Empirical support for a model of risk and resilience in children and families during COVID-19: A systematic review & narrative synthesis / Melissa KIMBER ; Heather PRIME ; Gillian SHOYCHET ; Jonathan WEISS in Development and Psychopathology, 35-5 (December 2023)  

Public ISBD [article]  inDevelopment and Psychopathology > 35-5 (December 2023) . - p.2464-2481 Titre : Empirical support for a model of risk and resilience in children and families during COVID-19: A systematic review & narrative synthesis Type de document : Texte imprimé et/ou numérique Auteurs : Melissa KIMBER, Auteur ; Heather PRIME, Auteur ; Gillian SHOYCHET, Auteur ; Jonathan WEISS, Auteur Article en page(s) : p.2464-2481 Mots-clés : COVID-19  Child functioning  family functioning  family systems  risk and resilience Index. décimale : PER Périodiques Résumé : Background.The COVID-19 Family Disruption Model (FDM) describes the cascading effects of pandemic-related social disruptions on child and family psychosocial functioning. The current systematic review assesses the empirical support for the model.Methods.Study eligibility: 1) children between 2?18 years (and/or their caregivers); 2) a quantitative longitudinal design; 3) published findings during the first 2.5 years of COVID-19; 4) an assessment of caregiver and/or family functioning; 5) an assessment of child internalizing, externalizing, or positive adjustment; and 6) an examination of a COVID-19 FDM pathway. Following a search of PsycINFO and MEDLINE in August 2022, screening, full-text assessments, and data extraction were completed by two reviewers. Study quality was examined using an adapted NIH risk-of- bias tool.Results.Findings from 47 studies were summarized using descriptive statistics, tables, and a narrative synthesis. There is emerging support for bidirectional pathways linking caregiver-child functioning and family-child functioning, particularly for child internalizing problems. Quality assessments indicated issues with attrition and power justification.Discussion.We provide a critical summary of the empirical support for the model, highlighting themes related to family systems theory and risk/resilience. We outline future directions for research on child and family well-being during COVID-19. Systematic review registration. PROSPERO [CRD42022327191]. En ligne : https://dx.doi.org/10.1017/S0954579423000767 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 [article] Empirical support for a model of risk and resilience in children and families during COVID-19: A systematic review & narrative synthesis [Texte imprimé et/ou numérique] / Melissa KIMBER, Auteur ; Heather PRIME, Auteur ; Gillian SHOYCHET, Auteur ; Jonathan WEISS, Auteur . - p.2464-2481. in Development and Psychopathology > 35-5 (December 2023) . - p.2464-2481 Mots-clés : COVID-19  Child functioning  family functioning  family systems  risk and resilience Index. décimale : PER Périodiques Résumé : Background.The COVID-19 Family Disruption Model (FDM) describes the cascading effects of pandemic-related social disruptions on child and family psychosocial functioning. The current systematic review assesses the empirical support for the model.Methods.Study eligibility: 1) children between 2?18 years (and/or their caregivers); 2) a quantitative longitudinal design; 3) published findings during the first 2.5 years of COVID-19; 4) an assessment of caregiver and/or family functioning; 5) an assessment of child internalizing, externalizing, or positive adjustment; and 6) an examination of a COVID-19 FDM pathway. Following a search of PsycINFO and MEDLINE in August 2022, screening, full-text assessments, and data extraction were completed by two reviewers. Study quality was examined using an adapted NIH risk-of- bias tool.Results.Findings from 47 studies were summarized using descriptive statistics, tables, and a narrative synthesis. There is emerging support for bidirectional pathways linking caregiver-child functioning and family-child functioning, particularly for child internalizing problems. Quality assessments indicated issues with attrition and power justification.Discussion.We provide a critical summary of the empirical support for the model, highlighting themes related to family systems theory and risk/resilience. We outline future directions for research on child and family well-being during COVID-19. Systematic review registration. PROSPERO [CRD42022327191]. En ligne : https://dx.doi.org/10.1017/S0954579423000767 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519

Mental health across the lifespan / Katherine GOTHAM in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.805-808 Titre : Mental health across the lifespan Type de document : Texte imprimé et/ou numérique Auteurs : Katherine GOTHAM, Auteur ; Sarah A. CASSIDY, Auteur ; Jonathan WEISS, Auteur Article en page(s) : p.805-808 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1177/1362361320912132 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 [article] Mental health across the lifespan [Texte imprimé et/ou numérique] / Katherine GOTHAM, Auteur ; Sarah A. CASSIDY, Auteur ; Jonathan WEISS, Auteur . - p.805-808. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.805-808 Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1177/1362361320912132 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425

