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Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder / Luther G. KALB in Journal of Autism and Developmental Disorders, 46-8 (August 2016)
[article]
Titre : Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Luther G. KALB, Auteur ; Roma A. VASA, Auteur ; Elizabeth D. BALLARD, Auteur ; Steven WOODS, Auteur ; Mitchell GOLDSTEIN, Auteur ; Holly C. WILCOX, Auteur Article en page(s) : p.2756-2763 Langues : Anglais (eng) Mots-clés : Autistic disorder Injury Epidemiology Intellectual disability Emergency medicine Index. décimale : PER Périodiques Résumé : Several reports suggest children with autism spectrum disorder (ASD) are more likely to be seen for injury-related ED visits; however, no nationally representative study has examined this question. Using data from the 2008 Nationwide Emergency Department Sample, over a quarter of all visits among those with ASD were related to injury. In the multivariate analyses, the odds of an injury-related visit was 54 % greater among those with ASD compared to youth with intellectual disability (ID), but 48 % less compared to youth without ID or ASD. Compared to all other pediatric injury-visits in the US, visits among children with ASD were more likely to be due to self-inflicted injury and poisoning and were more likely to result in hospitalization (all p < 0.001). En ligne : http://dx.doi.org/10.1007/s10803-016-2820-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=291
in Journal of Autism and Developmental Disorders > 46-8 (August 2016) . - p.2756-2763[article] Epidemiology of Injury-Related Emergency Department Visits in the US Among Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Luther G. KALB, Auteur ; Roma A. VASA, Auteur ; Elizabeth D. BALLARD, Auteur ; Steven WOODS, Auteur ; Mitchell GOLDSTEIN, Auteur ; Holly C. WILCOX, Auteur . - p.2756-2763.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-8 (August 2016) . - p.2756-2763
Mots-clés : Autistic disorder Injury Epidemiology Intellectual disability Emergency medicine Index. décimale : PER Périodiques Résumé : Several reports suggest children with autism spectrum disorder (ASD) are more likely to be seen for injury-related ED visits; however, no nationally representative study has examined this question. Using data from the 2008 Nationwide Emergency Department Sample, over a quarter of all visits among those with ASD were related to injury. In the multivariate analyses, the odds of an injury-related visit was 54 % greater among those with ASD compared to youth with intellectual disability (ID), but 48 % less compared to youth without ID or ASD. Compared to all other pediatric injury-visits in the US, visits among children with ASD were more likely to be due to self-inflicted injury and poisoning and were more likely to result in hospitalization (all p < 0.001). En ligne : http://dx.doi.org/10.1007/s10803-016-2820-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=291 Melatonin use and the risk of self-harm and unintentional injuries in youths with and without psychiatric disorders / Marica LEONE in Journal of Child Psychology and Psychiatry, 64-7 (July 2023)
[article]
Titre : Melatonin use and the risk of self-harm and unintentional injuries in youths with and without psychiatric disorders Type de document : Texte imprimé et/ou numérique Auteurs : Marica LEONE, Auteur ; Ralf KUJA-HALKOLA, Auteur ; Tyra LAGERBERG, Auteur ; Johan BJUREBERG, Auteur ; Agnieszka BUTWICKA, Auteur ; Zheng CHANG, Auteur ; Henrik LARSSON, Auteur ; Brian M. D'ONOFRIO, Auteur ; Amy LEVAL, Auteur ; Sarah E. BERGEN, Auteur Article en page(s) : p.1027-1036 Langues : Anglais (eng) Mots-clés : Melatonin sleep injury self-harm depression anxiety Index. décimale : PER Périodiques Résumé : Background Sleep disorders in youth have been associated with increased risks of injury, including suicidal behavior. This study investigated whether melatonin, which is the most common medication for sleep disturbances in youth in Sweden, is associated with a decreased risk of injury. Methods This population-based cohort study included 25,575 youths who initiated melatonin treatment between ages 6 and 18. Poisson regression was used to estimate rate of injuries in the year prior to and following melatonin treatment initiation. A within-individual design was used to estimate relative risks by comparing injury risk in the last unmedicated month with injury risks in the 12months after medication initiation. Analyses were stratified by sex, injury type, psychiatric comorbidities and age at melatonin-treatment initiation. Results While body injuries, falls and transport accident rates were comparable in the year before and after melatonin-treatment initiation, the risk of self-harm was highest in the months immediately prior to medication, and decreased thereafter. This was particularly prominent among adolescents with depression and/or anxiety, with females displaying greater absolute risks than males. Compared to the last unmedicated month, the 12months post medication initiation had decreased relative risks for self-harm, with an IRR [95% CI] in the month following melatonin-treatment initiation of 0.46 [0.270.76] among adolescent females with psychiatric disorders, after excluding antidepressant users. Conclusions Decreased risk of intentional self-harm was observed following melatonin-treatment initiation among females with depression and anxiety, suggesting that sleep interventions could be considered in an effort to reduce risk of self-harm in this population. En ligne : https://doi.org/10.1111/jcpp.13785 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508
