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Détail de l'auteur
Auteur Nick BOURAS |
Documents disponibles écrits par cet auteur (3)



Behaviour Management Problems as Predictors of Psychotropic Medication and Use of Psychiatric Services in Adults with Autism / Elias TSAKANIKOS in Journal of Autism and Developmental Disorders, 37-6 (July 2007)
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Titre : Behaviour Management Problems as Predictors of Psychotropic Medication and Use of Psychiatric Services in Adults with Autism Type de document : Texte imprimé et/ou numérique Auteurs : Elias TSAKANIKOS, Auteur ; Peter STURMEY, Auteur ; Helen COSTELLO, Auteur ; Geraldine HOLT, Auteur ; Nick BOURAS, Auteur Année de publication : 2007 Article en page(s) : p.1080-1085 Langues : Anglais (eng) Mots-clés : Autism Behaviour-management-problems Challenging-behaviour Intellectual-disability/mental-retardation Psychotropic-medication Treatment-interventions Index. décimale : PER Périodiques Résumé : We examined behaviour management problems as predictors of psychotropic medication, use of psychiatric consultation and in-patient admission in a group of 66 adults with pervasive developmental disorder (PDD) and intellectual disability (ID) and 99 controls matched in age, gender and level of ID. Overall, people with PDD had higher rates of most DAS behaviour problems and more frequent use of anti-psychotics than matched controls. Logistic regression analyses showed that physical aggression and problems such as pestering staff independently predicted use of anti-psychotics. Physical aggression and overactivity predicted further involvement of psychiatric services. PDD diagnosis predicted admission to an in-patient unit. The results suggest that externalizing problem behaviours in adults with autism can predict type of treatment intervention. En ligne : http://dx.doi.org/10.1007/s10803-006-0248-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=154
in Journal of Autism and Developmental Disorders > 37-6 (July 2007) . - p.1080-1085[article] Behaviour Management Problems as Predictors of Psychotropic Medication and Use of Psychiatric Services in Adults with Autism [Texte imprimé et/ou numérique] / Elias TSAKANIKOS, Auteur ; Peter STURMEY, Auteur ; Helen COSTELLO, Auteur ; Geraldine HOLT, Auteur ; Nick BOURAS, Auteur . - 2007 . - p.1080-1085.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 37-6 (July 2007) . - p.1080-1085
Mots-clés : Autism Behaviour-management-problems Challenging-behaviour Intellectual-disability/mental-retardation Psychotropic-medication Treatment-interventions Index. décimale : PER Périodiques Résumé : We examined behaviour management problems as predictors of psychotropic medication, use of psychiatric consultation and in-patient admission in a group of 66 adults with pervasive developmental disorder (PDD) and intellectual disability (ID) and 99 controls matched in age, gender and level of ID. Overall, people with PDD had higher rates of most DAS behaviour problems and more frequent use of anti-psychotics than matched controls. Logistic regression analyses showed that physical aggression and problems such as pestering staff independently predicted use of anti-psychotics. Physical aggression and overactivity predicted further involvement of psychiatric services. PDD diagnosis predicted admission to an in-patient unit. The results suggest that externalizing problem behaviours in adults with autism can predict type of treatment intervention. En ligne : http://dx.doi.org/10.1007/s10803-006-0248-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=154 Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders / Elias TSAKANIKOS in Research in Autism Spectrum Disorders, 5-2 (April-June 2011)
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Titre : Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Elias TSAKANIKOS, Auteur ; Lisa UNDERWOOD, Auteur ; Eugenia KRAVARITI, Auteur ; Nick BOURAS, Auteur ; Jane MCCARTHY, Auteur Année de publication : 2011 Article en page(s) : p.803-808 Langues : Anglais (eng) Mots-clés : Autism Gender differences Intellectual disability/mental retardation Psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : The present study examined rates of co-morbid psychopathology and clinical management/care pathways in adult females (N = 50) and males (N = 100) with autism spectrum disorders (ASD) and intellectual disability (ID) living in community settings. We also compared a sub-sample (N = 60) with ASD to an age-, gender- and ID-matched control group (N = 90) on ratings of psychopathology and autism-related symptoms. All participants were referrals to specialist mental heath services for people with ID. Clinical diagnoses of psychopathology and ASD were based on ICD-10 criteria. Key informants also completed the Psychopathology Assessment Schedule for Adults with Developmental Disabilities (PAS-ADD) checklist. The analysis showed that there were statistically significant differences in rates of co-morbid psychopathology and clinical management between males and females with ASD, although there were no significant differences in level of ID and age. More specifically, personality disorder and schizophrenia were more common among males, where as dementia was more common among females. Regarding clinical management, males were more likely to be prescribed a combination of medication and females were more likely to receive sedation. Overall, the results suggest that male and female patients with ASD have, at least to some extent, different mental health needs. En ligne : http://dx.doi.org/10.1016/j.rasd.2010.09.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114
