The results of the present study show that pediatricians do not have the through knowledge of DSM-IV autism criteria and ASD. They have stated that they are not familiar with comprehensive evaluation techniques or are not comfortable with making the diagnosis of autism spectrum disorders, have inadequate knowledge about the effect of the disease on the rest of the patient life as an adult. They have also stated that having spending some time in child and adult psychiatry clinics will make them feel more comfortable while approaching those patients.

Highlights

  • The term autism spectrum disorders (ASD) has been used to include the Diagnosticand Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) (American Psychiatric Association.2000) diagnostic categories autistic disorder, Asperger disorder, and pervasive developmental disorder–not otherwise specified [1]

  • A revision of the diagnostic criteria of ASD was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013 [15]

  • The time spent practicing as a pediatrician in both hospitals was 7.14±6.16 years

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Summary

Introduction

The term autism spectrum disorders (ASD) has been used to include the Diagnosticand Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) (American Psychiatric Association.2000) diagnostic categories autistic disorder, Asperger disorder, and pervasive developmental disorder–not otherwise specified [1]. Pervasive developmental disorders or ASD range from a severe form, called autistic disorder, to a milder form, Asperger syndrome. Very severe disorders that are included in the ASD are Rett syndrome and childhood disintegrative disorder. All of those are characterized by varying degrees of impairment in communication skills, social interactions, and restricted, repetitive, and stereotypical patterns of behavior [2]. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, and pervasive developmental disordernot otherwise specified

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