in Journal of Child Psychology and Psychiatry > 64-7 (July 2023) . - p.1027-1036[article] Melatonin use and the risk of self-harm and unintentional injuries in youths with and without psychiatric disorders [Texte imprimé et/ou numérique] / Marica LEONE, Auteur ; Ralf KUJA-HALKOLA, Auteur ; Tyra LAGERBERG, Auteur ; Johan BJUREBERG, Auteur ; Agnieszka BUTWICKA, Auteur ; Zheng CHANG, Auteur ; Henrik LARSSON, Auteur ; Brian M. D'ONOFRIO, Auteur ; Amy LEVAL, Auteur ; Sarah E. BERGEN, Auteur . - p.1027-1036.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 64-7 (July 2023) . - p.1027-1036
Mots-clés : Melatonin sleep injury self-harm depression anxiety Index. décimale : PER Périodiques Résumé : Background Sleep disorders in youth have been associated with increased risks of injury, including suicidal behavior. This study investigated whether melatonin, which is the most common medication for sleep disturbances in youth in Sweden, is associated with a decreased risk of injury. Methods This population-based cohort study included 25,575 youths who initiated melatonin treatment between ages 6 and 18. Poisson regression was used to estimate rate of injuries in the year prior to and following melatonin treatment initiation. A within-individual design was used to estimate relative risks by comparing injury risk in the last unmedicated month with injury risks in the 12months after medication initiation. Analyses were stratified by sex, injury type, psychiatric comorbidities and age at melatonin-treatment initiation. Results While body injuries, falls and transport accident rates were comparable in the year before and after melatonin-treatment initiation, the risk of self-harm was highest in the months immediately prior to medication, and decreased thereafter. This was particularly prominent among adolescents with depression and/or anxiety, with females displaying greater absolute risks than males. Compared to the last unmedicated month, the 12months post medication initiation had decreased relative risks for self-harm, with an IRR [95% CI] in the month following melatonin-treatment initiation of 0.46 [0.270.76] among adolescent females with psychiatric disorders, after excluding antidepressant users. Conclusions Decreased risk of intentional self-harm was observed following melatonin-treatment initiation among females with depression and anxiety, suggesting that sleep interventions could be considered in an effort to reduce risk of self-harm in this population. En ligne : https://doi.org/10.1111/jcpp.13785 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508 Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial / Ann-Christin HAAG in Journal of Child Psychology and Psychiatry, 61-9 (September 2020)
[article]
Titre : Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur Article en page(s) : p.988-997 Langues : Anglais (eng) Mots-clés : Preventive intervention injury traumatic stress young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430
in Journal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997[article] Preventive intervention for trauma reactions in young injured children: results of a multi-site randomised controlled trial [Texte imprimé et/ou numérique] / Ann-Christin HAAG, Auteur ; Markus A. LANDOLT, Auteur ; Justin A. KENARDY, Auteur ; Clemens M. SCHIESTL, Auteur ; Roy M. KIMBLE, Auteur ; Alexandra C. DE YOUNG, Auteur . - p.988-997.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 61-9 (September 2020) . - p.988-997
Mots-clés : Preventive intervention injury traumatic stress young children Index. décimale : PER Périodiques Résumé : BACKGROUND: Young children are at particular risk for injury. Ten per cent to twenty-five per cent develop posttraumatic stress disorder (PTSD). However, no empirically supported preventive interventions exist. Therefore, this study evaluated the efficacy of a standardised targeted preventive intervention for PTSD in young injured children. METHODS: Injured children (1-6 years) were enrolled in a multi-site parallel-group superiority prospective randomised controlled trial (RCT) in Australia and Switzerland. Screening for PTSD risk occurred 6-8 days postaccident. Parents of children who screened 'high-risk' were randomised to a 2-session CBT-based intervention or treatment-as-usual (TAU). Primary outcomes were PTSD symptom (PTSS) severity, and secondary outcomes were PTSD diagnosis, functional impairment and behavioural difficulties at 3 and 6 months postinjury using blinded assessments. Trials were registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000325606) and ClinicalTrials.gov (NCT02088814). Trial status is complete. RESULTS: One hundred and thirty-three children screened 'high-risk' were assigned to intervention (n = 62) or TAU (n = 71). Multilevel intention-to-treat analyses revealed a significant intervention effect on PTSS severity over time (b = 60.06, 95% CI: 21.30-98.56). At 3 months, intervention children (M = 11.02, SD = 10.42, range 0-47) showed an accelerated reduction in PTSS severity scores compared to control children (M = 17.30, SD = 13.94, range 0-52; mean difference -6.97, 95% CI: -14.02 to 0.08, p adj. = .055, d = 0.51). On secondary outcomes, multilevel analyses revealed significant treatment effects for PTSD diagnosis, functional impairment and behavioural difficulties. CONCLUSIONS: This multi-site RCT provides promising preliminary evidence for the efficacy of a targeted preventive intervention for accelerating recovery from PTSS in young injured children. This has important clinical implications for the psychological support provided to young children and parents during the acute period following a single-event trauma. En ligne : http://dx.doi.org/10.1111/jcpp.13193 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=430 Elopement Patterns and Caregiver Strategies / Allan M. ANDERSEN in Journal of Autism and Developmental Disorders, 50-6 (June 2020)
[article]
Titre : Elopement Patterns and Caregiver Strategies Type de document : Texte imprimé et/ou numérique Auteurs : Allan M. ANDERSEN, Auteur ; J. Kiely LAW, Auteur ; Alison R. MARVIN, Auteur ; Paul H. LIPKIN, Auteur Article en page(s) : p.2053-2063 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder Elopement Injury Mortality Wandering Index. décimale : PER Périodiques Résumé : The Interactive Autism Network (IAN) administered a survey to caregivers of children with Autism Spectrum Disorder (ASD) on their interventions for elopement behavior (EB). Data from 526 respondents were analyzed. Most families reported multiple interventions for EB and rated interventions overall as effective but burdensome. Several interventions such as fencing and window locks had favorable effectiveness/burden profiles. Tracking devices were used infrequently and rated as having low effectiveness. Behavioral specialists were commonly used, rated as effective, and most often provided by insurance. Medications were rated as having low effectiveness for EB, whether taken off-label for EB or for other reasons. Further study is needed to identify EB interventions that are effective, affordable, and easy to implement are needed. En ligne : http://dx.doi.org/10.1007/s10803-019-03961-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2053-2063[article] Elopement Patterns and Caregiver Strategies [Texte imprimé et/ou numérique] / Allan M. ANDERSEN, Auteur ; J. Kiely LAW, Auteur ; Alison R. MARVIN, Auteur ; Paul H. LIPKIN, Auteur . - p.2053-2063.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-6 (June 2020) . - p.2053-2063
Mots-clés : Autism Spectrum Disorder Elopement Injury Mortality Wandering Index. décimale : PER Périodiques Résumé : The Interactive Autism Network (IAN) administered a survey to caregivers of children with Autism Spectrum Disorder (ASD) on their interventions for elopement behavior (EB). Data from 526 respondents were analyzed. Most families reported multiple interventions for EB and rated interventions overall as effective but burdensome. Several interventions such as fencing and window locks had favorable effectiveness/burden profiles. Tracking devices were used infrequently and rated as having low effectiveness. Behavioral specialists were commonly used, rated as effective, and most often provided by insurance. Medications were rated as having low effectiveness for EB, whether taken off-label for EB or for other reasons. Further study is needed to identify EB interventions that are effective, affordable, and easy to implement are needed. En ligne : http://dx.doi.org/10.1007/s10803-019-03961-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=425 The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients / Markus A. LANDOLT in Journal of Child Psychology and Psychiatry, 53-7 (July 2012)
[article]
Titre : The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients Type de document : Texte imprimé et/ou numérique Auteurs : Markus A. LANDOLT, Auteur ; Eivind YSTROM, Auteur ; Felix H. SENNHAUSER, Auteur ; Hanspeter E. GNEHM, Auteur ; Margarete E. VOLLRATH, Auteur Année de publication : 2012 Article en page(s) : p.767-774 Langues : Anglais (eng) Mots-clés : Trauma injury chronic illness post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : Background: Previous studies found notable rates of post-traumatic stress symptoms (PTSS) and post-traumatic stress disorder (PTSD) in pediatric patients and their parents and suggest a significant association between child and parent PTSS. However, little is known about mutual influences between child and parental PTSS over time. This study prospectively examined the presence of PTSS and PTSD and the mutual influence of child and parental PTSS in a large sample of pediatric patients with different medical conditions.
