Objective. To assess the knowledge and perception of primary school teachers regarding autism in private and public schools of Karachi, Pakistan. Methods. A cross-sectional survey was conducted on primary school teachers in different districts of Karachi. A sample size of 170 teachers was selected by purposive sampling. Primary data was collected using self-administered questionnaires. These questions assessed the teacher’s knowledge and perception of Autism. Data was entered on SPSS version 20. Frequencies and percentages were taken out for categorical variables. Results. Of the total 170 teachers, 85 were from the Private and 85 from Public sector schools. 55% (n = 94) of the teachers knew about Autism through the media and only 9% (n = 15) had formal training through workshops on Autism. 62% (n = 105) of the teachers were of the opinion that Autism is treatable. Majority of the teachers (57%) said that proper training is required for teaching autistic children. Conclusion. The knowledge related to Autism in our existing sample has mostly come from the media. Although we cannot undermine the role of media, there is a need to give formal training to teachers regarding the differentiating features of Autism, which in turn will aid in early diagnosis of the disease. 1. Introduction Autism is a disorder of neural development, characterized by impaired social interaction, communication, and by restricted, repetitive behavior [1]. This condition begins at birth or within the first two-and-a-half years of life. The children affected are perfectly normal in appearance, but they spend their time engaged in puzzling and disturbing behaviors which are markedly different from those of typical children [2]. The cause of autism is not known [3, 4]. Studies suggest that there is a strong genetic basis, but it cannot be traced to a Mendelian (single-gene) mutation or to a single chromosome abnormality [5, 6]. Risk factors for autism include gender, males are three to four times more likely than females to get autism, family history, parents’ age, and other disorders such as fragile syndrome, tuberous sclerosis, Tourette’s syndrome, and epilepsy [7]. Apart from these, the use of drugs during pregnancy has also been identified as a risk factor. This was evident by a retrospective case study, which showed that maternal valproic acid used during pregnancy caused autism in the newborn [8]. Studies have even suggested the association of congenital rubella with autism [9, 10]. Another relatively frequent medical condition is cerebral palsy [11], in which the rates of
References
[1]
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 4th edition, 2000.
[2]
“Is it autism?” Autism Research institute, http://www.autism.com/index.php/is_it_autism.
C. J. Newschaffer, L. A. Croen, J. Daniels et al., “The epidemiology of autism spectrum disorders,” Annual Review of Public Health, vol. 28, pp. 235–258, 2007.
[5]
B. S. Abrahams and D. H. Geschwind, “Advances in autism genetics: on the threshold of a new neurobiology,” Nature Reviews Genetics, vol. 9, no. 5, pp. 341–355, 2008.
[6]
R. Muhle, S. V. Trentacoste, and I. Rapin, “The genetics of autism,” Pediatrics, vol. 113, no. 5, pp. e472–e486, 2004.
[7]
Mayo Clinic, http://www.mayoclinic.com/health/autism/DS00348/DSECTION=symptoms.
[8]
G. Williams, J. King, M. Cunningham, M. Stephan, B. Kerr, and J. H. Hersh, “Fetal valproate syndrome and autism: additional evidence of an association,” Developmental Medicine and Child Neurology, vol. 43, no. 3, pp. 202–206, 2001.
[9]
S. Chess, P. Fernandez, and S. Korn, “Behavioral consequences of congenital rubella,” Journal of Pediatrics, vol. 93, no. 4, pp. 699–703, 1978.
[10]
B. E. Berger, A. M. Navar-Boggan, and S. B. Omer, “Congenital rubella syndrome and autism spectrum disorder prevented by rubella vaccination—United States, 2001-2010,” BMC Public Health, vol. 11, article 340, 2011.
[11]
E. Fombonne, “The prevalence of autism,” Journal of the American Medical Association, vol. 289, no. 1, pp. 87–89, 2003.
[12]
R. M. Kliegman, R. E. Beahrman, H. B. Jenson, and B. M. D. Stanton, Nelson Textbook of Paedriatics, vol. 1, 2007.
[13]
CDC—Data and Statistics, “Autism spectrum disorders,” http://www.cdc.gov/ncbddd/autism/data.html.
[14]
D. S. Mandell and R. Palmer, “Differences among states in the identification of autistic spectrum disorders,” Archives of Pediatrics and Adolescent Medicine, vol. 159, no. 3, pp. 266–269, 2005.
[15]
M. A. Khan, Pakistan Country Report-Autism.
[16]
W. B. Lian, S. H. K. Ying, S. C. H. Tean, D. C. K. Lin, Y. C. Lian, and H. L. Yun, “Pre-school teachers' knowledge, attitudes and practices on childhood developmental and behavioural disorders in Singapore,” Journal of Paediatrics and Child Health, vol. 44, no. 4, pp. 187–194, 2008.
[17]
S. M. Myers, C. P. Johnson, P. H. Lipkin et al., “Management of children with autism spectrum disorders,” Pediatrics, vol. 120, no. 5, pp. 1162–1182, 2007.
[18]
A. Ghanizadeh and E. Moghimi-Sarani, “A randomized double blind placebo controlled clinical trial of N-Acetylcysteine added to risperidone for treating autistic disorders,” BMC Psychiatry, vol. 13, article 196, 2013.
[19]
M. L. McPheeters, Z. Warren, N. Sathe et al., “A systematic review of medical treatments for children with autism spectrum disorders,” Pediatrics, vol. 127, no. 5, pp. e1312–e1321, 2011.
[20]
Amber Hays, “Parent-teacher collaboration for students with autism spectrum disorders: the role of teacher training,” Honors Projects, Paper 9, 2005, http://digitalcommons.iwu.edu/psych_honproj/9.
[21]
Teaching Students with Autism—A Resource Guide for Schools, Special Programs Branch, Ministry Of Education, British Columbia, 2000.
[22]
S. Eldevik, R. P. Hastings, E. Jahr, and J. C. Hughes, “Outcomes of behavioral intervention for children with autism in mainstream pre-school settings,” Journal of Autism and Developmental Disorders, vol. 42, no. 2, pp. 210–220, 2012.