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Behavioral Outcomes of Specialized Psychiatric Hospitalization in the Autism Inpatient Collection (AIC): A Multisite Comparison / K. A. PEDERSEN in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Behavioral Outcomes of Specialized Psychiatric Hospitalization in the Autism Inpatient Collection (AIC): A Multisite Comparison Type de document : Texte imprimé et/ou numérique Auteurs : K. A. PEDERSEN, Auteur ; Susan L. SANTANGELO, Auteur ; R. L. GABRIELS, Auteur ; G. RIGHI, Auteur ; M. ERARD, Auteur ; M. SIEGEL, Auteur Article en page(s) : p.3658-3667 Langues : Anglais (eng) Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder (ASD) Crisis Externalizing problem behaviors Psychiatric inpatients Self-injurious behavior Tantrum-like behavior Index. décimale : PER Périodiques Résumé : Psychiatric hospitalization of children with autism spectrum disorder (ASD) is relatively common and occurs at a higher rate than in non-ASD youth. This study compared changes in the severity of serious problem behaviors in 350 youth with ASD enrolled in the autism inpatient collection during and after hospitalization in six specialized child psychiatry units. There was a significant reduction in serious problem behaviors from admission (aberrant behavior checklist-irritability subscale M = 29.7, SD 9.6) to discharge (M = 15.0, SD 10.3) and 2-month follow-up (M = 19.3, SD 10.3). Between discharge and 2-month follow-up, tantrum-like behaviors but not self-injurious behaviors increased slightly. Improvement in the severity of problem behaviors was not uniform across sites, even after controlling for measured site differences. En ligne : http://dx.doi.org/10.1007/s10803-017-3366-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3658-3667[article] Behavioral Outcomes of Specialized Psychiatric Hospitalization in the Autism Inpatient Collection (AIC): A Multisite Comparison [Texte imprimé et/ou numérique] / K. A. PEDERSEN, Auteur ; Susan L. SANTANGELO, Auteur ; R. L. GABRIELS, Auteur ; G. RIGHI, Auteur ; M. ERARD, Auteur ; M. SIEGEL, Auteur . - p.3658-3667.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3658-3667
Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder (ASD) Crisis Externalizing problem behaviors Psychiatric inpatients Self-injurious behavior Tantrum-like behavior Index. décimale : PER Périodiques Résumé : Psychiatric hospitalization of children with autism spectrum disorder (ASD) is relatively common and occurs at a higher rate than in non-ASD youth. This study compared changes in the severity of serious problem behaviors in 350 youth with ASD enrolled in the autism inpatient collection during and after hospitalization in six specialized child psychiatry units. There was a significant reduction in serious problem behaviors from admission (aberrant behavior checklist-irritability subscale M = 29.7, SD 9.6) to discharge (M = 15.0, SD 10.3) and 2-month follow-up (M = 19.3, SD 10.3). Between discharge and 2-month follow-up, tantrum-like behaviors but not self-injurious behaviors increased slightly. Improvement in the severity of problem behaviors was not uniform across sites, even after controlling for measured site differences. En ligne : http://dx.doi.org/10.1007/s10803-017-3366-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Predictors of Inpatient Psychiatric Hospitalization for Children and Adolescents with Autism Spectrum Disorder / G. RIGHI in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Predictors of Inpatient Psychiatric Hospitalization for Children and Adolescents with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : G. RIGHI, Auteur ; J. BENEVIDES, Auteur ; C. MAZEFSKY, Auteur ; M. SIEGEL, Auteur ; S. J. SHEINKOPF, Auteur ; E. M. MORROW, Auteur Article en page(s) : p.3647-3657 Langues : Anglais (eng) Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder Children and adolescents Inpatient psychiatric hospitalization Index. décimale : PER Périodiques Résumé : Autism Spectrum Disorder (ASD) is associated with significant healthcare expenditures and a greater utilization of psychiatric health services. High utilization may not be evenly distributed across individuals with ASD. The objective of this study was to identify individual and family characteristics that increase the risk of psychiatric hospitalization. Naturalistic study of two age- and gender-matched ASD cohorts, inpatients enrolled in the Autism Inpatient Collection (AIC) and outpatients enrolled in the Rhode Island Consortium of Autism Research and Treatment (RI-CART), revealed a number of factors associated with hospitalization. Multiple logistic regression analyses revealed that adaptive functioning, ASD symptom severity, primary caregiver's marital status, the presence of mood disorders, and the presence of sleep problems independently increased the risk of psychiatric hospitalization. En ligne : http://dx.doi.org/10.1007/s10803-017-3154-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3647-3657[article] Predictors of Inpatient Psychiatric Hospitalization for Children and Adolescents with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / G. RIGHI, Auteur ; J. BENEVIDES, Auteur ; C. MAZEFSKY, Auteur ; M. SIEGEL, Auteur ; S. J. SHEINKOPF, Auteur ; E. M. MORROW, Auteur . - p.3647-3657.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3647-3657
Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder Children and adolescents Inpatient psychiatric hospitalization Index. décimale : PER Périodiques Résumé : Autism Spectrum Disorder (ASD) is associated with significant healthcare expenditures and a greater utilization of psychiatric health services. High utilization may not be evenly distributed across individuals with ASD. The objective of this study was to identify individual and family characteristics that increase the risk of psychiatric hospitalization. Naturalistic study of two age- and gender-matched ASD cohorts, inpatients enrolled in the Autism Inpatient Collection (AIC) and outpatients enrolled in the Rhode Island Consortium of Autism Research and Treatment (RI-CART), revealed a number of factors associated with hospitalization. Multiple logistic regression analyses revealed that adaptive functioning, ASD symptom severity, primary caregiver's marital status, the presence of mood disorders, and the presence of sleep problems independently increased the risk of psychiatric hospitalization. En ligne : http://dx.doi.org/10.1007/s10803-017-3154-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Risk Factors for Self-injurious Behavior in an Inpatient Psychiatric Sample of Children with Autism Spectrum Disorder: A Naturalistic Observation Study / B. L. HANDEN in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Risk Factors for Self-injurious Behavior in an Inpatient Psychiatric Sample of Children with Autism Spectrum Disorder: A Naturalistic Observation Study Type de document : Texte imprimé et/ou numérique Auteurs : B. L. HANDEN, Auteur ; C. A. MAZEFSKY, Auteur ; R. L. GABRIELS, Auteur ; K. A. PEDERSEN, Auteur ; M. WALLACE, Auteur ; M. SIEGEL, Auteur Article en page(s) : p.3678-3688 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection (AIC) Autism Spectrum Disorder (ASD) Psychiatric hospitalization Self-injurious behavior (SIB) Index. décimale : PER Périodiques Résumé : Limited information about self-injurious behavior (SIB) is known for children and adolescents with Autism Spectrum Disorder (ASD) who require intensive behavioral health interventions. We examined risk-factors for SIB in 302 individuals with ASD (ages 4-20) admitted to six specialized psychiatric inpatient units. Seventy-four percent were reported by a caregiver to display SIB, however, only 25% were observed to engage in daily SIB during hospitalization. Those exhibiting SIB across environments had significantly higher ratings on caregiver questionnaires of SIB severity. Tree-structured classification was used to develop and validate two predictive models, one indicating which inpatient youth with ASD are likely to have SIB and a second indicating which individuals with SIB at home are likely to continue in an inpatient setting. En ligne : http://dx.doi.org/10.1007/s10803-017-3460-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3678-3688[article] Risk Factors for Self-injurious Behavior in an Inpatient Psychiatric Sample of Children with Autism Spectrum Disorder: A Naturalistic Observation Study [Texte imprimé et/ou numérique] / B. L. HANDEN, Auteur ; C. A. MAZEFSKY, Auteur ; R. L. GABRIELS, Auteur ; K. A. PEDERSEN, Auteur ; M. WALLACE, Auteur ; M. SIEGEL, Auteur . - p.3678-3688.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3678-3688
Mots-clés : Autism Inpatient Collection (AIC) Autism Spectrum Disorder (ASD) Psychiatric hospitalization Self-injurious behavior (SIB) Index. décimale : PER Périodiques Résumé : Limited information about self-injurious behavior (SIB) is known for children and adolescents with Autism Spectrum Disorder (ASD) who require intensive behavioral health interventions. We examined risk-factors for SIB in 302 individuals with ASD (ages 4-20) admitted to six specialized psychiatric inpatient units. Seventy-four percent were reported by a caregiver to display SIB, however, only 25% were observed to engage in daily SIB during hospitalization. Those exhibiting SIB across environments had significantly higher ratings on caregiver questionnaires of SIB severity. Tree-structured classification was used to develop and validate two predictive models, one indicating which inpatient youth with ASD are likely to have SIB and a second indicating which individuals with SIB at home are likely to continue in an inpatient setting. En ligne : http://dx.doi.org/10.1007/s10803-017-3460-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting / L. M. HOROWITZ in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting Type de document : Texte imprimé et/ou numérique Auteurs : L. M. HOROWITZ, Auteur ; A. THURM, Auteur ; C. FARMER, Auteur ; C. MAZEFSKY, Auteur ; E. LANZILLO, Auteur ; Jeffrey A. BRIDGE, Auteur ; R. GREENBAUM, Auteur ; M. PAO, Auteur ; M. SIEGEL, Auteur Article en page(s) : p.3702-3710 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection (AIC) Autism spectrum disorder Inpatient Psychiatric patients Screening Suicidal ideation Suicide Index. décimale : PER Périodiques Résumé : Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide "often," or "very often." Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12-6.55) or anxiety disorder (OR 2.32, 95% CI 1.10-4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-017-3180-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3702-3710[article] Talking About Death or Suicide: Prevalence and Clinical Correlates in Youth with Autism Spectrum Disorder in the Psychiatric Inpatient Setting [Texte imprimé et/ou numérique] / L. M. HOROWITZ, Auteur ; A. THURM, Auteur ; C. FARMER, Auteur ; C. MAZEFSKY, Auteur ; E. LANZILLO, Auteur ; Jeffrey A. BRIDGE, Auteur ; R. GREENBAUM, Auteur ; M. PAO, Auteur ; M. SIEGEL, Auteur . - p.3702-3710.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3702-3710
Mots-clés : Autism Inpatient Collection (AIC) Autism spectrum disorder Inpatient Psychiatric patients Screening Suicidal ideation Suicide Index. décimale : PER Périodiques Résumé : Little is known about suicidal ideation in youth with autism spectrum disorder (ASD), making it difficult to identify those at heightened risk. This study describes the prevalence of thoughts about death and suicide in 107 verbal youth with ASD with non-verbal IQ >55, assessed during inpatient psychiatric admission. Per parent report, 22% of youth with ASD had several day periods when they talked about death or suicide "often," or "very often." Clinical correlates included the presence of a comorbid mood (OR 2.71, 95% CI 1.12-6.55) or anxiety disorder (OR 2.32, 95% CI 1.10-4.93). The results suggest a need for developmentally appropriate suicide risk screening measures in ASD. Reliable detection of suicidal thoughts in this high-risk population will inform suicide prevention strategies. En ligne : http://dx.doi.org/10.1007/s10803-017-3180-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 Problem Behaviors in Autism Spectrum Disorder: Association with Verbal Ability and Adapting/Coping Skills / D. L. WILLIAMS in Journal of Autism and Developmental Disorders, 48-11 (November 2018)
[article]
Titre : Problem Behaviors in Autism Spectrum Disorder: Association with Verbal Ability and Adapting/Coping Skills Type de document : Texte imprimé et/ou numérique Auteurs : D. L. WILLIAMS, Auteur ; M. SIEGEL, Auteur ; C. A. MAZEFSKY, Auteur Article en page(s) : p.3668-3677 Langues : Anglais (eng) Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder (ASD) Challenging behavior Communication Coping skills Psychiatric inpatients Index. décimale : PER Périodiques Résumé : Data from the Autism Inpatient Collection was used to examine the relationship between problem behaviors and verbal ability, which have generally, though not universally, been highly associated. In a comparison of 169 minimally-verbal and 177 fluently-verbal 4 to 20-year-old psychiatric inpatients with ASD, the severity of self-injurious behavior, stereotyped behavior, and irritability (including aggression and tantrums) did not significantly differ, when controlling for age and NVIQ. Verbal ability was not strongly related to the severity of problem behaviors. However, lower adapting/coping scores were significantly associated with increasing severity of each type of problem behavior, even when accounting for verbal ability. Interventions to develop adapting/coping mechanisms may be important for mitigation of problem behaviors across the spectrum of individuals with ASD. En ligne : http://dx.doi.org/10.1007/s10803-017-3179-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3668-3677[article] Problem Behaviors in Autism Spectrum Disorder: Association with Verbal Ability and Adapting/Coping Skills [Texte imprimé et/ou numérique] / D. L. WILLIAMS, Auteur ; M. SIEGEL, Auteur ; C. A. MAZEFSKY, Auteur . - p.3668-3677.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-11 (November 2018) . - p.3668-3677
Mots-clés : Autism inpatient collection (AIC) Autism spectrum disorder (ASD) Challenging behavior Communication Coping skills Psychiatric inpatients Index. décimale : PER Périodiques Résumé : Data from the Autism Inpatient Collection was used to examine the relationship between problem behaviors and verbal ability, which have generally, though not universally, been highly associated. In a comparison of 169 minimally-verbal and 177 fluently-verbal 4 to 20-year-old psychiatric inpatients with ASD, the severity of self-injurious behavior, stereotyped behavior, and irritability (including aggression and tantrums) did not significantly differ, when controlling for age and NVIQ. Verbal ability was not strongly related to the severity of problem behaviors. However, lower adapting/coping scores were significantly associated with increasing severity of each type of problem behavior, even when accounting for verbal ability. Interventions to develop adapting/coping mechanisms may be important for mitigation of problem behaviors across the spectrum of individuals with ASD. En ligne : http://dx.doi.org/10.1007/s10803-017-3179-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370