Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance
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Introducción: La pandemia de COVID-19 ha planteado desafíos de adaptación para los niños con el trastorno del espectro autista (TEA) debido a la interrupción de rutinas y servicios de salud y educativos. Objetivo: La revisión de alcance tiene como objetivo examinar e integrar la literatura sobre los indicadores de salud mental de los niños con TEA durante la pandemia de COVID-19, centrándose en aspectos emocionales, sociales, conductuales y cognitivos. Métodos: Se realizó una búsqueda sistemática de estudios en PubMed, Google Scholar, PsycINFO, ScienceDirect y Cochrane Central entre enero y febrero de 2024. Resultados: Se identificaron 25 estudios que exploraban diversos aspectos de los indicadores de salud mental en niños con TEA durante l... Ver más
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Investigación e Innovación Clínica y Quirúrgica Pediátrica - 2024
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INSTITUTO NACIONAL DE SALUD DEL NIÑO SAN BORJA |
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Investigación e Innovación Clínica y Quirúrgica Pediátrica |
title |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance |
spellingShingle |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance Carhuancho-Amaya, Rhut J. Lopez-Chavez, Lily Gálvez-Arévalo, Ricardo A. Salud Mental Trastornos del Desarrollo Infantil Autismo Infantil COVID-19 Pediatría Mental Health Child Development Disorders Infantile Autism COVID-19 Pediatrics |
title_short |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance |
title_full |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance |
title_fullStr |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance |
title_full_unstemmed |
Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance |
title_sort |
indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por covid-19: una revisión de alcance |
title_eng |
Mental health indicators of children with autism spectrum disorder during the COVID-19 pandemic: a scoping review |
description |
Introducción: La pandemia de COVID-19 ha planteado desafíos de adaptación para los niños con el trastorno del espectro autista (TEA) debido a la interrupción de rutinas y servicios de salud y educativos.
Objetivo: La revisión de alcance tiene como objetivo examinar e integrar la literatura sobre los indicadores de salud mental de los niños con TEA durante la pandemia de COVID-19, centrándose en aspectos emocionales, sociales, conductuales y cognitivos.
Métodos: Se realizó una búsqueda sistemática de estudios en PubMed, Google Scholar, PsycINFO, ScienceDirect y Cochrane Central entre enero y febrero de 2024.
Resultados: Se identificaron 25 estudios que exploraban diversos aspectos de los indicadores de salud mental en niños con TEA durante la pandemia. Solo tres de estos estudios desarrollaron una metodología que permitía evaluar los cambios pre y post pandemia mediante la creación de cohortes preestablecidas de seguimiento antes del brote. Aunque algunos de los estudios indicaron estabilidad o mejoras en los indicadores de salud mental, se identificaron varios factores que podrían empeorar los síntomas en estos niños como el estrés en los cuidadores, el bajo ingreso económico y la interrupción de terapias presenciales.
Conclusión: Los resultados de los estudios revisados no son concluyentes debido a limitaciones metodológicas en los diseños de investigación. Los hallazgos sugieren la necesidad de desarrollar enfoques metodológicos más sólidos y consistentes para evaluar el impacto de eventos estresantes como la pandemia de COVID-19 en la salud mental de los niños con TEA, con énfasis en la creación de cohortes de seguimiento a largo plazo que permitan una comprensión más completa de los efectos a lo largo del tiempo.
|
description_eng |
Introduction: The COVID-19 pandemic has posed adaptive challenges for children with autism spectrum disorder (ASD) due to the disruption of health and educational routines and services.
Objectives: The scoping review aims to examine and integrate the literature on mental health indicators of children with ASD during the COVID-19 pandemic, focusing on emotional, social, behavioral, and cognitive aspects.
Methods: A systematic search for studies was conducted in PubMed, Google Scholar, PsycINFO, ScienceDirect, and Cochrane Central between January and February 2024.
