A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples / Caitlin M. CONNER in Journal of Autism and Developmental Disorders, 50-10 (October 2020)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3545-3560 Titre : A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples Type de document : Texte imprimé et/ou numérique Auteurs : Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Giulia RIGHI, Auteur ; Rebecca SHAFFER, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.3545-3560 Langues : Anglais (eng) Mots-clés : Asd  Autism  Dysphoria  Emotion regulation  Reactivity  Suicidality Index. décimale : PER Périodiques Résumé : Evidence suggests increased rates of suicidality in autism spectrum disorder (ASD), but the research has rarely used comparison samples and the role of emotion dysregulation has not been considered. We compared the prevalence of parent-reported suicidality ideation and considered the role of emotion dysregulation in 330 psychiatric inpatient youth with ASD, 1169 community youth with ASD surveyed online, and 1000 youth representative of the US census. The prevalence of suicidal ideation was three and five times higher in the community and inpatient ASD samples, respectively, compared to the general US sample. In the ASD groups, greater emotion dysregulation was associated with suicidal ideation. Implications include consideration of emotion regulation as a potential mechanism and treatment target for suicidality in ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04370-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 [article] A Comparative Study of Suicidality and Its Association with Emotion Regulation Impairment in Large ASD and US Census-Matched Samples [Texte imprimé et/ou numérique] / Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Giulia RIGHI, Auteur ; Rebecca SHAFFER, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur . - p.3545-3560. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3545-3560 Mots-clés : Asd  Autism  Dysphoria  Emotion regulation  Reactivity  Suicidality Index. décimale : PER Périodiques Résumé : Evidence suggests increased rates of suicidality in autism spectrum disorder (ASD), but the research has rarely used comparison samples and the role of emotion dysregulation has not been considered. We compared the prevalence of parent-reported suicidality ideation and considered the role of emotion dysregulation in 330 psychiatric inpatient youth with ASD, 1169 community youth with ASD surveyed online, and 1000 youth representative of the US census. The prevalence of suicidal ideation was three and five times higher in the community and inpatient ASD samples, respectively, compared to the general US sample. In the ASD groups, greater emotion dysregulation was associated with suicidal ideation. Implications include consideration of emotion regulation as a potential mechanism and treatment target for suicidality in ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04370-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432

Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services / Caitlin M. CONNER in Autism Research, 14-1 (January 2021)  

Public ISBD [article]  inAutism Research > 14-1 (January 2021) . - p.169-181 Titre : Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services Type de document : Texte imprimé et/ou numérique Auteurs : Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Rebecca SHAFFER, Auteur ; Giulia RIGHI, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur Article en page(s) : p.169-181 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm-referenced ER measure with clinical cut-offs, developed and validated in ASD and non-ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6–17 year olds in three well-characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in-home crisis evaluations for emotional or behavioral concerns in the past 2?months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co-occurring intellectual disability, and ADHD symptoms. This is the first large-scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD-related symptoms. Lay Summary This study compared problems with emotion regulation in large samples of youth with and without ASD. An ASD community sample had two to four times more youth with clinically elevated regulation impairments compared to youth without ASD. Emotion regulation impairment was also related to using psychiatric hospitalizations, emergency services, and medications in the ASD group. This study suggests that screening for emotion regulation difficulties in ASD is important and treatment may have a wide ranging impact. En ligne : http://dx.doi.org/10.1002/aur.2450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=441 [article] Emotion Dysregulation is Substantially Elevated in Autism Compared to the General Population: Impact on Psychiatric Services [Texte imprimé et/ou numérique] / Caitlin M. CONNER, Auteur ; Josh GOLT, Auteur ; Rebecca SHAFFER, Auteur ; Giulia RIGHI, Auteur ; Matthew SIEGEL, Auteur ; Carla A. MAZEFSKY, Auteur . - p.169-181. Langues : Anglais (eng) in Autism Research > 14-1 (January 2021) . - p.169-181 Index. décimale : PER Périodiques Résumé : Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm-referenced ER measure with clinical cut-offs, developed and validated in ASD and non-ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6–17 year olds in three well-characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in-home crisis evaluations for emotional or behavioral concerns in the past 2?months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co-occurring intellectual disability, and ADHD symptoms. This is the first large-scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD-related symptoms. Lay Summary This study compared problems with emotion regulation in large samples of youth with and without ASD. An ASD community sample had two to four times more youth with clinically elevated regulation impairments compared to youth without ASD. Emotion regulation impairment was also related to using psychiatric hospitalizations, emergency services, and medications in the ASD group. This study suggests that screening for emotion regulation difficulties in ASD is important and treatment may have a wide ranging impact. En ligne : http://dx.doi.org/10.1002/aur.2450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=441

