Journal of Istanbul Faculty of Medicine

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DOI :10.26650/IUITFD.2019.0029   IUP :10.26650/IUITFD.2019.0029    Full Text (PDF)

AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY

Seyhan Hıdıroğlu, Nimet Emel Lüleci, Melda Karavuş, Salih Güzel, Mehmet Cemal Dönmez

Objective: The objective of this descriptive study was to assess the awareness of childhood autism among 275 physicians undergoing their residency training in several disciplines which were classified as surgical, nonsurgical and first-contact disciplines (Family medicine + Pediatrics + Otorhinolaryngology) of a Research and Training Hospital in Istanbul, Turkey.

Material and Method: Data were collected through a self-administered questionnaire. Residents scoring below 20 were considered as “low scoring”; and residents scoring 20 and above were considered as “high scoring”; Chi-square test and Fisher’s chi-square test were applied for finding association between categorical variables.

Results: The characteristics of childhood autism emerging with statistically significant differences between the disciplines (p<0.05) were ‘‘a child with autism frequently has repetitive and stereotypical behaviours’’ and ‘‘about the outstanding talents a child with autism might have’’. Around 94.1% of the first-contact disciplines and 93.3% of the nonsurgical disciplines were in the high-scoring group; whereas 82.6% of the surgical disciplines could be placed in the high-scoring group. This difference was statistically significant (p<0.05).

Conclusion: In this study, the physicians undergoing their residency training in the first-contact disciplines, namely Family Medicine + Pediatrics + Otorhinolaryngology, were found to be more knowledgeable on childhood autism as compared to the ones undergoing residency training in the surgical disciplines. This was considered as a pleasing finding since the first-contact disciplines are most likely to be in an initial position to detect a child with autism in the community, refer him/her to the health authorities and continue monitoring him/her from thereon. 

Keywords: Childhood autism, awareness, resident physicians, non-surgical disciplines
DOI :10.26650/IUITFD.2019.0029   IUP :10.26650/IUITFD.2019.0029    Full Text (PDF)

İSTANBUL’DA BİR EĞİTİM VE ARAŞTIRMA HASTANESİNİN CERRAHİ, CERRAHİ DIŞI VE İLK-BAŞVURU DİSİPLİNLERİ (AİLE HEKİMLİĞİ + PEDİATRİ + KULAK BURUN BOĞAZ) ASİSTAN HEKİMLERİNİN ÇOCUKLUK ÇAĞI OTİZMİ HAKKINDA FARKINDALIKLARININ DEĞERLENDİRİLMESİ

Seyhan Hıdıroğlu, Nimet Emel Lüleci, Melda Karavuş, Salih Güzel, Mehmet Cemal Dönmez

Amaç: Bu tanımlayıcı çalışmanın amacı, İstanbul’da bir Eğitim Araştırma Hastanesi’nde cerrahi, cerrahi dışı ve ilk -başvuru disiplinlerinde (Aile hekimliği + Pediatri + Kulak Burun Boğaz) Tıpta Uzmanlık Eğitimi almakta olan 275 asistan hekimin çocukluk otizmi farkındalığını değerlendirmektir.

Gereç ve Yöntem: Veriler asistan hekimlerin kendilerinin doldurduğu anket aracılığıyla toplandı. Yirmi’nin altında puan alan hekimler “düşük puan” almış olarak kabul edildi; 20 ve üzeri puan alanlar “yüksek puan” almış olarak kabul edildi. Kategorik değişkenler arasındaki ilişkiyi bulmak için ki-kare testi ve Fisher’in ki-kare testi uygulanmıştır.

Bulgular: Otizmli bir çocuk tekrarlayıcı ve stereotipik davranışlara sahiptir” ve “otizmi olan bir çocuğun üstün yeteneklere sahip olabileceği” disiplinler arasında istatistiksel olarak anlamlı farklarla ortaya çıkan çocukluk otizminin özellikleridir. İlk -başvuru disiplinlerinin yaklaşık %94,1’i ve cerrahi dışı disiplinlerin %93,3’ü yüksek puan grubunda yer almıştır, oysa cerrahi disiplinlerin daha azı (%82,6’sı) yüksek puan grubunda yer almıştır. Bu fark istatistiksel olarak anlamlıydı (p<0,05). 