Methods: A total of 287 children (aged 6.5–16 years) and their mothers (n = 239) and fathers (n = 221) were assessed at 5–6 weeks and 1 year after an accident or a new diagnosis of cancer or diabetes mellitus type 1 in the child.
Results: At the first assessment 11.1% and at the second assessment 10.2% of the children had moderate to severe PTSS. At 5–6 weeks 29.3% of mothers and 18.6% of fathers met criteria for PTSD. At 1 year the rates were 14.6% for mothers and 7.9% for fathers. There were considerable differences of PTSS among different medical diagnostic groups in children and parents. Mothers were more vulnerable than fathers. Structural equation analysis revealed that initially high PTSS in mothers and fathers were longitudinally related to poorer recovery from PTSS in the child. Cross-lagged effects from the child to the parents and from one parent to the other were not significant.
Conclusions: This study highlights the long-term influence of parental PTSS on the child’s recovery after trauma and calls for a family systems approach and for early interventions in the treatment of traumatized pediatric patients.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02520.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166
in Journal of Child Psychology and Psychiatry > 53-7 (July 2012) . - p.767-774[article] The mutual prospective influence of child and parental post-traumatic stress symptoms in pediatric patients [Texte imprimé et/ou numérique] / Markus A. LANDOLT, Auteur ; Eivind YSTROM, Auteur ; Felix H. SENNHAUSER, Auteur ; Hanspeter E. GNEHM, Auteur ; Margarete E. VOLLRATH, Auteur . - 2012 . - p.767-774.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 53-7 (July 2012) . - p.767-774
Mots-clés : Trauma injury chronic illness post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : Background: Previous studies found notable rates of post-traumatic stress symptoms (PTSS) and post-traumatic stress disorder (PTSD) in pediatric patients and their parents and suggest a significant association between child and parent PTSS. However, little is known about mutual influences between child and parental PTSS over time. This study prospectively examined the presence of PTSS and PTSD and the mutual influence of child and parental PTSS in a large sample of pediatric patients with different medical conditions.
Methods: A total of 287 children (aged 6.5–16 years) and their mothers (n = 239) and fathers (n = 221) were assessed at 5–6 weeks and 1 year after an accident or a new diagnosis of cancer or diabetes mellitus type 1 in the child.
Results: At the first assessment 11.1% and at the second assessment 10.2% of the children had moderate to severe PTSS. At 5–6 weeks 29.3% of mothers and 18.6% of fathers met criteria for PTSD. At 1 year the rates were 14.6% for mothers and 7.9% for fathers. There were considerable differences of PTSS among different medical diagnostic groups in children and parents. Mothers were more vulnerable than fathers. Structural equation analysis revealed that initially high PTSS in mothers and fathers were longitudinally related to poorer recovery from PTSS in the child. Cross-lagged effects from the child to the parents and from one parent to the other were not significant.
Conclusions: This study highlights the long-term influence of parental PTSS on the child’s recovery after trauma and calls for a family systems approach and for early interventions in the treatment of traumatized pediatric patients.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2011.02520.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=166