Prevalence of autism in first-episode psychosis in two Hong Kong teaching hospitals / Melody MY CHAN ; Flora YM MO ; Se-fong HUNG ; Patrick Wl LEUNG ; Kelly YC LAI ; Caroline KS SHEA in Autism, 28-9 (September 2024)  

Public ISBD [article]  inAutism > 28-9 (September 2024) . - p.2412-2421 Titre : Prevalence of autism in first-episode psychosis in two Hong Kong teaching hospitals Type de document : Texte imprimé et/ou numérique Auteurs : Melody MY CHAN, Auteur ; Flora YM MO, Auteur ; Se-fong HUNG, Auteur ; Patrick Wl LEUNG, Auteur ; Kelly YC LAI, Auteur ; Caroline KS SHEA, Auteur Article en page(s) : p.2412-2421 Langues : (en) Mots-clés : adolescence  autism  comorbidity  FEP  prevalence  psychosis Index. décimale : PER Périodiques Résumé : This study estimated the prevalence of autism spectrum disorder in a 5-year inpatient cohort of children and adolescents diagnosed with first-episode psychosis in two Hong Kong teaching hospitals, and explored the clinical characteristics predicting first-episode psychosis-autism spectrum disorder comorbidity. The autism spectrum disorder diagnoses of 103 patients with first-episode psychosis were confirmed by Autism Diagnostic Interview-Revised. Based on the (1) Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnostic checklist and (2) Autism Diagnostic Interview-Revised, three major observations were reported: (1) the prevalence of autism spectrum disorder among children and adolescents with first-episode psychosis was 28.2% (95% confidence interval = (19.7%, 37.9%)); (2) after administering the Autism Diagnostic Interview-Revised, an additional 31.0% of first-episode psychosis patients met the clinical diagnostic cut-off for autism spectrum disorder; and (3) multivariate binary logistic regression analysis showed that first-episode psychosis patients with a comorbid autism spectrum disorder diagnosis were more likely to be a male than a female (adjusted odds ratio = 3.57, 95% confidence interval = (1.29, 9.86), p = 0.014). Adding to the current literature, this study examined first-episode psychosis-autism spectrum disorder comorbidity with a large Chinese, inpatient sample with first-episode psychosis. Consistent with studies conducted overseas, we show that autism spectrum disorder is a common comorbidity among Chinese first-episode psychosis patients. A comprehensive autism spectrum disorder assessment that incorporates both observation-based and parent-report diagnostic tools is warranted for children and adolescents, especially boys, with psychosis. Lay abstract Autistic features are commonly observed in children and adolescents with first-episode psychosis, but they are sometimes overlooked by clinicians and caregivers. By comprehensively examining the clinical profiles of 103 children and adolescents (below 18?years old) with first-episode psychosis and conducting the Autism Diagnostic Interview-Revised (the 'gold standard' autism diagnostic tool) with their primary caregivers, we showed that around 28% of patients with first-episode psychosis had a comorbid autism diagnosis, and boys were 3.57 times more likely to have first-episode psychosis-autism spectrum disorder comorbidity than girls. After administering the Autism Diagnostic Interview-Revised, we also observed that an additional 30% of patients with first-episode psychosis met the autism spectrum disorder diagnostic cut-off; their autism spectrum disorder symptoms were probably overshadowed by prodromal psychotic symptoms and left undetected before this study. The co-occurrence of autism and first-episode psychosis might be more common than we previously thought. Careful autism screening and assessment is highly recommended for clinicians working with patients with psychosis. En ligne : https://dx.doi.org/10.1177/13623613241259062 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535 [article] Prevalence of autism in first-episode psychosis in two Hong Kong teaching hospitals [Texte imprimé et/ou numérique] / Melody MY CHAN, Auteur ; Flora YM MO, Auteur ; Se-fong HUNG, Auteur ; Patrick Wl LEUNG, Auteur ; Kelly YC LAI, Auteur ; Caroline KS SHEA, Auteur . - p.2412-2421. Langues : (en) in Autism > 28-9 (September 2024) . - p.2412-2421 Mots-clés : adolescence  autism  comorbidity  FEP  prevalence  psychosis Index. décimale : PER Périodiques Résumé : This study estimated the prevalence of autism spectrum disorder in a 5-year inpatient cohort of children and adolescents diagnosed with first-episode psychosis in two Hong Kong teaching hospitals, and explored the clinical characteristics predicting first-episode psychosis-autism spectrum disorder comorbidity. The autism spectrum disorder diagnoses of 103 patients with first-episode psychosis were confirmed by Autism Diagnostic Interview-Revised. Based on the (1) Diagnostic and Statistical Manual of Mental Disorders (5th ed.) diagnostic checklist and (2) Autism Diagnostic Interview-Revised, three major observations were reported: (1) the prevalence of autism spectrum disorder among children and adolescents with first-episode psychosis was 28.2% (95% confidence interval = (19.7%, 37.9%)); (2) after administering the Autism Diagnostic Interview-Revised, an additional 31.0% of first-episode psychosis patients met the clinical diagnostic cut-off for autism spectrum disorder; and (3) multivariate binary logistic regression analysis showed that first-episode psychosis patients with a comorbid autism spectrum disorder diagnosis were more likely to be a male than a female (adjusted odds ratio = 3.57, 95% confidence interval = (1.29, 9.86), p = 0.014). Adding to the current literature, this study examined first-episode psychosis-autism spectrum disorder comorbidity with a large Chinese, inpatient sample with first-episode psychosis. Consistent with studies conducted overseas, we show that autism spectrum disorder is a common comorbidity among Chinese first-episode psychosis patients. A comprehensive autism spectrum disorder assessment that incorporates both observation-based and parent-report diagnostic tools is warranted for children and adolescents, especially boys, with psychosis. Lay abstract Autistic features are commonly observed in children and adolescents with first-episode psychosis, but they are sometimes overlooked by clinicians and caregivers. By comprehensively examining the clinical profiles of 103 children and adolescents (below 18?years old) with first-episode psychosis and conducting the Autism Diagnostic Interview-Revised (the 'gold standard' autism diagnostic tool) with their primary caregivers, we showed that around 28% of patients with first-episode psychosis had a comorbid autism diagnosis, and boys were 3.57 times more likely to have first-episode psychosis-autism spectrum disorder comorbidity than girls. After administering the Autism Diagnostic Interview-Revised, we also observed that an additional 30% of patients with first-episode psychosis met the autism spectrum disorder diagnostic cut-off; their autism spectrum disorder symptoms were probably overshadowed by prodromal psychotic symptoms and left undetected before this study. The co-occurrence of autism and first-episode psychosis might be more common than we previously thought. Careful autism screening and assessment is highly recommended for clinicians working with patients with psychosis. En ligne : https://dx.doi.org/10.1177/13623613241259062 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=535