Sonuç: Bu çalışmada ilk-başvuru disiplinlerinde eğtim almakta olan asistan hekimlerin çocukluk otizmi hakkında daha fazla bilgi sahibi oldukları görülmüştür. İlk-başvuru disiplinlerinin, toplumda olası otizmi olan bir çocuğu fark etmek, ilk adımı atacak disiplinler olmaları nedeniyle, bu sonuç yüz güldürücü bir bulgu olarak kabul edildi. 

Keywords: Çocukluk çağı otizmi, farkındalık, asistan hekimler, cerrahi olmayan disiplinler

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References

  • 1. Udhya J, Varadharaja MM, Parthiban J, Srinivasan I. Autism disorder (AD) an updated review for paediatric dentists. J Clin Diagn Res 2014;8:275-9. google scholar
  • 2. Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcin C, et al. Global prevalence of autism and other pervasive developmental disorders. Autism Res 2012;5:160-79. google scholar
  • 3. Hartley-McAndrew M, Doody KR, Mertz J. Knowledge of autism spectrum disorders in potential first-contact professionals. N Am J Med Sci 2014;7:97-102. google scholar
  • 4. Rahbar MH, İbrahim K, Assassi P. Knowledge and attitude of general practitioners regarding autism in Karachi, Pakistan. J Autism Dev Disord 2011;41:465-74. google scholar
  • 5. Dillenburger K, Jordan JA, McKerr L. Autism spectrum disorder: public awareness and attitudes. Research Update 2013 May (cited 2015 May 2): 84: (4 screens). Available from: http://www.ark.ac.uk/publications/updates/update84.pdf. google scholar
  • 6. Shamsuddin S, Rahman AS. A preliminary study: awareness, knowledge and attitude of people towards children with autism. Proceeding of the Social Sciences Research ICSSR, June 2014, Kota Kinabalu, Sabah, MALAYSIA. Available from: https://pdfs.semanticscholar. org/58e7/156be290ddaa5628d6961307f39c3bd833a3. pdf?_ga=2.41330146.1504951613.1574930609-2125218310. 1574930609 google scholar
  • 7. Hartley-McAndrew M, Doody KR, Mertz J. Knowledge of Autism Spectrum Disorders in Potential First-Contact Professionals. N Am J Med Sci 2014;7:97-102. google scholar
  • 8. Bakare MO, Ebigbo PO, Agomoh AO, Eaton J, Onyeama GM, Okonkwo KO, et al. Knowledge about childhood autism and opinion among health care workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders in Nigeria. BMC Pediatr 2009;9:1-13. google scholar
  • 9. Sices L ,Feudtner C, McLaughlin J, Drotar D,Micelle W.How Do Primary Care Physicians Identify Young Children With Developmental Delays? A National Survey. J Dev Behav Pediatr 2003;24:409-17. google scholar
  • 10. Heidgerken AD, Gffken G, Modi A, Frakey L. A Survey of Autism Knowledge in a Health Care Setting. J Autism Dev Disord 2005;35:323-30. google scholar
  • 11. Bakare MO, Agomoh AO, Ebigbo PO, Eaton J, Okonkwo KO, Onwukwe JU, et al. Etiological explanation, treatability and preventability of childhood autism: a survey of Nigerian healthcare workers’ opinion. Ann Gen Psychiatry 2009;8:18. google scholar
  • 12. Siegel B, Pliner C, Eschler J, Elliott GR. How children with autism are diagnosed: difficulties in identification of children with multiple developmental delays. J Dev Behav Pediatr 1988;9:199-204. google scholar
  • 13. De Ocampo AC, Jacobs JM. Medical management of autism. JSC Med Assoc 2006;102:274-6. google scholar
  • 14. Ryan S, Salisbury H. ‘You know what boys are like’: prediagnosis experiences of parents of children with autism spectrum conditions. Br J Gen Pract 2012;62:378-83. google scholar
  • 15. American Academy of Pediatrics Committee on Children with Disabilities.The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics 2001;107:1221-26. google scholar
