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Understanding psychiatrists' knowledge, attitudes and experiences in identifying and supporting their patients on the autism spectrum: online survey

  • Laura Crane (a1), Ian Davidson (a2), Rachel Prosser (a3) and Elizabeth Pellicano (a4)
Abstract
Background

Psychiatrists play a critical role in identifying and supporting their patients on the autism spectrum in the UK, yet little is known about their knowledge, attitudes and experiences in this regard.

Aims

To understand psychiatrists' experiences of working with autistic individuals, their confidence in making diagnostic/management decisions and the factors that affect such decisions.

Method

A total of 172 psychiatrists took part in an online self-report survey.

Results

Most psychiatrists reported receiving useful training on autism and were knowledgeable about the condition, particularly those with a personal connection to autism. Higher confidence in working with autistic patients was linked to greater levels of autism knowledge, experience and training. Several systemic and autism-specific factors were highlighted by psychiatrists, which were felt to challenge their ability to provide effective care and support for their patients on the autism spectrum.

Conclusions

Psychiatrists' views corroborated previous research with the autism community, highlighting the need to co-design services that are accessible, respectful and person-centred.

Declaration of interest

I.D. is the Royal College of Psychiatrists' Autism Champion.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence: Laura Crane, Centre for Research in Autism and Education (CRAE), UCL Institute of Education, University College London, London WC1H 0NU, UK. Email: l.crane@ucl.ac.uk
References
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1Jones, L, Goddard, L, Hill, EL, Henry, LA, Crane, L. Experiences of receiving a diagnosis of autism spectrum disorder: a survey of adults in the United Kingdom. J Autism Dev Disord 2014; 44: 3033–44.
2Heidgerken, AD, Geffken, G, Modi, A, Frakey, L. A survey of autism knowledge in a health care setting. J Autism Dev Disord 2005; 35: 323–30.
3Imran, N, Chaudry, MR, Azeem, MW, Bhatti, MR, Choudhary, ZI, Cheema, MA. A survey of autism knowledge and attitudes among the healthcare professionals in Lahore, Pakistan. BMC Pediatrics 2011; 11: 107.
4Rhoades, RA, Scarpa, A, Salley, B. The importance of physician knowledge of autism spectrum disorder: results of a parent survey. BMC Pediatrics 2007; 7: 37.
5Taylor, LJ, Eapen, V, Maybery, MT, Midford, S, Paynter, J, Quarmby, L, et al. Diagnostic evaluation for autism spectrum disorder: a survey of health professionals in Australia. BMJ Open 2016; 6: e012517.
6Ward, SL, Sullivan, KA, Gilmore, L. Practitioner perceptions of the assessment and diagnosis of autism in Australia. Aust Psychol 2016; 51: 272–9.
7Rogers, CL, Goddard, L, Hill, EL, Henry, LA, Crane, L. Experiences of diagnosing autism spectrum disorder: a survey of professionals in the United Kingdom. Autism 2016; 20: 820–31.
8Crane, L, Chester, JW, Goddard, L, Henry, LA, Hill, E. Experiences of autism diagnosis: a survey of over 1000 parents in the United Kingdom. Autism 2016; 20: 153–62.
9Unigwe, S, Buckley, C, Crane, L, Kenny, L, Remington, A, Pellicano, E. GPs’ confidence in caring for their patients on the autism spectrum: an online self-report study. Br J Gen Pract 2017; 67: e44552.
10Stone, WL. Cross-disciplinary perspectives on autism. J Pediatr Psychol 1987; 12: 615–30.
11Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77101.
12Lord, C, Rutter, M, DiLavore, PC, Risi, S, Gotham, K, Bishop, SL. Autism Diagnostic Observation Schedule (2nd edn). Western Psychological Services, 2012.
13Lord, C, Rutter, M, Le Couteur, A. Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord 1994; 24: 659–85.
14Skuse, D, Warrington, R, Bishop, D, Chowdhury, U, Lau, J, Mandy, W, et al. The developmental, dimensional and diagnostic interview (3di): a novel computerized assessment for autism spectrum disorders. J Am Acad Child Adolesc Psychiatry 2004; 43: 548–58.
15Wing, L, Leekam, SR, Libby, SJ, Gould, J, Larcombe, M. The diagnostic interview for social and communication disorders: background, inter-rater reliability and clinical use. J Child Psychol Psychiatry 2002; 43: 307–25.
16World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. World Health Organization, 1992.
17American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. American Psychiatric Association, 1994.
18Association AP. Diagnostic and Statistical Manual of Mental Disorders (5th edn). American Psychiatric Association, 2013.
19National Institute for Health and Care Excellence. Autism: Recognition, Referral and Diagnosis of Children and Young People on the Autism Spectrum. CG128. NICE, 2011.
20National Institute for Health and Care Excellence. Autism: Recognition, Referral, Diagnosis and Management of Adults on the Autism Spectrum. CG142. NICE, 2012.
21Baron-Cohen, S, Wheelwright, S, Skinner, R, Martin, J, Clubley, E. The autism-spectrum quotient (AQ): evidence from asperger syndrome/high-functioning autism, malesand females, scientists and mathematicians. J Autism Dev Disord 2001; 31: 517.
22Rutter, M, Bailey, A, Lord, C. The Social Communication Questionnaire. Western Psychological Services, 2003.
23Ritvo, RA, Ritvo, ER, Guthrie, D, Ritvo, MJ, Hufnagel, DH, McMahon, W, et al. The Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R): a scale to assist the diagnosis of autism spectrum disorder in adults: an international validation study. J Autism Dev Disord 2011; 41: 1076–89.
24Constantino, JN, Gruber, CP. Social Responsiveness Scale - Second Edition (SRS-2). Western Psychological Services, 2012.
25Krug, DA, Arick, J, Almond, P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatry 1980; 21: 221–9.
26Crane, L, Batty, R, Adeyinka, H, Goddard, L, Henry, LA, Hill, EL. Autism diagnosis in the United Kingdom: perspectives of autistic adults, parents and professionals. J Autism and Dev Disord 2018; 48: 3761–72.
27Crane, L, Adams, F, Harper, G, Welch, J, Pellicano, E. ‘Something needs to change’: mental health experiences of young autistic adults in England. Autism 2019; 23: 477–93.
28Lever, AG, Geurts, HM. Psychiatric co-occurring symptoms and disorders in young, middle-aged, and older adults with autism spectrum disorder. J Autism Dev Disord 2016; 46: 1916–30.
29Simonoff, E, Pickles, A, Charman, T, Chandler, S, Loucas, T, Baird, G. Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry 2008; 47: 921–9.
30Hirvikoski, T, Mittendorfer-Rutz, E, Boman, M, Larsson, H, Lichtenstein, P, Bölte, S. Premature mortality in autism spectrum disorder. Br J Psychiatry 2016; 208: 232–8.
31Nicolaidis, C, Raymaker, DM, Ashkenazy, E, McDonald, KE, Dern, S, Baggs, AE, et al. ‘Respect the way I need to communicate with you’: healthcare experiences of adults on the autism spectrum. Autism 2015; 19: 824–31.
32Royal College of Psychiatrists. Census 2017: Workforce Figures for Consultant and Speciality Doctor Psychiatrists 2017. Royal College of Psychiatrists, 2017 (https://www.rcpsych.ac.uk/improving-care/workforce/our-workforce-census).
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Understanding psychiatrists' knowledge, attitudes and experiences in identifying and supporting their patients on the autism spectrum: online survey

  • Laura Crane (a1), Ian Davidson (a2), Rachel Prosser (a3) and Elizabeth Pellicano (a4)
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