Results: Twenty-five studies were identified that explored various aspects of mental health indicators in children with ASD during the pandemic. Only three of these studies developed a methodology that allowed assessment of pre- and post-pandemic changes by creating pre-established follow-up cohorts prior to the outbreak. Although some of the studies indicated stability or improvements in mental health indicators, several factors were identified that could worsen symptoms in these children such as caregiver stress, low income, and interruption of face-to-face therapies.
Conclusion: The results of the reviewed studies are inconclusive due to methodological limitations in the research designs. The findings suggest the need to develop more robust and consistent methodological approaches to assess the impact of stressful events such as the COVID-19 pandemic on the mental health of children with ASD, with an emphasis on creating long-term follow-up cohorts that allow for a more complete understanding of the effects over time.
|
author |
Carhuancho-Amaya, Rhut J. Lopez-Chavez, Lily Gálvez-Arévalo, Ricardo A. |
author_facet |
Carhuancho-Amaya, Rhut J. Lopez-Chavez, Lily Gálvez-Arévalo, Ricardo A. |
topicspa_str_mv |
Salud Mental Trastornos del Desarrollo Infantil Autismo Infantil COVID-19 Pediatría |
topic |
Salud Mental Trastornos del Desarrollo Infantil Autismo Infantil COVID-19 Pediatría Mental Health Child Development Disorders Infantile Autism COVID-19 Pediatrics |
topic_facet |
Salud Mental Trastornos del Desarrollo Infantil Autismo Infantil COVID-19 Pediatría Mental Health Child Development Disorders Infantile Autism COVID-19 Pediatrics |
citationvolume |
2 |
citationissue |
1 |
publisher |
Instituto Nacional de Salud del Niño San Borja |
ispartofjournal |
Investigación e Innovación Clínica y Quirúrgica Pediátrica |
source |
https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/view/81 |
language |
spa |
format |
Article |
rights |
https://creativecommons.org/licenses/by-nc-sa/4.0/ Investigación e Innovación Clínica y Quirúrgica Pediátrica - 2024 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 |
references |
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Medicine (Baltimore). 2023;102(39):e35310. doi: 10.1097/MD.0000000000035310 7. Worldometer. COVID - Coronavirus Statistics - Worldometer [Internet]. [citado el 4 de marzo de 2024]. Disponible en: https://www.worldometers.info/coronavirus/#countries 8. Minahan J, Falzarano F, Yazdani N, Siedlecki KL. The COVID-19 Pandemic and Psychosocial Outcomes Across Age Through the Stress and Coping Framework. Gerontologist. 2021;61(2):228-39. doi: 10.1093/geront/gnaa205 9. Zhou Y, Yang Q, Chi J, Dong B, Lv W, Shen L, Wang Y. Comorbidities and the risk of severe or fatal outcomes associated with coronavirus disease 2019: A systematic review and meta-analysis. Int J Infect Dis. 2020;99:47-56. doi: 10.1016/j.ijid.2020.07.029 10. Peters M, Godfrey C, Mcinerney P, Munn Z, Trico A, Khalil H. Chapter 11: Scoping Reviews. En: JBI Manual for Evidence Synthesi. 2020. 11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71 12.Day TC, Gerber A, McNair ML, Reicher D, Lerner MD. Trajectories of internalizing symptoms among autistic and nonautistic youth during the COVID-19 pandemic. Autism Res. 2023;16(7):1403-12. doi: 10.1002/aur.2959 13.Zhao Y, Luo Y, Zhang R, Zheng X. The impact of COVID-19 pandemic on emotional and behavioral problems of children with autism spectrum disorder and developmental delay aged 1-6 years in China. Front Psychiatry. 2023;14:1134396. doi: 10.3389/fpsyt.2023 14.Plak R, Rippe R, Merkelbach I, Begeer S. Psychosocial Outcomes in Autistic Children Before and During the COVID-19 Pandemic. J Autism Dev Disord. 