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Psychiatric and Medical Profiles of Autistic Adults in the SPARK Cohort / Eric FOMBONNE in Journal of Autism and Developmental Disorders, 50-10 (October 2020)
[article]
Titre : Psychiatric and Medical Profiles of Autistic Adults in the SPARK Cohort Type de document : Texte imprimé et/ou numérique Auteurs : Eric FOMBONNE, Auteur ; LeeAnne GREEN SNYDER, Auteur ; Amy M. DANIELS, Auteur ; Pamela FELICIANO, Auteur ; Wendy K. CHUNG, Auteur Article en page(s) : p.3679-3698 Langues : Anglais (eng) Mots-clés : Adult Autism Autism spectrum disorder Intellectual disabilities Medical Psychiatric Spark Sex Index. décimale : PER Périodiques Résumé : This study examined lifetime medical and psychiatric morbidity reported by caregivers of 2917 autistic adults participating in the US research cohort SPARK. Participants were 78.4% male, 47.3% had intellectual disability, and 32.1% had persistent language impairments. Childhood language disorders (59.7%), speech/articulation problems (32.8%), sleep (39.4%) and eating problems (29.4%), motor delays (22.8%) and history of seizure (15.5%) were the most frequently reported clinical features. Over two thirds (67.2%) had been diagnosed with at least one psychiatric disorder (anxiety disorders: 41.1%; ADHD: 38.7%). Compared to verbally fluent participants, those with language impairments had lower frequencies of almost all psychiatric disorders. Female sex and older age were associated with higher medical and psychiatric morbidity. En ligne : http://dx.doi.org/10.1007/s10803-020-04414-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3679-3698[article] Psychiatric and Medical Profiles of Autistic Adults in the SPARK Cohort [Texte imprimé et/ou numérique] / Eric FOMBONNE, Auteur ; LeeAnne GREEN SNYDER, Auteur ; Amy M. DANIELS, Auteur ; Pamela FELICIANO, Auteur ; Wendy K. CHUNG, Auteur . - p.3679-3698.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3679-3698
Mots-clés : Adult Autism Autism spectrum disorder Intellectual disabilities Medical Psychiatric Spark Sex Index. décimale : PER Périodiques Résumé : This study examined lifetime medical and psychiatric morbidity reported by caregivers of 2917 autistic adults participating in the US research cohort SPARK. Participants were 78.4% male, 47.3% had intellectual disability, and 32.1% had persistent language impairments. Childhood language disorders (59.7%), speech/articulation problems (32.8%), sleep (39.4%) and eating problems (29.4%), motor delays (22.8%) and history of seizure (15.5%) were the most frequently reported clinical features. Over two thirds (67.2%) had been diagnosed with at least one psychiatric disorder (anxiety disorders: 41.1%; ADHD: 38.7%). Compared to verbally fluent participants, those with language impairments had lower frequencies of almost all psychiatric disorders. Female sex and older age were associated with higher medical and psychiatric morbidity. En ligne : http://dx.doi.org/10.1007/s10803-020-04414-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 Maternal Psychiatric Disorder and the Risk of Autism Spectrum Disorder or Intellectual Disability in Subsequent Offspring / Jenny FAIRTHORNE in Journal of Autism and Developmental Disorders, 46-2 (February 2016)
[article]
Titre : Maternal Psychiatric Disorder and the Risk of Autism Spectrum Disorder or Intellectual Disability in Subsequent Offspring Type de document : Texte imprimé et/ou numérique Auteurs : Jenny FAIRTHORNE, Auteur ; Geoff HAMMOND, Auteur ; Jenny BOURKE, Auteur ; Nick KLERK, Auteur ; Helen LEONARD, Auteur Année de publication : 2016 Article en page(s) : p.523-533 Langues : Anglais (eng) Mots-clés : Autism Intellectual Psychiatric Mothers Pre-existing Prenatal medication Index. décimale : PER Périodiques Résumé : Psychiatric disorders are more common in the mothers of children with autism spectrum disorder (ASD) or intellectual disability (ID) after the birth of their child. We aimed to assess the relationship between women’s psychiatric contacts and subsequent offspring with ASD/ID. We linked three Western Australian registers to investigate pre-existing maternal outpatient psychiatric contacts and the odds of ASD/ID in a subsequent child. Women with a previous outpatient psychiatric contact were more than twice as likely to have a child with ASD [OR 2.07 (95 % CI 1.7, 2.6)] or ID [OR 2.31 (2.1, 2.6)]. Further research exploring the effect on pregnancy outcomes of medications prescribed to women with psychiatric disorders is implicated. En ligne : http://dx.doi.org/10.1007/s10803-015-2594-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=280
in Journal of Autism and Developmental Disorders > 46-2 (February 2016) . - p.523-533[article] Maternal Psychiatric Disorder and the Risk of Autism Spectrum Disorder or Intellectual Disability in Subsequent Offspring [Texte imprimé et/ou numérique] / Jenny FAIRTHORNE, Auteur ; Geoff HAMMOND, Auteur ; Jenny BOURKE, Auteur ; Nick KLERK, Auteur ; Helen LEONARD, Auteur . - 2016 . - p.523-533.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 46-2 (February 2016) . - p.523-533