  • 16. Shaukat F, Fatima A, Zehra N, Hussein MAG, Ismail O. Assessment of knowledge about childhood autism among medical students from private and public universities in Karachi. J Pak Med Assoc 2014;64:1331-4. google scholar
  • 17. Igwe MN, Bakare MO, Agomoh AO, Onyeama GM, Okonkwo KO. Factors influencing knowledge about childhood autism among final year undergraduate medical, nursing and psychology students of University of Nigeria, Enugu State, Nigeria. Ital J Pediatr 2010;36:44. google scholar
  • 18. Kara B, Mukaddes NM, Altınkaya I, et al. Using the modified checklist for autism in toddlers in a wellchild clinic in Turkey: Adapting the screening method based on culture and setting. Autism 2014;18:331-8. google scholar
  • 19. Öner P, Öner Ö, Çöp E, Munir KM. Sosyal iletişim ölçeğinin okul öncesi çocuklardaki geçerlik ve güvenirliği. Klinik Psikofarmakol Bulteni 2012;22:43-50. google scholar
  • 20. Imran 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 Pediatr 2011;11:107. google scholar
  • 21. Daley TC, Sigman MD. Diagnostic conceptualization of autism among Indian psychiatrists, psychologists, and pediatricians. J Autism Dev Disord 2002;32:13-23. google scholar
  • 22. Mishaal RA, Itzchak EB, Zachor DA. Age of autism spectrum disorder diagnosis is associated with child’s variables and parental experience. Res Autism Spectr Disord 2014;8(7):873-80. google scholar
  • 23. Meilleur AA, Jelenic P, Mottron L. Prevalence of clinically and empirically defined talents and strenghts in autism. J Autism Dev Disord 2015;45:1354-67. google scholar
  • 24. Dubischar-Krivec AM, Neumann N, Poustka F, Braun C, Birbaumer N, Bölte S. Calendar calculating in savants with autism and healthy calendar calculators. Psychol Med 2009;39:1355-63. google scholar
  • 25. Cohen SB, Wheelwright S, Skinner R, Martin J, Clubley E. The Autism-Spectrum Quotient (AQ): Evidence from Asperger Syndrome/High-Functioning Autism, Males and Females, Scientists and Mathematicians. J Autism Dev Disord 2001;31:5-17. google scholar
  • 26. Eseigbe EE, Nuhu FT, Sheikh TL, Eseigbe P, Sanni KA, Olisah VO. Knowledge of Childhood Autism and Challenges of Management among Medical Doctors in Kaduna State, Northwest Nigeria. Autism Res Treat 2015;2015:Article ID 892301. google scholar
  • 27. Erden G , Akçakın M, Doğan DG, Ertem İÖ. Çocuk Hekimleri ve Otizm: Tanıda Zorluklar. Turkiye Klinikleri J Pediatr 2010;19:9-15. google scholar
  • 28. Lian WB, Ho SK, Yeo CL, Ho LY. General practitioners’ knowledge on childhood developmental and behavioural disorders. Singapore Med J 2003;44:397-403. google scholar
  • 29. Sabuncuoğlu M, Cebeci S, Rahbar MH, Hessabi M. Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder: Knowledge and Attitude of Family Medicine Residents in Turkey. TJFMPC 2015;9:46-53. google scholar
  • 30. Golnik A, Ireland M, Borowsky IW. Medical homes for children with autism: a physician survey. Pediatrics 2009;123:966-71. google scholar
  • 31. Zuckerman KE, Sinche B, Mejia A, Cobian M, Becker T, Nicolaidis C . Latino parents’ perspectives on barriers to autism diagnosis. Acad Pediatr 2014;14 :301-8. google scholar
  • 32. Harrington JW, Patrick PA, Edwards KS, Brand DA. Parental beliefs about autism: implications for the treating physician. Autism 2006;10:452-62. google scholar
  • 33. Wing L. The History of Ideas on Autism: Legends, Myths and Reality. Autism 1997;1:13-23. google scholar