2023. doi: 10.1007/s10803-023-06101-8 15.Toseeb U, Asbury K. A longitudinal study of the mental health of autistic children and adolescents and their parents during COVID-19: Part 1, quantitative findings. Autism. 2023;27(1):105-16. doi: 10.1177/13623613221082715 16.Asbury K, Toseeb U. A longitudinal study of the mental health of autistic children and adolescents and their parents during COVID-19: Part 2, qualitative findings. Autism. 2023;27(1):188-99. doi: 10.1177/13623613221086997 17.Stankova M, Kamenski T, Ivanov I, Mihova P. Emotional and Behavioral Problems of Children with ASD-The Lessons That We Learned from the Pandemic. Children (Basel). 2023;10(6):969. doi: 10.3390/children10060969 18.de Maat DA, Van der Hallen R, de Nijs PFA, Visser K, Bastiaansen D, Truijens FL, et al. Children with Autism Spectrum Disorder in Times of COVID-19: Examining Emotional and Behavioral Problems, Parental Well-Being, and Resilience. J Autism Dev Disord. 2023:1–12. doi: 10.1007/s10803-022-05846-y 19.Asaoka H, Okamura S, Baba C, Fujimoto N, Ishizuka Y, Takahashi T. Influence of the COVID-19 pandemic on children with autism spectrum disorder and their mothers in Japan. Autism Dev Lang Impair. 2023;8:23969415231212347. doi: 10.1177/23969415231212347 20.Aslan Genç H, Doenyas C, Aksu Y, Musaoğlu MN, Uzunay S, Mutluer T. Long-term Behavioral Consequences of the COVID-19 Pandemic for Autistic Individuals and Their Mothers. J Autism Dev Disord. 2023:1–13. doi: 10.1007/s10803-023-05933-8 21.Camia M, Scorza M, Lipparini A, Martorana L, Nardocci F, Padovani R, et al. Psychological health of mothers and siblings of children with autism spectrum disorders during COVID-19 pandemic: new evidence in Italian families. Acta Biomed. 2023;94(5):e2023199. doi: 10.23750/abm.v94i5.14522 22.Adams SN, Seedat J, Neille J. Life under lockdown for children with autism spectrum disorder: Insights from families in South Africa. Child Care Health Dev. 2022;48(6):1008-16. doi: 10.1111/cch.12996 23.Coelho-Medeiros ME, Gálvez AP, Farías ACN, Roy CL, Riquelme A, López-Espejo M. 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Psychosocial and Behavioral Effects of the COVID-19 Pandemic on Children and Adolescents with Autism and Their Families: Overview of the Literature and Initial Data from a Multinational Online Survey. Healthcare (Basel). 2022;10(4):714. doi: 10.3390/healthcare10040714 28.Lew-Koralewicz A. Psychosocial Functioning and the Educational Experiences of Students with ASD during the COVID-19 Pandemic in Poland. Int J Environ Res Public Health. 2022;19(15):9468. doi: 10.3390/ijerph19159468 29.Salmerón-Medina M, Tàpia-Córcoles A, Palou-Artola E, Nicolau-Palou R, Calvo-Escalona R.Análisis del impacto de la COVID-19 en menores de edad con trastorno del espectro autista. Rev Neurol. 2022;74(6):181-8. doi: 10.33588/rn.7406.2021291 30.Panjwani AA, Bailey RL, Kelleher BL. COVID-19 and behaviors in children with autism spectrum disorder: Disparities by income and food security status. Res Dev Disabil. 2021;115:104002. doi: 10.1016/j.ridd.2021.104002 31.Huang S, Sun T, Zhu Y, Song S, Zhang J, Huang L, et al. Impact of the COVID-19 Pandemic on Children with ASD and Their Families: An Online Survey in China. Psychol Res Behav Manag. 2021;14:289-97. doi: 10.2147/PRBM.S293426 32.Morris PO, Hope E, Foulsham T, Mills JP. Parent-reported social-communication changes in children diagnosed with autism spectrum disorder during the COVID-19 pandemic in the UK. Int J Dev Disabil. 