Mental Health Providers' Perspectives on What Helps and Hinders in Psychotherapy for Autistic Adults with Co-occurring Mental Health Problems / Theresa JUBENVILLE-WOOD in Journal of Autism and Developmental Disorders, 54-11 (November)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-11 (November) . - p.4311-4324 Titre : Mental Health Providers' Perspectives on What Helps and Hinders in Psychotherapy for Autistic Adults with Co-occurring Mental Health Problems Type de document : Texte imprimé et/ou numérique Auteurs : Theresa JUBENVILLE-WOOD, Auteur ; David B. NICHOLAS, Auteur ; Jonathan WEISS, Auteur ; Sharon CAIRNS, Auteur Article en page(s) : p.4311-4324 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Autistic adults experience disproportionate rates of co-occurring mental health problems. Psychotherapy has been recognized as an appropriate treatment approach, but evidence is limited. Researchers used a qualitative research paradigm to explore the experiences of mental health providers who provide psychotherapy to autistic adults. The Enhanced Critical Incident Technique was used to interview 13 mental health providers regarding perceptions of facilitating therapy with autistic adults. This research highlights challenges to providing psychotherapy to autistic adults while also illuminating ways that mental health providers have worked to ameliorate such challenges and create positive experiences in therapy. This research also contrasts therapy for autistic adults relative to the general population. Practice recommendations and suggestions for future research are offered. En ligne : https://doi.org/10.1007/s10803-023-06143-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537 [article] Mental Health Providers' Perspectives on What Helps and Hinders in Psychotherapy for Autistic Adults with Co-occurring Mental Health Problems [Texte imprimé et/ou numérique] / Theresa JUBENVILLE-WOOD, Auteur ; David B. NICHOLAS, Auteur ; Jonathan WEISS, Auteur ; Sharon CAIRNS, Auteur . - p.4311-4324. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-11 (November) . - p.4311-4324 Index. décimale : PER Périodiques Résumé : Autistic adults experience disproportionate rates of co-occurring mental health problems. Psychotherapy has been recognized as an appropriate treatment approach, but evidence is limited. Researchers used a qualitative research paradigm to explore the experiences of mental health providers who provide psychotherapy to autistic adults. The Enhanced Critical Incident Technique was used to interview 13 mental health providers regarding perceptions of facilitating therapy with autistic adults. This research highlights challenges to providing psychotherapy to autistic adults while also illuminating ways that mental health providers have worked to ameliorate such challenges and create positive experiences in therapy. This research also contrasts therapy for autistic adults relative to the general population. Practice recommendations and suggestions for future research are offered. En ligne : https://doi.org/10.1007/s10803-023-06143-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537

Premature mortality in a population-based cohort of autistic adults in Canada / Yona LUNSKY in Autism Research, 15-8 (August 2022)  

