Aider les parents lors de l'annonce initiale d'un diagnostic d'autisme : recommandations destinées aux cliniciens, éclairées par les parents

Titre original en anglais : Helping Parents with the Initial Diagnosis of Autism: Parent-Informed Guidance for Clinicians

Smith, I. C., Cox, B. E., & White, S. W. (2019). Helping Parents with the Initial Diagnosis of Autism: Parent-Informed Guidance for Clinicians. Evidence-Based Practice in Child and Adolescent Mental Health, 4(3), 296-306. https://doi.org/10.1080/23794925.2019.1626781

Date de publication: 03/06/2019 Ajout dans AutiHub: 08/08/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
3
Auteur·ices de la publication identifié·es comme autistes
1 / 3 (33,3 %)

Résumé

Chaque année, des milliers de parents informent leur enfant d'un diagnostic de trouble du spectre de l'autisme, et la plupart des parents ne se sentent pas préparés à cette tâche. Bien que nous soyons désormais en mesure de diagnostiquer de façon fiable les TSA très tôt dans la vie, il n'existe presque aucune littérature empirique destinée aux cliniciens sur la manière d'aider les parents à informer leur enfant diagnostiqué. Ce processus doit être mené d'une manière sensible aux besoins développementaux de l'enfant tout en favorisant une attitude d'acceptation et non stigmatisante à l'égard du diagnostic. Ce commentaire est proposé afin d'aider les cliniciens à guider les parents tout au long de ce processus. S'appuyant sur une revue antérieure de la littérature ainsi que sur l'expérience clinique relative à ce sujet et sur les contributions d'un parent d'un enfant atteint de TSA, nous décrivons divers facteurs que les parents pourraient souhaiter prendre en compte lorsqu'ils se préparent à révéler des diagnostics de TSA, notamment la répétition ou la mise en pratique de conversations d'annonce, l'adaptation du langage à la présentation de leur enfant, la fourniture d'informations concises et exactes, l'anticipation des réactions des enfants et l'aménagement d'un espace leur permettant de réagir et de traiter l'information, ainsi que la présentation de la discussion comme un point de départ pour une conversation ultérieure.

Thousands of parents each year inform their child about a diagnosis of autism spectrum disorder, and most parents feel unprepared for this task. Although we are now able to reliably diagnose ASD very early in life, almost no empirical literature exists for clinicians on how to help parents educate their diagnosed child. This process must be conducted in a way that is sensitive to the child’s developmental needs while promoting an accepting and non-stigmatizing stance toward the diagnosis. This commentary is offered to help clinicians guide parents through this process. Rooted in a prior review of the literature as well as clinical experience on this topic and input from a parent of a child with ASD, we outline various factors parents may wish to consider in preparing to disclose ASD diagnoses, including rehearsal or practice of disclosure conversations, tailoring language to their child’s presentation, providing concise and accurate information, anticipating and providing space for children to react and process, and framing the discussion as a starting point for further conversation.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
48
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
2 / 48 (4,2 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
5 / 219 (2,3 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 5 / 51 (9,8 %). Auteurices cité·es distinct·es identifié·es comme autistes : 5 / 184 (2,7 %).
Occurrences citées rattachées à la base AutiHub
51 / 219 (23,3 %)
Auteurices cité·es distinct·es rattaché·es : 36 / 184 (19,6 %)
Occurrences rattachées, non identifiées comme autistes
46 / 51 (90,2 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 46 / 219 (21,0 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 31 / 36 (86,1 %).
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