2021;69(2):211-25. doi: 10.1080/20473869.2021.1936870 33.Corbett BA, Muscatello RA, Klemencic ME, Schwartzman JM. The impact of COVID-19 on stress, anxiety, and coping in youth with and without autism and their parents. Autism Res. 2021;14(7):1496-511. doi: 10.1002/aur.2521 34.Lugo-Marín J, Gisbert-Gustemps L, Setien-Ramos I, Español-Martín G, Ibañez-Jimenez P, Forner-Puntonet M, et al. COVID-19 pandemic effects in people with Autism Spectrum Disorder and their caregivers: Evaluation of social distancing and lockdown impact on mental health and general status. Res Autism Spectr Disord. 2021;83:101757. doi: 10.1016/j.rasd.2021.101757 35.Colizzi M, Sironi E, Antonini F, Ciceri ML, Bovo C, Zoccante L. Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: An Online Parent Survey. Brain Sci. 2020;10(6):341. doi: 10.3390/brainsci10060341 36.Amorim R, Catarino S, Miragaia P, Ferreras C, Viana V, Guardiano M. TImpacto de la COVID-19 en niños con trastorno del espectro autista. Rev Neurol. 2020;71(8):285-91. doi: 10.33588/rn.7108.2020381 37. Ceci SJ. Urie Bronfenbrenner (1917-2005). Am Psychol. 2006;61(2):173-4. doi: 10.1037/0003-066X.61.2.173 38.Miniarikova E, Vernhet C, Peries M, Loubersac J, Picot MC, Munir K, et al. Anxiety and depression in parents of children with autism spectrum disorder during the first COVID-19 lockdown: Report from the ELENA cohort. J Psychiatr Res. 2022;149:344-51. doi: 10.1016/j.jpsychires.2021.11.022 39.Del Bianco T, Lockwood Estrin G, Tillmann J, Oakley BF, Crawley D, San José Cáceres A, et al. Mapping the link between socio-economic factors, autistic traits and mental health across different settings. Autism. 2023:13623613231200297. doi: 10.1177/13623613231200297. 40.Klatte IS, Ketelaar M, de Groot A, Bloemen M, Gerrits E. Collaboration: How does it work according to therapists and parents of young children? A systematic review. Child Care Health Dev. 2024;50(1):e13167. doi: 10.1111/cch.13167. 41.Akamoglu Y, Meadan H, Pearson JN, Cummings K. Getting Connected: Speech and Language Pathologists’ Perceptions of Building Rapport via Telepractice. J Dev Phys Disabil.2018;30(4):569-85. doi: 10.1007/s10882-018-9603-3 42.An M, Palisano RJ, Dunst CJ, Chiarello LA, Yi CH, Gracely EJ. Strategies to promote family-professional collaboration: two case reports. Disabil Rehabil. 2016;38(18):1844-58. doi: 10.3109/09638288.2015.1107763 |
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Indicadores de salud mental de los niños con trastorno del espectro autista durante la pandemia por COVID-19: una revisión de alcance Mental health indicators of children with autism spectrum disorder during the COVID-19 pandemic: a scoping review Introducción: La pandemia de COVID-19 ha planteado desafíos de adaptación para los niños con el trastorno del espectro autista (TEA) debido a la interrupción de rutinas y servicios de salud y educativos. Objetivo: La revisión de alcance tiene como objetivo examinar e integrar la literatura sobre los indicadores de salud mental de los niños con TEA durante la pandemia de COVID-19, centrándose en aspectos emocionales, sociales, conductuales y cognitivos. Métodos: Se realizó una búsqueda sistemática de estudios en PubMed, Google Scholar, PsycINFO, ScienceDirect y Cochrane Central entre enero y febrero de 2024. Resultados: Se identificaron 25 estudios que exploraban diversos aspectos de los indicadores de salud mental en niños con TEA durante la pandemia. Solo tres de estos estudios desarrollaron una metodología que permitía evaluar los cambios pre y post pandemia mediante la creación de cohortes preestablecidas de seguimiento antes del brote. Aunque algunos de los estudios indicaron estabilidad o mejoras en los indicadores de salud mental, se identificaron varios factores que podrían empeorar los síntomas en estos niños como el estrés en