From Alert Child to Sleepy Adolescent: Age Trends in Chronotype, Social Jetlag, and Sleep Problems in Youth with Autism / Briana J. TAYLOR in Journal of Autism and Developmental Disorders, 54-12 (December 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-12 (December 2024) . - p.4529-4539 Titre : From Alert Child to Sleepy Adolescent: Age Trends in Chronotype, Social Jetlag, and Sleep Problems in Youth with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Briana J. TAYLOR, Auteur ; Kahsi A. PEDERSEN, Auteur ; Carla A. MAZEFSKY, Auteur ; Martine A. LAMY, Auteur ; Charles F. REYNOLDS, Auteur ; William R. STRATHMANN, Auteur ; Matthew SIEGEL, Auteur Article en page(s) : p.4529-4539 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Developmental changes in sleep in youth with autism spectrum disorder (ASD) are understudied. In non-ASD youth, adolescents exhibit a "night owl chronotype" (i.e., later sleep/wake timing) and social jetlag (i.e., shifts in sleep timing across school nights and weekends), with corresponding sleep problems. The purpose of this study is to evaluate age trends in chronotype, social jetlag, and sleep problems in high-risk youth with ASD. En ligne : https://doi.org/10.1007/s10803-023-06187-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540 [article] From Alert Child to Sleepy Adolescent: Age Trends in Chronotype, Social Jetlag, and Sleep Problems in Youth with Autism [Texte imprimé et/ou numérique] / Briana J. TAYLOR, Auteur ; Kahsi A. PEDERSEN, Auteur ; Carla A. MAZEFSKY, Auteur ; Martine A. LAMY, Auteur ; Charles F. REYNOLDS, Auteur ; William R. STRATHMANN, Auteur ; Matthew SIEGEL, Auteur . - p.4529-4539. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-12 (December 2024) . - p.4529-4539 Index. décimale : PER Périodiques Résumé : Developmental changes in sleep in youth with autism spectrum disorder (ASD) are understudied. In non-ASD youth, adolescents exhibit a "night owl chronotype" (i.e., later sleep/wake timing) and social jetlag (i.e., shifts in sleep timing across school nights and weekends), with corresponding sleep problems. The purpose of this study is to evaluate age trends in chronotype, social jetlag, and sleep problems in high-risk youth with ASD. En ligne : https://doi.org/10.1007/s10803-023-06187-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=540

Insomnia subtypes and clinical impairment in hospitalized children with autism spectrum disorder / Briana J. TAYLOR in Autism, 25-3 (April 2021)  