Test–retest reliability and criterion validity of the Chinese version of CBCL, TRF, and YSR / Patrick W.L. LEUNG in Journal of Child Psychology and Psychiatry, 47-9 (September 2006)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 47-9 (September 2006) . - p.970–973 Titre : Test–retest reliability and criterion validity of the Chinese version of CBCL, TRF, and YSR Type de document : Texte imprimé et/ou numérique Auteurs : Patrick W.L. LEUNG, Auteur ; S.L. KWONG, Auteur ; T.P. HO, Auteur ; C.C. LEE, Auteur ; S.L. HONG, Auteur ; C.M. CHIU, Auteur ; W.S. LIU, Auteur ; Se-fong HUNG, Auteur ; Chun-pan TANG, Auteur Année de publication : 2006 Article en page(s) : p.970–973 Langues : Anglais (eng) Mots-clés : CBCL TRF YSR reliability validity Chinese Index. décimale : PER Périodiques Résumé : Background: Psychometric properties of the Chinese version of CBCL, TRF, and YSR were understudied. This study aimed at examining their test–retest reliability and criterion validity. Methods: Three Chinese community and clinic samples were recruited in Hong Kong. The parents, teachers, and youths respectively completed the CBCL, TRF, and YSR. Results: The Chinese CBCL, TRF, and YSR were test–retest reliable and valid. However, there was score/case attenuation at retest. CBCL and TRF appeared to screen externalizing and ADHD problems better, while YSR screened internalizing problems better. Conclusions: Clinicians should be cautious about score/case attenuation at retest while using CBCL, TRF, and YSR to chart patients' progress. They should also recognize their different strengths in screening various disorders. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01570.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=784 [article] Test–retest reliability and criterion validity of the Chinese version of CBCL, TRF, and YSR [Texte imprimé et/ou numérique] / Patrick W.L. LEUNG, Auteur ; S.L. KWONG, Auteur ; T.P. HO, Auteur ; C.C. LEE, Auteur ; S.L. HONG, Auteur ; C.M. CHIU, Auteur ; W.S. LIU, Auteur ; Se-fong HUNG, Auteur ; Chun-pan TANG, Auteur . - 2006 . - p.970–973. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 47-9 (September 2006) . - p.970–973 Mots-clés : CBCL TRF YSR reliability validity Chinese Index. décimale : PER Périodiques Résumé : Background: Psychometric properties of the Chinese version of CBCL, TRF, and YSR were understudied. This study aimed at examining their test–retest reliability and criterion validity. Methods: Three Chinese community and clinic samples were recruited in Hong Kong. The parents, teachers, and youths respectively completed the CBCL, TRF, and YSR. Results: The Chinese CBCL, TRF, and YSR were test–retest reliable and valid. However, there was score/case attenuation at retest. CBCL and TRF appeared to screen externalizing and ADHD problems better, while YSR screened internalizing problems better. Conclusions: Clinicians should be cautious about score/case attenuation at retest while using CBCL, TRF, and YSR to chart patients' progress. They should also recognize their different strengths in screening various disorders. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2005.01570.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=784

