Agnieszka Rynkiewicz | University of Rzeszów (original) (raw)
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Papers by Agnieszka Rynkiewicz
Current Opinion in Psychiatry, 2023
Psychiatria i Psychologia Kliniczna
Autism spectrum disorders are a group of neurodevelopmental disorders associated with deficits in... more Autism spectrum disorders are a group of neurodevelopmental disorders associated with deficits in social, communication and behavioural functions. It is estimated that 1–2% of the global population is affected by autism spectrum disorders, with girls and women still representing a highly underestimated group of autistic patients. Patients with autism spectrum disorder require comprehensive care and often have difficulty accessing high-quality healthcare services due to the shortage of well-trained specialists. Extension for Community Healthcare Outcomes (ECHO) Autism is a global program that allows autism spectrum disorder experts to share their knowledge and skills with professionals in local communities. The ECHO project is a mentoring model in which an interdisciplinary team of experts plays a supreme role and provides practical information to specialists in local communities. ECHO Autism is not a form of telemedicine but a telementoring model, where specialised knowledge is deli...
Psychiatria i Psychologia Kliniczna, 2018
Journal of autism and developmental disorders, Jan 20, 2017
The Questionnaire for Autism Spectrum Conditions (Q-ASC) was developed by Attwood et al. (2011) t... more The Questionnaire for Autism Spectrum Conditions (Q-ASC) was developed by Attwood et al. (2011) to identify gender-sensitive profiles of autism symptomatology; prioritise and adjust the direction of clinical interventions; and support positive psychosocial outcomes and prognosis into adulthood. The current research piloted the Q-ASC with parents of 238 children with a clinical diagnosis of ASD-Level 1 (without intellectual or language impairment). Data analysis revealed eight interpretable and reliable components of the Q-ASC using Principle components analysis. Comparisons across age and gender groups found statistically significant mean differences of parent-reported characteristics. The findings from this study aim to identify improvements in the Q-ASC towards the future assessment of the sensitivity and diversity of presentations of autism among female children and adolescents.
Brain Sciences, 2022
Individuals with autism spectrum disorder (ASD) struggle to access high-quality health care due t... more Individuals with autism spectrum disorder (ASD) struggle to access high-quality health care due to the shortage of trained providers. ECHO (Extension for Community Healthcare Outcomes) Autism is a unique educational program that allows ASD experts to provide knowledge and skills to professionals in local communities to deliver evidence-based care to children with ASD and their families. The model teaches clinicians how to screen and diagnose ASD, as well as manage common co-occurring medical and mental health issues. ECHO Autism is particularly useful for addressing the complex needs of children with ASD and reducing disparities often present in rural and underserved communities. The model can be disseminated globally due to its flexibility in accommodating local and regional differences in social norms and constructs. This article provides an overview of the format of the ECHO Autism model, data supporting the model’s efficacy, and discusses future research directions.
The future of telehealth for patients with autism spectrum disorder based on the example of Extension for Community Health Outcomes (ECHO) Autism – a global model introduced in Poland, 2022
Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Psychiatry and Clinical Neurosciences, 2018
Frontiers in Pediatrics
In the face of the growing number of adolescents suffering from eating disorders (EDs) and access... more In the face of the growing number of adolescents suffering from eating disorders (EDs) and access to psychiatric care limited by the epidemiological and demographic situation, the primary care pediatrician’s role in diagnosing and treating EDs is growing. The European Academy of Paediatrics (EAP) decided to summarize knowledge about EDs and formulate recommendations to support European pediatricians and improve care for adolescents with EDs.
Opublikowana w maju 2013 roku nowa klasyfikacja zaburzeń psychicznych Amerykańskiego Towarzystwa ... more Opublikowana w maju 2013 roku nowa klasyfikacja zaburzeń psychicznych Amerykańskiego Towarzystwa Psychiatrycznego DSM-5 wprowadziła duże zmiany w kryteriach diagnostycznych dotyczących zaburzeń ze spektrum autyzmu. Zmianom uległy także wystandaryzowane, interaktywne narzędzia diagnostyczne z tzw. „złotego standardu” do diagnozy szeroko pojętego autyzmu. W klasyfikacji DSM-5 scalono wszystkie jednostki diagnostyczne w jedną wspólną jednostkę o nazwie zaburzenie ze spektrum autyzmu (ASD, Autism Spectrum Disorder) Słowo „spektrum” odnosi się do różnic w prezentacji i nasileniu symptomów wewnątrz grupy pacjentów z ASD oraz wskazuje na kontinuum pomiędzy populacją ogólną a osobami z tą diagnozą. Wyniki badań porównujące rozpoznania stawiane na podstawie klasyfikacji DSM-IV i DSM-5 pokazują, że wprowadzenie nowej klasyfikacji spowodowało zwiększenie swoistości diagnozy, co redukuje liczbę fałszywie dodatnich diagnoz, lecz jednocześnie spowodowało zmniejszenie czułości. Tym samym część pac...