los cuidadores, el bajo ingreso económico y la interrupción de terapias presenciales. Conclusión: Los resultados de los estudios revisados no son concluyentes debido a limitaciones metodológicas en los diseños de investigación. Los hallazgos sugieren la necesidad de desarrollar enfoques metodológicos más sólidos y consistentes para evaluar el impacto de eventos estresantes como la pandemia de COVID-19 en la salud mental de los niños con TEA, con énfasis en la creación de cohortes de seguimiento a largo plazo que permitan una comprensión más completa de los efectos a lo largo del tiempo. Introduction: The COVID-19 pandemic has posed adaptive challenges for children with autism spectrum disorder (ASD) due to the disruption of health and educational routines and services. Objectives: The scoping review aims to examine and integrate the literature on mental health indicators of children with ASD during the COVID-19 pandemic, focusing on emotional, social, behavioral, and cognitive aspects. Methods: A systematic search for studies was conducted in PubMed, Google Scholar, PsycINFO, ScienceDirect, and Cochrane Central between January and February 2024. Results: Twenty-five studies were identified that explored various aspects of mental health indicators in children with ASD during the pandemic. Only three of these studies developed a methodology that allowed assessment of pre- and post-pandemic changes by creating pre-established follow-up cohorts prior to the outbreak. Although some of the studies indicated stability or improvements in mental health indicators, several factors were identified that could worsen symptoms in these children such as caregiver stress, low income, and interruption of face-to-face therapies. Conclusion: The results of the reviewed studies are inconclusive due to methodological limitations in the research designs. The findings suggest the need to develop more robust and consistent methodological approaches to assess the impact of stressful events such as the COVID-19 pandemic on the mental health of children with ASD, with an emphasis on creating long-term follow-up cohorts that allow for a more complete understanding of the effects over time. Carhuancho-Amaya, Rhut J. Lopez-Chavez, Lily Gálvez-Arévalo, Ricardo A. Salud Mental Trastornos del Desarrollo Infantil Autismo Infantil COVID-19 Pediatría Mental Health Child Development Disorders Infantile Autism COVID-19 Pediatrics 2 1 Artículo de revista Journal article 2024-04-24T00:00:00Z 2024-04-24T00:00:00Z 2024-04-24 application/pdf application/pdf Instituto Nacional de Salud del Niño San Borja Investigación e Innovación Clínica y Quirúrgica Pediátrica 2961-2535 2961-2543 https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/view/81 10.59594/iicqp.2024.v2n1.81 https://doi.org/10.59594/iicqp.2024.v2n1.81 spa https://creativecommons.org/licenses/by-nc-sa/4.0/ Investigación e Innovación Clínica y Quirúrgica Pediátrica - 2024 42 57 prevalence of autism: A systematic review update. Autism Res Off J Int Soc Autism Res. 2022;15(5):778-90. doi: 10.1002/aur.2696 2. Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018;392(10146):508-20. doi: 10.1016/S0140-6736(18)31129-2 3. American Psychiatric Association. DSM-5-TR Manual Diagnóstico y Estadístico de los Trastornos Mentales: Texto revisado. Ciudad de México: Editorial Médica Panamericana; 2023. 1150 p. 4. Al-Beltagi M, Saeed NK, Bediwy AS, Alhawamdeh R, Qaraghuli S. Effects of COVID-19 on children with autism. World J Virol. 