Publications by authors named "P Rob"

Autistic children are at increased risk of experiencing a range of mental health difficulties, including anxiety. A number of intervention programmes are now available in high-income countries to support autistic children. However, to date there are no evidence-based interventions to support families of such children in South Asia.

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Background: Primary membranous nephropathy (MN) is caused by circulating autoantibodies binding to antigens on the podocyte surface. PLAR1 is the main target antigen in 70%-80% of cases, but the pathogenesis is unresolved in 10%-15% of patients.

Methods: We used native western blotting to identify IgG4 autoantibodies, which bind an antigen endogenously expressed on podocyte membranes, in the serum of the index patient with MN.

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Article Synopsis
  • The study focused on a group intervention called CUES© aimed at helping autistic children cope with anxiety related to uncertainty in everyday situations, with parents actively involved in the process.!* -
  • Fifty families participated, with 26 children receiving the CUES© intervention; 72% of these attended multiple sessions, and feedback from parents and therapists indicated the program was helpful and acceptable.!* -
  • The positive engagement and feasibility of the intervention suggest that further research is warranted, particularly a larger randomized controlled trial to assess its clinical and cost-effectiveness.!*
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Anxiety is common in autistic children. Research shows that this may be related to intolerance of uncertainty, which is a tendency to react negatively to uncertain situations. Understanding when, why and how autistic children respond to uncertainty is important in the development of anxiety programmes.

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Background: Restricted and repetitive behaviours vary greatly across the autism spectrum, and although not all are problematic some can cause distress and interfere with learning and social opportunities. We have, alongside parents, developed a parent group based intervention for families of young children with autism, which aims to offer support to parents and carers; helping them to recognise, understand and learn how to respond to their child's challenging restricted repetitive behaviours.

Methods: The study is a clinical and cost-effectiveness, multi-site randomised controlled trial of the Managing Repetitive Behaviours (MRB) parent group intervention versus a psychoeducation parent group Learning About Autism (LAA) (n = 250; 125 intervention/125 psychoeducation; ~ 83/site) for parents of young children aged 3-9 years 11 months with a diagnosis of autism.

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