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APA

Hıdıroğlu, S., Lüleci, N.E., Karavuş, M., Güzel, S., & Dönmez, M.C. (2020). AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY. Journal of Istanbul Faculty of Medicine, 83(2), 105-112. https://doi.org/10.26650/IUITFD.2019.0029


AMA

Hıdıroğlu S, Lüleci N E, Karavuş M, Güzel S, Dönmez M C. AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY. Journal of Istanbul Faculty of Medicine. 2020;83(2):105-112. https://doi.org/10.26650/IUITFD.2019.0029


ABNT

Hıdıroğlu, S.; Lüleci, N.E.; Karavuş, M.; Güzel, S.; Dönmez, M.C. AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 83, n. 2, p. 105-112, 2020.


Chicago: Author-Date Style

Hıdıroğlu, Seyhan, and Nimet Emel Lüleci and Melda Karavuş and Salih Güzel and Mehmet Cemal Dönmez. 2020. “AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY.” Journal of Istanbul Faculty of Medicine 83, no. 2: 105-112. https://doi.org/10.26650/IUITFD.2019.0029


Chicago: Humanities Style

Hıdıroğlu, Seyhan, and Nimet Emel Lüleci and Melda Karavuş and Salih Güzel and Mehmet Cemal Dönmez. “AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY.” Journal of Istanbul Faculty of Medicine 83, no. 2 (May. 2024): 105-112. https://doi.org/10.26650/IUITFD.2019.0029


Harvard: Australian Style

Hıdıroğlu, S & Lüleci, NE & Karavuş, M & Güzel, S & Dönmez, MC 2020, 'AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY', Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, pp. 105-112, viewed 19 May. 2024, https://doi.org/10.26650/IUITFD.2019.0029


Harvard: Author-Date Style

Hıdıroğlu, S. and Lüleci, N.E. and Karavuş, M. and Güzel, S. and Dönmez, M.C. (2020) ‘AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY’, Journal of Istanbul Faculty of Medicine, 83(2), pp. 105-112. https://doi.org/10.26650/IUITFD.2019.0029 (19 May. 2024).


MLA

Hıdıroğlu, Seyhan, and Nimet Emel Lüleci and Melda Karavuş and Salih Güzel and Mehmet Cemal Dönmez. “AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY.” Journal of Istanbul Faculty of Medicine, vol. 83, no. 2, 2020, pp. 105-112. [Database Container], https://doi.org/10.26650/IUITFD.2019.0029


Vancouver

Hıdıroğlu S, Lüleci NE, Karavuş M, Güzel S, Dönmez MC. AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY. Journal of Istanbul Faculty of Medicine [Internet]. 19 May. 2024 [cited 19 May. 2024];83(2):105-112. Available from: https://doi.org/10.26650/IUITFD.2019.0029 doi: 10.26650/IUITFD.2019.0029


ISNAD

Hıdıroğlu, Seyhan - Lüleci, NimetEmel - Karavuş, Melda - Güzel, Salih - Dönmez, MehmetCemal. “AWARENESS ABOUT CHILDHOOD AUTISM AMONG RESIDENT PHYSICIANS OF SURGICAL, NONSURGICAL AND FIRSTCONTACT DISCIPLINES (FAMILY MEDICINE+ PEDIATRICS+ OTORHINOLARYNGOLOGY) OF A RESEARCH AND TRAINING HOSPITAL IN ISTANBUL, TURKEY”. Journal of Istanbul Faculty of Medicine 83/2 (May. 2024): 105-112. https://doi.org/10.26650/IUITFD.2019.0029



TIMELINE


Submitted02.04.2019
Accepted27.11.2019
Published Online24.03.2020

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