2022;11(6):411-25. doi: 10.5501/wjv.v11.i6.411 5. Fuld S. Autism Spectrum Disorder: The Impact of Stressful and Traumatic Life Events and Implications for Clinical Practice. Clin Soc Work J. 2018;46(3):210-19. doi: 10.1007/s10615-018-0649-6 6. Lyu K, Li JS, Chen M, Zhang W, Hu M. Effect of COVID-19 on autism spectrum disorders: A bibliometric analysis based on original articles. Medicine (Baltimore). 2023;102(39):e35310. doi: 10.1097/MD.0000000000035310 7. Worldometer. COVID - Coronavirus Statistics - Worldometer [Internet]. [citado el 4 de marzo de 2024]. Disponible en: https://www.worldometers.info/coronavirus/#countries 8. Minahan J, Falzarano F, Yazdani N, Siedlecki KL. The COVID-19 Pandemic and Psychosocial Outcomes Across Age Through the Stress and Coping Framework. Gerontologist. 2021;61(2):228-39. doi: 10.1093/geront/gnaa205 9. Zhou Y, Yang Q, Chi J, Dong B, Lv W, Shen L, Wang Y. Comorbidities and the risk of severe or fatal outcomes associated with coronavirus disease 2019: A systematic review and meta-analysis. Int J Infect Dis. 2020;99:47-56. doi: 10.1016/j.ijid.2020.07.029 10. Peters M, Godfrey C, Mcinerney P, Munn Z, Trico A, Khalil H. Chapter 11: Scoping Reviews. En: JBI Manual for Evidence Synthesi. 2020. 11. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/bmj.n71 12.Day TC, Gerber A, McNair ML, Reicher D, Lerner MD. Trajectories of internalizing symptoms among autistic and nonautistic youth during the COVID-19 pandemic. Autism Res. 2023;16(7):1403-12. doi: 10.1002/aur.2959 13.Zhao Y, Luo Y, Zhang R, Zheng X. The impact of COVID-19 pandemic on emotional and behavioral problems of children with autism spectrum disorder and developmental delay aged 1-6 years in China. Front Psychiatry. 2023;14:1134396. doi: 10.3389/fpsyt.2023 14.Plak R, Rippe R, Merkelbach I, Begeer S. Psychosocial Outcomes in Autistic Children Before and During the COVID-19 Pandemic. J Autism Dev Disord. 2023. doi: 10.1007/s10803-023-06101-8 15.Toseeb U, Asbury K. A longitudinal study of the mental health of autistic children and adolescents and their parents during COVID-19: Part 1, quantitative findings. Autism. 2023;27(1):105-16. doi: 10.1177/13623613221082715 16.Asbury K, Toseeb U. A longitudinal study of the mental health of autistic children and adolescents and their parents during COVID-19: Part 2, qualitative findings. Autism. 2023;27(1):188-99. doi: 10.1177/13623613221086997 17.Stankova M, Kamenski T, Ivanov I, Mihova P. Emotional and Behavioral Problems of Children with ASD-The Lessons That We Learned from the Pandemic. Children (Basel). 2023;10(6):969. doi: 10.3390/children10060969 18.de Maat DA, Van der Hallen R, de Nijs PFA, Visser K, Bastiaansen D, Truijens FL, et al. Children with Autism Spectrum Disorder in Times of COVID-19: Examining Emotional and Behavioral Problems, Parental Well-Being, and Resilience. J Autism Dev Disord. 2023:1–12. doi: 10.1007/s10803-022-05846-y 19.Asaoka H, Okamura S, Baba C, Fujimoto N, Ishizuka Y, Takahashi T. Influence of the COVID-19 pandemic on children with autism spectrum disorder and their mothers in Japan. Autism Dev Lang Impair. 2023;8:23969415231212347. doi: 10.1177/23969415231212347 20.Aslan Genç H, Doenyas C, Aksu Y, Musaoğlu MN, Uzunay S, Mutluer T. Long-term Behavioral Consequences of the COVID-19 Pandemic for Autistic Individuals and Their Mothers. 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Disabil Rehabil. 2016;38(18):1844-58. doi: 10.3109/09638288.2015.1107763 https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/download/81/103 https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/download/81/104 info:eu-repo/semantics/article http://purl.org/coar/resource_type/c_6501 info:eu-repo/semantics/publishedVersion http://purl.org/coar/version/c_970fb48d4fbd8a85 info:eu-repo/semantics/openAccess http://purl.org/coar/access_right/c_abf2 Text Publication |