Mots-clés : Autism Intellectual Psychiatric Mothers Pre-existing Prenatal medication Index. décimale : PER Périodiques Résumé : Psychiatric disorders are more common in the mothers of children with autism spectrum disorder (ASD) or intellectual disability (ID) after the birth of their child. We aimed to assess the relationship between women’s psychiatric contacts and subsequent offspring with ASD/ID. We linked three Western Australian registers to investigate pre-existing maternal outpatient psychiatric contacts and the odds of ASD/ID in a subsequent child. Women with a previous outpatient psychiatric contact were more than twice as likely to have a child with ASD [OR 2.07 (95 % CI 1.7, 2.6)] or ID [OR 2.31 (2.1, 2.6)]. Further research exploring the effect on pregnancy outcomes of medications prescribed to women with psychiatric disorders is implicated. En ligne : http://dx.doi.org/10.1007/s10803-015-2594-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=280 Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 / Anthony JAMES in Journal of Child Psychology and Psychiatry, 51-12 (December 2010)
[article]
Titre : Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 Type de document : Texte imprimé et/ou numérique Auteurs : Anthony JAMES, Auteur ; Joe CLACEY, Auteur ; Valerie SEAGROATT, Auteur ; Michael GOLDACRE, Auteur Année de publication : 2010 Article en page(s) : p.1395-1404 Langues : Anglais (eng) Mots-clés : Adolescence inpatient mortality rates psychiatric Index. décimale : PER Périodiques Résumé : Background: Adolescence is a time of very rapid change not only in physical but also psychological development. During the teenage years there is a reported rise in the prevalence of psychiatric disorders. The aim of this study was to investigate age- and sex-specific National Health Service (NHS) hospital inpatient admission rates for psychiatric conditions in adolescents in England, and to examine their mortality within one year of discharge.
Method: Using a record-linked NHS Hospital Episode Statistics (HES) dataset for England, and linked death certificates, age- and sex-specific admission rates and subsequent mortality rates were analysed by single year of age for people aged 10–19 years.
Results: There were similar numbers of admissions for males and females: 29,595 and 28,188 respectively. Admission rates increased substantially with increasing age, from .2 per 1000 population per year aged 10 years to 2.2 per 1000 aged 19 years. There was no appreciable difference in death rates for males and females in the year following discharge – males .23% (based on 68 deaths), females .18% (52 deaths). However, these death rates were significantly higher than those found in the general population of equivalent age: expressed as standardised mortality ratios (SMRs), setting the SMRs for males and females in the general population each as 100, the SMR in the psychiatric population were 518 (95% CI 402–657) for males and 937 (692–1225) for females. The diagnostic groups with the highest mortality were development disorders (SMR 3017, 95% CI 1757–4831), eating disorders (SMR 1103, 443–2272), and affective disorders (SMR 940, 589–1423).
Conclusion: Adolescent psychiatric disorders represent a serious public health issue, with a steep rise in hospital admissions during the teenage years, and a six-fold increased death rate within one year of discharge compared to the general population of the same age.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02293.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113
in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1395-1404[article] Adolescent inpatient psychiatric admission rates and subsequent one-year mortality in England: 1998–2004 [Texte imprimé et/ou numérique] / Anthony JAMES, Auteur ; Joe CLACEY, Auteur ; Valerie SEAGROATT, Auteur ; Michael GOLDACRE, Auteur . - 2010 . - p.1395-1404.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1395-1404
Mots-clés : Adolescence inpatient mortality rates psychiatric Index. décimale : PER Périodiques Résumé : Background: Adolescence is a time of very rapid change not only in physical but also psychological development. During the teenage years there is a reported rise in the prevalence of psychiatric disorders. The aim of this study was to investigate age- and sex-specific National Health Service (NHS) hospital inpatient admission rates for psychiatric conditions in adolescents in England, and to examine their mortality within one year of discharge.
Method: Using a record-linked NHS Hospital Episode Statistics (HES) dataset for England, and linked death certificates, age- and sex-specific admission rates and subsequent mortality rates were analysed by single year of age for people aged 10–19 years.