Brain Sciences
Standardized screening assessments and sex differences in autism spectrum disorder (ASD) are stil... more Standardized screening assessments and sex differences in autism spectrum disorder (ASD) are still under-explored in Poland. This study investigated the differences between Polish ASD females and males based on the responses provided by parents/caregivers to a Polish adaptation of the Social Communication Questionnaire, SCQ Lifetime and SCQ Current. The study included 90 ASD participants from Mental Health Services and Autism Clinics in Poland with no intellectual disability and no profound communication difficulties. Parents provided information on the SCQ items which were compared under three domains of the Autism Diagnostic Interview-Revised (ADI-R). Four SCQ items with the examples were investigated. No significant differences were found between the two sexes in the three domains. The repetitive use of objects declined with age in ASD males. Although the findings of the present study did not reveal substantial gender biases in the Polish adaptation of the SCQ, it is necessary to...
Psychiatria i Psychologia Kliniczna
Psychiatria polska, Jan 24, 2018
The study aims to define the differences in clinical manifestation among adolescent girls and boy... more The study aims to define the differences in clinical manifestation among adolescent girls and boys with autism spectrum disorder (ASD). The study group consisted of 15 adolescent girls and 16 adolescent boys with diagnosis of autismor Asperger syndrome and their parents. Adolescents were assessed with ADOS (Autism Diagnostic Observation Schedule, Polish adaptation of the assessment), algorithms of ADOS and ADOS-2 (revised version) were compared. Structured interview was conducted with parents, they fulfilled AQ (Autism Quotient), ASAS (Australian Scale for Asperger Syndrome), GQ-ASC (Girls' Questionnaire for Autism Spectrum Conditions). Medical records were analyzed. Results were analyzed using statistical methods. Patients were assessed with ADOS Module 4. Results indicated statistically significant differences between ASD girls and ASD boys in communication section, both verbal and gestures. The mean scores of AQ for ASD girls and ASD boys were M = 33.0 and M=30.9, and of ASAS...
IEEE Transactions on Games
Oxford Bibliographies Online Datasets
Emotional expression in psychiatric conditions: New technology for clinicians , 2018
Aim: Emotional expressions are one of the most widely studied topics in neuroscience, from both c... more Aim: Emotional expressions are one of the most widely
studied topics in neuroscience, from both clinical and nonclinical perspectives. Atypical emotional expressions are seen in various psychiatric conditions, including schizophrenia, depression, and autism spectrum conditions. Understanding the basics of emotional expressions and recognition can be crucial for diagnostic and therapeutic procedures. Emotions can be expressed in the face, gesture, posture, voice, and behavior and affect physiological parameters, such as the heart rate or body temperature. With modern technology, clinicians can use a variety of tools ranging
from sophisticated laboratory equipment to smartphones and web cameras. The aim of this paper is to review the currently used tools using modern technology and discuss their usefulness as well as possible future directions in emotional expression research and treatment strategies. Methods: The authors conducted a literature review in the PubMed, EBSCO, and SCOPUS databases, using the following
key words: ‘emotions,’ ‘emotional expression,’ ‘affective
computing,’ and ‘autism.’ The most relevant and up-todate publications were identified and discussed. Search results were supplemented by the authors’ own research in the field of emotional expression.
Results: We present a critical review of the currently available technical diagnostic and therapeutic methods. The most important studies are summarized in a table.
Conclusion: Most of the currently available methods have not been adequately validated in clinical settings. They may be a great help in everyday practice; however, they need further testing. Future directions in this field include more virtual-reality-based and interactive interventions, as well as development and improvement of humanoid robots.