in Research in Autism Spectrum Disorders > 5-2 (April-June 2011) . - p.803-808[article] Gender differences in co-morbid psychopathology and clinical management in adults with autism spectrum disorders [Texte imprimé et/ou numérique] / Elias TSAKANIKOS, Auteur ; Lisa UNDERWOOD, Auteur ; Eugenia KRAVARITI, Auteur ; Nick BOURAS, Auteur ; Jane MCCARTHY, Auteur . - 2011 . - p.803-808.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 5-2 (April-June 2011) . - p.803-808
Mots-clés : Autism Gender differences Intellectual disability/mental retardation Psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : The present study examined rates of co-morbid psychopathology and clinical management/care pathways in adult females (N = 50) and males (N = 100) with autism spectrum disorders (ASD) and intellectual disability (ID) living in community settings. We also compared a sub-sample (N = 60) with ASD to an age-, gender- and ID-matched control group (N = 90) on ratings of psychopathology and autism-related symptoms. All participants were referrals to specialist mental heath services for people with ID. Clinical diagnoses of psychopathology and ASD were based on ICD-10 criteria. Key informants also completed the Psychopathology Assessment Schedule for Adults with Developmental Disabilities (PAS-ADD) checklist. The analysis showed that there were statistically significant differences in rates of co-morbid psychopathology and clinical management between males and females with ASD, although there were no significant differences in level of ID and age. More specifically, personality disorder and schizophrenia were more common among males, where as dementia was more common among females. Regarding clinical management, males were more likely to be prescribed a combination of medication and females were more likely to receive sedation. Overall, the results suggest that male and female patients with ASD have, at least to some extent, different mental health needs. En ligne : http://dx.doi.org/10.1016/j.rasd.2010.09.009 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=114 Referral trends in mental health services for adults with intellectual disability and autism spectrum disorders / Elias TSAKANIKOS in Autism, 11-1 (January 2007)
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[article]
Titre : Referral trends in mental health services for adults with intellectual disability and autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Elias TSAKANIKOS, Auteur ; Peter STURMEY, Auteur ; Helen COSTELLO, Auteur ; Geraldine HOLT, Auteur ; Nick BOURAS, Auteur Année de publication : 2007 Article en page(s) : p.-9-17 Langues : Anglais (eng) Mots-clés : Adult-autism Dual-diagnosis intellectual-disability mental health-services mental-retardation Index. décimale : PER Périodiques Résumé : Researchers have paid increasing attention to mental health issues in adults with autism spectrum disorders (ASDs) over the last decades. However, little is known about how rates of clinical referrals, types of mental health diagnoses and treatment in adults with ASDs and intellectual disability have changed. We examined patterns of change in referral trends to specialist mental health services in south London from 1983 to 2000 (N = 137). The majority of the cases (58.4%) did not have a diagnosable psychiatric disorder. Schizophrenia was the most frequent psychiatric diagnosis followed by depression, adjustment reaction and anxiety. There was a significant change in the rate of referrals, an increase in the diagnosable psychiatric disorders over time and a significant reduction of medication at time of referral. There were no significant changes in the use of other therapeutic interventions. The proportion of participants living independently increased. Implications for services and future research are discussed. En ligne : http://dx.doi.org/10.1177/1362361307070987 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=573
in Autism > 11-1 (January 2007) . - p.-9-17[article] Referral trends in mental health services for adults with intellectual disability and autism spectrum disorders [Texte imprimé et/ou numérique] / Elias TSAKANIKOS, Auteur ; Peter STURMEY, Auteur ; Helen COSTELLO, Auteur ; Geraldine HOLT, Auteur ; Nick BOURAS, Auteur . - 2007 . - p.-9-17.
Langues : Anglais (eng)
in Autism > 11-1 (January 2007) . - p.-9-17
Mots-clés : Adult-autism Dual-diagnosis intellectual-disability mental health-services mental-retardation Index. décimale : PER Périodiques Résumé : Researchers have paid increasing attention to mental health issues in adults with autism spectrum disorders (ASDs) over the last decades. However, little is known about how rates of clinical referrals, types of mental health diagnoses and treatment in adults with ASDs and intellectual disability have changed. We examined patterns of change in referral trends to specialist mental health services in south London from 1983 to 2000 (N = 137). The majority of the cases (58.4%) did not have a diagnosable psychiatric disorder. Schizophrenia was the most frequent psychiatric diagnosis followed by depression, adjustment reaction and anxiety. There was a significant change in the rate of referrals, an increase in the diagnosable psychiatric disorders over time and a significant reduction of medication at time of referral. There were no significant changes in the use of other therapeutic interventions. The proportion of participants living independently increased. Implications for services and future research are discussed. En ligne : http://dx.doi.org/10.1177/1362361307070987 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=573