The Mental Health of the Peers of Suicide Completers and Attempters / Ting-pong HO in Journal of Child Psychology and Psychiatry, 41-3 (March 2000)

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 41-3 (March 2000) . - p.301-308 Titre : The Mental Health of the Peers of Suicide Completers and Attempters Type de document : Texte imprimé et/ou numérique Auteurs : Ting-pong HO, Auteur ; Patrick W.L. LEUNG, Auteur ; Se-fong HUNG, Auteur ; Chi-chiu LEE, Auteur ; Chun-pan TANG, Auteur Année de publication : 2000 Article en page(s) : p.301-308 Langues : Anglais (eng) Mots-clés : Adolescence  mental health  peer relationships  psychiatric disturbances  suicidal behaviour Index. décimale : PER Périodiques Résumé : This study examined the prevalence and risk of psychiatric disturbances and suicidal behaviours among the peers of suicide attempters and completers. The subjects were selected from high schools with and without history of student suicides in the past 3 years. The psychiatric disturbances (as measured by the YSR and CBCL), suicidal behaviours, drug use, and a wide range of potential risk factors were measured. About a quarter of the peers of suicide completers and attempters were probable psychiatric cases and 15–21% of them reported suicidal acts. The increased risk of psychiatric disturbances and suicidal behaviours were still evident after controlling for age, sex, and potential risk factors. The presence of psychiatric disturbances could not wholly account for the increased odds of suicidal behaviours. Peers of suicide attempters carried a higher risk than peers of suicide completers. The close friends of suicide completers were particularly at risk of internalising problems, whereas the close friends of suicide attempters were at high risk of externalising problems. The peers of suicide completers and attempters represent a high-risk group for psychiatric disturbances and suicidal behaviours. The specific association of different types of psychiatric disturbances in the peers of suicide completers and attempters suggested that different risk mechanisms might be in operation within these peer groups. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125 [article] The Mental Health of the Peers of Suicide Completers and Attempters [Texte imprimé et/ou numérique] / Ting-pong HO, Auteur ; Patrick W.L. LEUNG, Auteur ; Se-fong HUNG, Auteur ; Chi-chiu LEE, Auteur ; Chun-pan TANG, Auteur . - 2000 . - p.301-308. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 41-3 (March 2000) . - p.301-308 Mots-clés : Adolescence  mental health  peer relationships  psychiatric disturbances  suicidal behaviour Index. décimale : PER Périodiques Résumé : This study examined the prevalence and risk of psychiatric disturbances and suicidal behaviours among the peers of suicide attempters and completers. The subjects were selected from high schools with and without history of student suicides in the past 3 years. The psychiatric disturbances (as measured by the YSR and CBCL), suicidal behaviours, drug use, and a wide range of potential risk factors were measured. About a quarter of the peers of suicide completers and attempters were probable psychiatric cases and 15–21% of them reported suicidal acts. The increased risk of psychiatric disturbances and suicidal behaviours were still evident after controlling for age, sex, and potential risk factors. The presence of psychiatric disturbances could not wholly account for the increased odds of suicidal behaviours. Peers of suicide attempters carried a higher risk than peers of suicide completers. The close friends of suicide completers were particularly at risk of internalising problems, whereas the close friends of suicide attempters were at high risk of externalising problems. The peers of suicide completers and attempters represent a high-risk group for psychiatric disturbances and suicidal behaviours. The specific association of different types of psychiatric disturbances in the peers of suicide completers and attempters suggested that different risk mechanisms might be in operation within these peer groups. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=125

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