Current Opinion in Psychiatry, 2023
Psychiatria i Psychologia Kliniczna
Autism spectrum disorders are a group of neurodevelopmental disorders associated with deficits in... more Autism spectrum disorders are a group of neurodevelopmental disorders associated with deficits in social, communication and behavioural functions. It is estimated that 1–2% of the global population is affected by autism spectrum disorders, with girls and women still representing a highly underestimated group of autistic patients. Patients with autism spectrum disorder require comprehensive care and often have difficulty accessing high-quality healthcare services due to the shortage of well-trained specialists. Extension for Community Healthcare Outcomes (ECHO) Autism is a global program that allows autism spectrum disorder experts to share their knowledge and skills with professionals in local communities. The ECHO project is a mentoring model in which an interdisciplinary team of experts plays a supreme role and provides practical information to specialists in local communities. ECHO Autism is not a form of telemedicine but a telementoring model, where specialised knowledge is deli...
Psychiatria i Psychologia Kliniczna, 2018
Journal of autism and developmental disorders, Jan 20, 2017
The Questionnaire for Autism Spectrum Conditions (Q-ASC) was developed by Attwood et al. (2011) t... more The Questionnaire for Autism Spectrum Conditions (Q-ASC) was developed by Attwood et al. (2011) to identify gender-sensitive profiles of autism symptomatology; prioritise and adjust the direction of clinical interventions; and support positive psychosocial outcomes and prognosis into adulthood. The current research piloted the Q-ASC with parents of 238 children with a clinical diagnosis of ASD-Level 1 (without intellectual or language impairment). Data analysis revealed eight interpretable and reliable components of the Q-ASC using Principle components analysis. Comparisons across age and gender groups found statistically significant mean differences of parent-reported characteristics. The findings from this study aim to identify improvements in the Q-ASC towards the future assessment of the sensitivity and diversity of presentations of autism among female children and adolescents.
Brain Sciences, 2022
Individuals with autism spectrum disorder (ASD) struggle to access high-quality health care due t... more Individuals with autism spectrum disorder (ASD) struggle to access high-quality health care due to the shortage of trained providers. ECHO (Extension for Community Healthcare Outcomes) Autism is a unique educational program that allows ASD experts to provide knowledge and skills to professionals in local communities to deliver evidence-based care to children with ASD and their families. The model teaches clinicians how to screen and diagnose ASD, as well as manage common co-occurring medical and mental health issues. ECHO Autism is particularly useful for addressing the complex needs of children with ASD and reducing disparities often present in rural and underserved communities. The model can be disseminated globally due to its flexibility in accommodating local and regional differences in social norms and constructs. This article provides an overview of the format of the ECHO Autism model, data supporting the model’s efficacy, and discusses future research directions.
The future of telehealth for patients with autism spectrum disorder based on the example of Extension for Community Health Outcomes (ECHO) Autism – a global model introduced in Poland, 2022
Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care, 2022
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Psychiatry and Clinical Neurosciences, 2018
Frontiers in Pediatrics
In the face of the growing number of adolescents suffering from eating disorders (EDs) and access... more In the face of the growing number of adolescents suffering from eating disorders (EDs) and access to psychiatric care limited by the epidemiological and demographic situation, the primary care pediatrician’s role in diagnosing and treating EDs is growing. The European Academy of Paediatrics (EAP) decided to summarize knowledge about EDs and formulate recommendations to support European pediatricians and improve care for adolescents with EDs.
Opublikowana w maju 2013 roku nowa klasyfikacja zaburzeń psychicznych Amerykańskiego Towarzystwa ... more Opublikowana w maju 2013 roku nowa klasyfikacja zaburzeń psychicznych Amerykańskiego Towarzystwa Psychiatrycznego DSM-5 wprowadziła duże zmiany w kryteriach diagnostycznych dotyczących zaburzeń ze spektrum autyzmu. Zmianom uległy także wystandaryzowane, interaktywne narzędzia diagnostyczne z tzw. „złotego standardu” do diagnozy szeroko pojętego autyzmu. W klasyfikacji DSM-5 scalono wszystkie jednostki diagnostyczne w jedną wspólną jednostkę o nazwie zaburzenie ze spektrum autyzmu (ASD, Autism Spectrum Disorder) Słowo „spektrum” odnosi się do różnic w prezentacji i nasileniu symptomów wewnątrz grupy pacjentów z ASD oraz wskazuje na kontinuum pomiędzy populacją ogólną a osobami z tą diagnozą. Wyniki badań porównujące rozpoznania stawiane na podstawie klasyfikacji DSM-IV i DSM-5 pokazują, że wprowadzenie nowej klasyfikacji spowodowało zwiększenie swoistości diagnozy, co redukuje liczbę fałszywie dodatnich diagnoz, lecz jednocześnie spowodowało zmniejszenie czułości. Tym samym część pac...