Results: There were similar numbers of admissions for males and females: 29,595 and 28,188 respectively. Admission rates increased substantially with increasing age, from .2 per 1000 population per year aged 10 years to 2.2 per 1000 aged 19 years. There was no appreciable difference in death rates for males and females in the year following discharge – males .23% (based on 68 deaths), females .18% (52 deaths). However, these death rates were significantly higher than those found in the general population of equivalent age: expressed as standardised mortality ratios (SMRs), setting the SMRs for males and females in the general population each as 100, the SMR in the psychiatric population were 518 (95% CI 402–657) for males and 937 (692–1225) for females. The diagnostic groups with the highest mortality were development disorders (SMR 3017, 95% CI 1757–4831), eating disorders (SMR 1103, 443–2272), and affective disorders (SMR 940, 589–1423).
Conclusion: Adolescent psychiatric disorders represent a serious public health issue, with a steep rise in hospital admissions during the teenage years, and a six-fold increased death rate within one year of discharge compared to the general population of the same age.En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02293.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113 Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? / S. KURIAKOSE in Journal of Autism and Developmental Disorders, 48-12 (December 2018)
[article]
Titre : Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? Type de document : Texte imprimé et/ou numérique Auteurs : S. KURIAKOSE, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; M. SIEGEL, Auteur ; S. HORWITZ, Auteur ; J. HAVENS, Auteur Article en page(s) : p.4082-4089 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Care pathway Inpatient hospitalization Psychiatric Index. décimale : PER Périodiques Résumé : Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371
in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089[article] Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? [Texte imprimé et/ou numérique] / S. KURIAKOSE, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; M. SIEGEL, Auteur ; S. HORWITZ, Auteur ; J. HAVENS, Auteur . - p.4082-4089.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089
Mots-clés : Autism spectrum disorder Care pathway Inpatient hospitalization Psychiatric Index. décimale : PER Périodiques Résumé : Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data / Tom SNELL in Journal of Child Psychology and Psychiatry, 54-9 (September 2013)
[article]
Titre : Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data Type de document : Texte imprimé et/ou numérique Auteurs : Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur Article en page(s) : p.977-985 Langues : Anglais (eng) Mots-clés : Cost economic impact child adolescent mental health psychiatric hyperactivity conduct emotional disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212
in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985[article] Economic impact of childhood psychiatric disorder on public sector services in Britain: estimates from national survey data [Texte imprimé et/ou numérique] / Tom SNELL, Auteur ; Martin KNAPP, Auteur ; Andrew HEALEY, Auteur ; Sacha GUGLANI, Auteur ; Sara EVANS-LACKO, Auteur ; Jose-Luis FERNANDEZ, Auteur ; Howard MELTZER, Auteur ; Tamsin FORD, Auteur . - p.977-985.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 54-9 (September 2013) . - p.977-985
Mots-clés : Cost economic impact child adolescent mental health psychiatric hyperactivity conduct emotional disorder Index. décimale : PER Périodiques Résumé : Background Approximately one in ten children aged 5–15 in Britain has a conduct, hyperactivity or emotional disorder. Methods The British Child and Adolescent Mental Health Surveys (BCAMHS) identified children aged 5–15 with a psychiatric disorder, and their use of health, education and social care services. Service costs were estimated for each child and weighted to estimate the overall economic impact at national level. Results Additional health, social care and education costs associated with child psychiatric disorders totalled £1.47bn in 2008. The lion's share of the costs falls to frontline education and special education services. Conclusions There are huge costs to the public sector associated with child psychiatric disorder, particularly the education system. There is a pressing need to explore ways to reduce these costs while improving health and well-being. En ligne : http://dx.doi.org/10.1111/jcpp.12055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=212 Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service / Lauren J. DONNELLY in Journal of Autism and Developmental Disorders, 51-1 (January 2021)
PermalinkSustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 49-8 (August 2019)
PermalinkSpecialized Inpatient Psychiatry for Serious Behavioral Disturbance in Autism and Intellectual Disability / Matthew SIEGEL in Journal of Autism and Developmental Disorders, 44-12 (December 2014)
PermalinkBrief Report: Burden of Care in Mothers of Children with Autism Spectrum Disorder or Intellectual Disability / Jenny FAIRTHORNE in Journal of Autism and Developmental Disorders, 46-3 (March 2016)
PermalinkBrief Report: Emergency Department Utilization by Individuals with Autism / Dorothea A. IANNUZZI in Journal of Autism and Developmental Disorders, 45-4 (April 2015)
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