Evidence map›Paper›PMID 38951310›Full record

ArticleJournal of autism and developmental disorders2025

The Role of Adverse Childhood Experience in the Relationship Between Autism Severity and Early Intervention and Special Education Plan.

Rafaella Stein Elger, Suman Kanti Chowdhury, Maria Pacheco Garrillo, Rachel Sauls, Suruthi Sundaramurugan, Emily Rozen, Harsha Puri, Dowensly Jean Brice, Jing Liu, Chighaf Bakour and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rafaella Stein ElgerCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA. rafaella@usf.edu.ORCID http://orcid.org/0000-0002-0118-9170
Suman Kanti ChowdhuryCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Maria Pacheco GarrilloCollege of Public Health, Affiliated to the Ohio State University, 250 Cunz Hall, 1841 Neil Ave. Columbus, Columbus, OH, 43210, USA.
Rachel SaulsCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Suruthi SundaramuruganCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Emily RozenCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Harsha PuriCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Dowensly Jean BriceCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Jing LiuCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Chighaf BakourCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.
Russell S KirbyCollege of Public Health, Chiles Center, - Affiliated to the University of South Florida, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL, 33612, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to examine the association between autism spectrum disorder (ASD) severity and having a special education or early intervention plan and the impact of adverse childhood experiences (ACEs) on this association. This study used the 2020-2021 National Survey of Children's Health (NSCH) and included 2,537 children aged 3-17 years old who currently have ASD. Multivariable logistic regression, controlling for demographic and family characteristics and health status, was used to explore the association between autism severity and having an early intervention plan. The analysis was stratified by the number of ACEs to explore their role in the association. Children with moderate or severe ASD were more likely to have a special education or early intervention plan than those with mild ASD in the crude and adjusted models. This association continued to be true for children who experienced 1 ACE (aOR: 2.28, 95%CI: 1.09-4.77) but not true for those who experienced no ACEs (aOR: 1.16, 95%CI: 0.70-1.94) and 2 or more ACEs (aOR: 1.84, 95%CI: 0.92-3.69). Results demonstrate that children with moderate or severe autism were more likely to receive early intervention or special education. This association changed depending on the number of ACEs experiences.

Indexed as

Adverse Childhood ExperiencesAutism Spectrum DisorderEarly Intervention, EducationalEducation, SpecialAdolescentChildChild, PreschoolFemaleHumansMaleSeverity of Illness IndexAdverse childhood experiencesAutismAutism severityEarly interventionSpecial education

Identifiers

PMID38951310

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.