Public ISBD [article]  inAutism Research > 15-8 (August 2022) . - p.1550-1559 Titre : Premature mortality in a population-based cohort of autistic adults in Canada Type de document : Texte imprimé et/ou numérique Auteurs : Yona LUNSKY, Auteur ; Meng-Chuan LAI, Auteur ; Robert BALOGH, Auteur ; Hannah CHUNG, Auteur ; Anna DURBIN, Auteur ; Patrick JACHYRA, Auteur ; Ami TINT, Auteur ; Jonathan WEISS, Auteur ; Elizabeth LIN, Auteur Article en page(s) : p.1550-1559 Langues : Anglais (eng) Mots-clés : Adult  Autism Spectrum Disorder/epidemiology  Autistic Disorder/epidemiology  Child  Cohort Studies  Developmental Disabilities/epidemiology  Female  Humans  Infant, Newborn  Male  Mortality, Premature  Ontario/epidemiology  autism  developmental disabilities  premature mortality  sex differences Index. décimale : PER Périodiques Résumé : Research from different countries suggests that autistic adults are more likely to die prematurely than non-autistic adults, but these studies do not always investigate male and female individuals separately and do not consider whether this pattern is unique to autistic people or is also an issue for people with other developmental disabilities. We examined premature mortality in autistic males and females (assigned at birth) in a population-based cohort, compared to males and females with and without other developmental disabilities. Using linked administrative health and social services population data from Ontario, Canada, age-matched males and females aged 19-65years were followed between 2010 and 2016, and causes of death were determined. Over the 6-year observation period, 330 of 42,607 persons (0.77%) in the group without developmental disabilities had died compared to 259 of 10,646 persons (2.43%) in the autism group and 419 of 10,615 persons (3.95%) in the other developmental disabilities group. Autistic males and females were more likely to die than non-autistic males (adjusted risk ratio, RR 3.13, 95%CI 2.58-3.79) and non-autistic females (adjusted RR 3.12, 95%CI 2.35-4.13) without developmental disabilities, but were less likely to die than adults with other developmental disabilities (males: adjusted RR 0.66, 95%CI 0.55-0.79; females: adjusted RR 0.55, 95%CI 0.43-0.71). Most common causes of death varied depending on a person's sex and diagnosis. Given the greater likelihood of premature mortality in adults with developmental disabilities including autism, greater attention and resources directed toward their health and social care are needed, tailored to their sex and diagnosis-informed needs. LAY SUMMARY: This study looked at how many autistic men and women died over 6years (2010-2016), along with how they died, and compared this to adults who did not have autism living in Ontario, Canada. It found that autistic men and women were more than three times as likely to die as people of the same age who did not have a developmental disability. However, adults with other developmental disabilities besides autism were even more likely to die than autistic adults. This means that we have to pay more attention and invest in better social and health care for autistic people, along with people who have other types of developmental disabilities. En ligne : http://dx.doi.org/10.1002/aur.2741 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483 [article] Premature mortality in a population-based cohort of autistic adults in Canada [Texte imprimé et/ou numérique] / Yona LUNSKY, Auteur ; Meng-Chuan LAI, Auteur ; Robert BALOGH, Auteur ; Hannah CHUNG, Auteur ; Anna DURBIN, Auteur ; Patrick JACHYRA, Auteur ; Ami TINT, Auteur ; Jonathan WEISS, Auteur ; Elizabeth LIN, Auteur . - p.1550-1559. Langues : Anglais (eng) in Autism Research > 15-8 (August 2022) . - p.1550-1559 Mots-clés : Adult  Autism Spectrum Disorder/epidemiology  Autistic Disorder/epidemiology  Child  Cohort Studies  Developmental Disabilities/epidemiology  Female  Humans  Infant, Newborn  Male  Mortality, Premature  Ontario/epidemiology  autism  developmental disabilities  premature mortality  sex differences Index. décimale : PER Périodiques Résumé : Research from different countries suggests that autistic adults are more likely to die prematurely than non-autistic adults, but these studies do not always investigate male and female individuals separately and do not consider whether this pattern is unique to autistic people or is also an issue for people with other developmental disabilities. We examined premature mortality in autistic males and females (assigned at birth) in a population-based cohort, compared to males and females with and without other developmental disabilities. Using linked administrative health and social services population data from Ontario, Canada, age-matched males and females aged 19-65years were followed between 2010 and 2016, and causes of death were determined. Over the 6-year observation period, 330 of 42,607 persons (0.77%) in the group without developmental disabilities had died compared to 259 of 10,646 persons (2.43%) in the autism group and 419 of 10,615 persons (3.95%) in the other developmental disabilities group. Autistic males and females were more likely to die than non-autistic males (adjusted risk ratio, RR 3.13, 95%CI 2.58-3.79) and non-autistic females (adjusted RR 3.12, 95%CI 2.35-4.13) without developmental disabilities, but were less likely to die than adults with other developmental disabilities (males: adjusted RR 0.66, 95%CI 0.55-0.79; females: adjusted RR 0.55, 95%CI 0.43-0.71). Most common causes of death varied depending on a person's sex and diagnosis. Given the greater likelihood of premature mortality in adults with developmental disabilities including autism, greater attention and resources directed toward their health and social care are needed, tailored to their sex and diagnosis-informed needs. LAY SUMMARY: This study looked at how many autistic men and women died over 6years (2010-2016), along with how they died, and compared this to adults who did not have autism living in Ontario, Canada. It found that autistic men and women were more than three times as likely to die as people of the same age who did not have a developmental disability. However, adults with other developmental disabilities besides autism were even more likely to die than autistic adults. This means that we have to pay more attention and invest in better social and health care for autistic people, along with people who have other types of developmental disabilities. En ligne : http://dx.doi.org/10.1002/aur.2741 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=483

Repeated use of hospital-based services and delayed hospital discharges in a population-based cohort of autistic adults in Canada / Yona LUNSKY ; Robert BALOGH ; Hannah CHUNG ; Anna DURBIN ; Meng-Chuan LAI ; Ami TINT ; Jonathan WEISS ; Barry Isaacs ; Elizabeth LIN in Autism, 29-2 (February 2025)  

