Agnieszka Rynkiewicz | University of Rzeszów (original) (raw)

Uploads

Papers by Agnieszka Rynkiewicz

Research paper thumbnail of Special considerations for assessing and caring for autism in girls and women

Current Opinion in Psychiatry, 2023

Research paper thumbnail of 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

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...

Research paper thumbnail of Use of the Brief Observation of Symptoms of Autism (BOSA) as a new clinical approach to assessing patients with suspected spectrum disorder during the COVID-19 pandemic

Research paper thumbnail of Competent users and standards of use for Autism Diagnostic Interview – Revised (ADI-R) and Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)

Psychiatria i Psychologia Kliniczna, 2018

Research paper thumbnail of Exploration of the French version of the Q-ASC: a tool for investigating the female autistic profile

Research paper thumbnail of Profiling Autism Symptomatology: An Exploration of the Q-ASC Parental Report Scale in Capturing Sex Differences in Autism

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.

Research paper thumbnail of Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care

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.

Research paper thumbnail of 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

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

Research paper thumbnail of Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care

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

Research paper thumbnail of Emotional expression in psychiatric conditions: New technology for clinicians

Psychiatry and Clinical Neurosciences, 2018

Research paper thumbnail of Adolescents With Eating Disorders in Pediatric Practice – The European Academy of Paediatrics Recommendations

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.

Research paper thumbnail of Standardized, interactive tests to diagnose autism spectrum disorder (ASD) and new diagnostic criteria in DSM-5

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...

Research paper thumbnail of Polish Adaptation of the Social Communication Questionnaire (SCQ) and Female Autism Phenotype: An Investigation of Potentially Sex-Biased Items in the Screening Assessment and Their Impact on Scores

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...

Research paper thumbnail of Brief Observation of Symptoms of Autism (BOSA) – a new diagnostic tool during the COVID-19 pandemic

Psychiatria i Psychologia Kliniczna

Research paper thumbnail of Autism spectrum disorder (ASD) in girls. Co-occurring psychopathology. Sex differences in clinical manifestation

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...

Research paper thumbnail of The ASC-Inclusion Perceptual Serious Gaming Platform for Autistic Children

IEEE Transactions on Games

Research paper thumbnail of Females and Autism

Oxford Bibliographies Online Datasets

Research paper thumbnail of Girls and women with autism

Research paper thumbnail of Letter to Editor. Report „An investigation of the ‘female camouflage effect’ in autism using a new computerized test showing sex/gender differences during ADOS-2”. IMFAR 2016, Baltimore, USA

Research paper thumbnail of Emotional expression in psychiatric conditions: New technology for clinicians

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.

Research paper thumbnail of Special considerations for assessing and caring for autism in girls and women

Current Opinion in Psychiatry, 2023

Research paper thumbnail of 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

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...

Research paper thumbnail of Use of the Brief Observation of Symptoms of Autism (BOSA) as a new clinical approach to assessing patients with suspected spectrum disorder during the COVID-19 pandemic

Research paper thumbnail of Competent users and standards of use for Autism Diagnostic Interview – Revised (ADI-R) and Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)

Psychiatria i Psychologia Kliniczna, 2018

Research paper thumbnail of Exploration of the French version of the Q-ASC: a tool for investigating the female autistic profile

Research paper thumbnail of Profiling Autism Symptomatology: An Exploration of the Q-ASC Parental Report Scale in Capturing Sex Differences in Autism

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.

Research paper thumbnail of Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care

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.

Research paper thumbnail of 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

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

Research paper thumbnail of Project Extension for Community Health Outcomes (ECHO) Autism: A Successful Model to Increase Capacity in Community-Based Care

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

Research paper thumbnail of Emotional expression in psychiatric conditions: New technology for clinicians

Psychiatry and Clinical Neurosciences, 2018

Research paper thumbnail of Adolescents With Eating Disorders in Pediatric Practice – The European Academy of Paediatrics Recommendations

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.

Research paper thumbnail of Standardized, interactive tests to diagnose autism spectrum disorder (ASD) and new diagnostic criteria in DSM-5

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...

Research paper thumbnail of Polish Adaptation of the Social Communication Questionnaire (SCQ) and Female Autism Phenotype: An Investigation of Potentially Sex-Biased Items in the Screening Assessment and Their Impact on Scores

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...

Research paper thumbnail of Brief Observation of Symptoms of Autism (BOSA) – a new diagnostic tool during the COVID-19 pandemic

Psychiatria i Psychologia Kliniczna

Research paper thumbnail of Autism spectrum disorder (ASD) in girls. Co-occurring psychopathology. Sex differences in clinical manifestation

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...

Research paper thumbnail of The ASC-Inclusion Perceptual Serious Gaming Platform for Autistic Children

IEEE Transactions on Games

Research paper thumbnail of Females and Autism

Oxford Bibliographies Online Datasets

Research paper thumbnail of Girls and women with autism

Research paper thumbnail of Letter to Editor. Report „An investigation of the ‘female camouflage effect’ in autism using a new computerized test showing sex/gender differences during ADOS-2”. IMFAR 2016, Baltimore, USA

Research paper thumbnail of Emotional expression in psychiatric conditions: New technology for clinicians

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.

Research paper thumbnail of Trzeba lepiej zrozumieć autyzm aby skutecznej pomagać

Pediatria - Medycyna Praktyczna, 2019