Brain Sciences
Standardized screening assessments and sex differences in autism spectrum disorder (ASD) are stil... more Standardized screening assessments and sex differences in autism spectrum disorder (ASD) are still under-explored in Poland. This study investigated the differences between Polish ASD females and males based on the responses provided by parents/caregivers to a Polish adaptation of the Social Communication Questionnaire, SCQ Lifetime and SCQ Current. The study included 90 ASD participants from Mental Health Services and Autism Clinics in Poland with no intellectual disability and no profound communication difficulties. Parents provided information on the SCQ items which were compared under three domains of the Autism Diagnostic Interview-Revised (ADI-R). Four SCQ items with the examples were investigated. No significant differences were found between the two sexes in the three domains. The repetitive use of objects declined with age in ASD males. Although the findings of the present study did not reveal substantial gender biases in the Polish adaptation of the SCQ, it is necessary to...
Psychiatria i Psychologia Kliniczna
Psychiatria polska, Jan 24, 2018
The study aims to define the differences in clinical manifestation among adolescent girls and boy... more The study aims to define the differences in clinical manifestation among adolescent girls and boys with autism spectrum disorder (ASD). The study group consisted of 15 adolescent girls and 16 adolescent boys with diagnosis of autismor Asperger syndrome and their parents. Adolescents were assessed with ADOS (Autism Diagnostic Observation Schedule, Polish adaptation of the assessment), algorithms of ADOS and ADOS-2 (revised version) were compared. Structured interview was conducted with parents, they fulfilled AQ (Autism Quotient), ASAS (Australian Scale for Asperger Syndrome), GQ-ASC (Girls' Questionnaire for Autism Spectrum Conditions). Medical records were analyzed. Results were analyzed using statistical methods. Patients were assessed with ADOS Module 4. Results indicated statistically significant differences between ASD girls and ASD boys in communication section, both verbal and gestures. The mean scores of AQ for ASD girls and ASD boys were M = 33.0 and M=30.9, and of ASAS...
IEEE Transactions on Games
Oxford Bibliographies Online Datasets
Emotional expression in psychiatric conditions: New technology for clinicians , 2018
Aim: Emotional expressions are one of the most widely studied topics in neuroscience, from both c... more Aim: Emotional expressions are one of the most widely
studied topics in neuroscience, from both clinical and nonclinical perspectives. Atypical emotional expressions are seen in various psychiatric conditions, including schizophrenia, depression, and autism spectrum conditions. Understanding the basics of emotional expressions and recognition can be crucial for diagnostic and therapeutic procedures. Emotions can be expressed in the face, gesture, posture, voice, and behavior and affect physiological parameters, such as the heart rate or body temperature. With modern technology, clinicians can use a variety of tools ranging
from sophisticated laboratory equipment to smartphones and web cameras. The aim of this paper is to review the currently used tools using modern technology and discuss their usefulness as well as possible future directions in emotional expression research and treatment strategies. Methods: The authors conducted a literature review in the PubMed, EBSCO, and SCOPUS databases, using the following
key words: ‘emotions,’ ‘emotional expression,’ ‘affective
computing,’ and ‘autism.’ The most relevant and up-todate publications were identified and discussed. Search results were supplemented by the authors’ own research in the field of emotional expression.
Results: We present a critical review of the currently available technical diagnostic and therapeutic methods. The most important studies are summarized in a table.
Conclusion: Most of the currently available methods have not been adequately validated in clinical settings. They may be a great help in everyday practice; however, they need further testing. Future directions in this field include more virtual-reality-based and interactive interventions, as well as development and improvement of humanoid robots.
Pediatria - Medycyna Praktyczna, 2019