期刊
SOCIAL SCIENCE & MEDICINE
卷 75, 期 9, 页码 1642-1649出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.socscimed.2012.06.019
关键词
UK; ALSPAC; Autism; ASD; Sociology of diagnosis; Diagnosis; Social determinant; Child health; Developmental trajectory; Pervasive developmental disorder
资金
- UK Economic and Social Research Council (ESRC)
- Medical Research Council (MRC)
- MRC [G108/625] Funding Source: UKRI
- Medical Research Council [G108/625, G9815508] Funding Source: researchfish
Jutel and Nettleton (2011) discuss diagnosis as not only a major classification tool for medicine but also an interactive social process that itself may have ramifications for health. Consideration of diagnosis as a social determinant of health outcomes led to the formulation of our research question: Can we detect a change in the development of prosocial symptoms before and after an Autism Spectrum Disorder (ASD) diagnosis? we examined the developmental trajectory of prosocial skills of children, as impairment in social skills is given as a core symptom for children with ASD. We used a validated scale measuring prosocial behaviour for a sample of 57 children where the measure was repeatedly recorded over ten years. We plotted the developmental trajectory of the prosocial trait in this sample who were enrolled in a longitudinal birth cohort study based in South West England. Multi-factorial fixed effect modelling suggests that the developmental trajectory of this measure of behaviour was not significantly altered by ASD diagnosis, or the consequences of diagnosis, either for better or worse. Further analysis was conducted on a subset of 33 of the children who had both pre-diagnosis and post-diagnosis information, and the same result obtained. The results indicate that prosocial behaviours may be resistant to typical 'treatments': provision of educational and specialist health services triggered by a clinical ASD diagnosis. The implications of this for considering diagnosis as a social determinant are discussed. (C) 2012 Elsevier Ltd. All rights reserved.
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