Public ISBD [article]  inAutism > 29-2 (February 2025) . - p.536-543 Titre : Repeated use of hospital-based services and delayed hospital discharges in a population-based cohort of autistic adults in Canada : Autism Type de document : Texte imprimé et/ou numérique Auteurs : Yona LUNSKY, Auteur ; Robert BALOGH, Auteur ; Hannah CHUNG, Auteur ; Anna DURBIN, Auteur ; Meng-Chuan LAI, Auteur ; Ami TINT, Auteur ; Jonathan WEISS, Auteur ; Barry Isaacs, Auteur ; Elizabeth LIN, Auteur Article en page(s) : p.536-543 Langues : Anglais (eng) Mots-clés : autism  emergency departments  hospitalizations Index. décimale : PER Périodiques Résumé : Recognizing higher rates of co-occurring health conditions in autistic adults and the frequent use of hospital-based health care services, this study compared rates of repeat emergency visits, repeat hospitalizations, and delayed discharges in autistic adults to other adults with and without developmental disabilities matched for age and sex, living in Ontario, Canada. Returning to the hospital emergency department within a month, being readmitted to hospital within a month and experiencing a delayed discharge from hospital were each more likely to occur in autistic males and females than their counterparts without developmental disabilities, with the risk ratios being the highest for delayed discharges. Males and females with other developmental disabilities were more likely to return to the emergency department within a month than their autistic counterparts, and males with other developmental disabilities were more likely than autistic males to be readmitted to hospital, but the likelihood of delayed discharge in the two groups was similar. These findings suggest that more needs to be done to both improve hospital-based experiences of autistic adults and adults with other developmental disabilities, and to strengthen community-based care to reduce the likelihood of repeat and extended stays in hospital. Lay abstract We know that autistic people have more health problems and are more likely to go to the emergency department and get hospitalized than other people, but we know less about the problems they have once they get to the hospital. In this study, we looked at all autistic adults in Ontario and compared them to adults who were not autistic and to adults who had other kinds of developmental disabilities to see who came back to the emergency department in the month after an emergency department visit, who got re-hospitalized in the month after being sent home from hospital, and who stayed in the hospital longer than they needed to because there was no place appropriate for them to go to. We found that both autistic males and females were more likely to have these things happen to them than the same age- and sex-matched adults who did not have developmental disabilities. We also found that adults with other kinds of developmental disabilities had similar problems to autistic people. This makes us think that we need to work harder to improve health care for autistic adults and adults with other developmental disabilities when they come to hospital. We also need to make community services work better, and work more closely with hospital services, so that people only come to hospital when they need to and that they can go home when they are ready. En ligne : https://dx.doi.org/10.1177/13623613241299285 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548 [article] Repeated use of hospital-based services and delayed hospital discharges in a population-based cohort of autistic adults in Canada : Autism [Texte imprimé et/ou numérique] / Yona LUNSKY, Auteur ; Robert BALOGH, Auteur ; Hannah CHUNG, Auteur ; Anna DURBIN, Auteur ; Meng-Chuan LAI, Auteur ; Ami TINT, Auteur ; Jonathan WEISS, Auteur ; Barry Isaacs, Auteur ; Elizabeth LIN, Auteur . - p.536-543. Langues : Anglais (eng) in Autism > 29-2 (February 2025) . - p.536-543 Mots-clés : autism  emergency departments  hospitalizations Index. décimale : PER Périodiques Résumé : Recognizing higher rates of co-occurring health conditions in autistic adults and the frequent use of hospital-based health care services, this study compared rates of repeat emergency visits, repeat hospitalizations, and delayed discharges in autistic adults to other adults with and without developmental disabilities matched for age and sex, living in Ontario, Canada. Returning to the hospital emergency department within a month, being readmitted to hospital within a month and experiencing a delayed discharge from hospital were each more likely to occur in autistic males and females than their counterparts without developmental disabilities, with the risk ratios being the highest for delayed discharges. Males and females with other developmental disabilities were more likely to return to the emergency department within a month than their autistic counterparts, and males with other developmental disabilities were more likely than autistic males to be readmitted to hospital, but the likelihood of delayed discharge in the two groups was similar. These findings suggest that more needs to be done to both improve hospital-based experiences of autistic adults and adults with other developmental disabilities, and to strengthen community-based care to reduce the likelihood of repeat and extended stays in hospital. Lay abstract We know that autistic people have more health problems and are more likely to go to the emergency department and get hospitalized than other people, but we know less about the problems they have once they get to the hospital. In this study, we looked at all autistic adults in Ontario and compared them to adults who were not autistic and to adults who had other kinds of developmental disabilities to see who came back to the emergency department in the month after an emergency department visit, who got re-hospitalized in the month after being sent home from hospital, and who stayed in the hospital longer than they needed to because there was no place appropriate for them to go to. We found that both autistic males and females were more likely to have these things happen to them than the same age- and sex-matched adults who did not have developmental disabilities. We also found that adults with other kinds of developmental disabilities had similar problems to autistic people. This makes us think that we need to work harder to improve health care for autistic adults and adults with other developmental disabilities when they come to hospital. We also need to make community services work better, and work more closely with hospital services, so that people only come to hospital when they need to and that they can go home when they are ready. En ligne : https://dx.doi.org/10.1177/13623613241299285 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548

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