Public ISBD [article]  inAutism > 25-3 (April 2021) . - p.656-666 Titre : Insomnia subtypes and clinical impairment in hospitalized children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Briana J. TAYLOR, Auteur ; Charles F. 3rd REYNOLDS, Auteur ; Matthew SIEGEL, Auteur Article en page(s) : p.656-666 Langues : Anglais (eng) Mots-clés : adaptive behavior  autism spectrum disorders  depression  psychiatric comorbidity  sleep Index. décimale : PER Périodiques Résumé : Insomnia subtypes are not well understood in the most severely affected children with autism spectrum disorder. We examined length of hospital stay, autism severity, nonverbal intelligence quotient, and behavioral functioning across insomnia subtypes in 427 psychiatrically hospitalized children with autism spectrum disorder (mean age = 12.8 ± 3.4; 81.3% male). Per parent report, 60% (n = 257) of children had at least one type of insomnia. The distribution of subtypes was difficulty falling asleep (26.1%, n = 67), difficulty staying asleep (24.9%, n = 64), early morning awakening (4.3%, n = 11), and multiple insomnia symptoms (44.7%, n = 115). Difficulty staying asleep and early morning awakenings were associated with longer hospital stays. Early morning awakening was also associated with higher autism symptom severity. In general, children with difficulty staying asleep or multiple insomnia symptoms scored lower on adaptive behaviors (e.g. communication, self-care, socialization) and higher on maladaptive behaviors (e.g. irritability, hyperactivity, emotional reactivity, and emotional dysphoria). Difficulty staying asleep or having multiple insomnia symptoms appears to be most strongly related to impaired behavioral functioning. Conversely, early morning awakenings may be more closely tied with autism spectrum disorder itself. Further research is needed regarding insomnia subtypes at the severe end of the autism spectrum. En ligne : http://dx.doi.org/10.1177/1362361320967524 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Insomnia subtypes and clinical impairment in hospitalized children with autism spectrum disorder [Texte imprimé et/ou numérique] / Briana J. TAYLOR, Auteur ; Charles F. 3rd REYNOLDS, Auteur ; Matthew SIEGEL, Auteur . - p.656-666. Langues : Anglais (eng) in Autism > 25-3 (April 2021) . - p.656-666 Mots-clés : adaptive behavior  autism spectrum disorders  depression  psychiatric comorbidity  sleep Index. décimale : PER Périodiques Résumé : Insomnia subtypes are not well understood in the most severely affected children with autism spectrum disorder. We examined length of hospital stay, autism severity, nonverbal intelligence quotient, and behavioral functioning across insomnia subtypes in 427 psychiatrically hospitalized children with autism spectrum disorder (mean age = 12.8 ± 3.4; 81.3% male). Per parent report, 60% (n = 257) of children had at least one type of insomnia. The distribution of subtypes was difficulty falling asleep (26.1%, n = 67), difficulty staying asleep (24.9%, n = 64), early morning awakening (4.3%, n = 11), and multiple insomnia symptoms (44.7%, n = 115). Difficulty staying asleep and early morning awakenings were associated with longer hospital stays. Early morning awakening was also associated with higher autism symptom severity. In general, children with difficulty staying asleep or multiple insomnia symptoms scored lower on adaptive behaviors (e.g. communication, self-care, socialization) and higher on maladaptive behaviors (e.g. irritability, hyperactivity, emotional reactivity, and emotional dysphoria). Difficulty staying asleep or having multiple insomnia symptoms appears to be most strongly related to impaired behavioral functioning. Conversely, early morning awakenings may be more closely tied with autism spectrum disorder itself. Further research is needed regarding insomnia subtypes at the severe end of the autism spectrum. En ligne : http://dx.doi.org/10.1177/1362361320967524 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder / Jessie B. NORTHRUP in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.968-982 Titre : Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur Article en page(s) : p.968-982 Langues : Anglais (eng) Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 [article] Observed emotional reactivity in response to frustration tasks in psychiatrically hospitalized youth with autism spectrum disorder [Texte imprimé et/ou numérique] / Jessie B. NORTHRUP, Auteur ; Matthew GOODWIN, Auteur ; Joshua MONTRENES, Auteur ; Jessica VEZZOLI, Auteur ; Josh GOLT, Auteur ; Christine B. PEURA, Auteur ; Matthew SIEGEL, Auteur ; Carla MAZEFSKY, Auteur . - p.968-982. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.968-982 Mots-clés : Autism Inpatient Collection  adaptive behavior  autism spectrum disorders  emotional reactivity  inpatient  verbal ability Index. décimale : PER Périodiques Résumé : Large emotional reactions (e.g. outbursts, tantrums) can be common and distressing in the lives of individuals with autism spectrum disorder and their families. Most previous research that has examined these types of emotional responses have used questionnaire data or focused only on young children. In addition, very little research has included individuals across a large range of intellectual and functional abilities or individuals with more severe emotional and/or behavioral difficulties. This study examined emotional reactions to frustrating tasks in 6-21-year-olds with autism spectrum disorder who were psychiatrically hospitalized due to emotional and/or behavioral difficulties. We describe change in the amount, intensity, duration, and range of emotional reactions that the participants displayed from a neutral activity to the frustrating tasks and then to a neutral recovery period. We also examined associations between characteristics of the participants and these emotional reactions. We found that younger children displayed more negative emotions across the neutral and frustrating tasks; however, age did not relate to how big their reactions to frustration were. Furthermore, we found that individuals with fewer adaptive skills (i.e. age-appropriate life skills) and minimally verbal individuals had bigger reactions and recovered less following the frustration tasks. The results highlight the importance of examining emotional reactions in individuals with lower verbal and adaptive abilities and for interventions to consider the connection between verbal and adaptive skills and emotional reactions. En ligne : http://dx.doi.org/10.1177/1362361320908108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425

Psychotropic Medications in Children with Autism Spectrum Disorders: A Systematic Review and Synthesis for Evidence-Based Practice / Matthew SIEGEL in Journal of Autism and Developmental Disorders, 42-8 (August 2012)  

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Specialized Inpatient Psychiatry for Serious Behavioral Disturbance in Autism and Intellectual Disability / Matthew SIEGEL in Journal of Autism and Developmental Disorders, 44-12 (December 2014)  

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Specialized Inpatient Psychiatry Units for Children with Autism and Developmental Disorders: A United States Survey / Matthew SIEGEL in Journal of Autism and Developmental Disorders, 42-9 (September 2012)  

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The autism inpatient collection: methods and preliminary sample description / Matthew SIEGEL in Molecular Autism, (November 2015)  

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