Psychiatric hospitalization among children with autism spectrum disorders

被引:131
作者
Mandell, David S. [1 ]
机构
[1] Univ Penn, Sch Med, Ctr Mental Hlth Policy & Serv Res, Philadelphia, PA 19104 USA
关键词
autistic disorder; hospitalization; health services;
D O I
10.1007/s10803-007-0481-2
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
This study examined predictors of psychiatric hospitalization among children with autism spectrum disorders (ASD). Data were collected from 760 caregivers of children with ASD. Cox regression was used to determine factors associated with hospitalization. Almost 11% were hospitalized. Youth in single parent homes were more likely to be hospitalized (OR = 2.54), as were youth diagnosed at a later age (OR = 1.10). Engaging in self-injurious behavior (OR = 2.14), aggressive behavior (OR = 4.83), and being diagnosed with depression (OR = 2.48) or obsessive compulsive disorder (OR = 2.35) increased the odds of hospitalization. Risk for hospitalization increased with age and over time. The results suggest early diagnosis and community-based interventions for aggressive and self-injurious behaviors may reduce hospitalizations.
引用
收藏
页码:1059 / 1065
页数:7
相关论文
共 52 条
  • [1] [Anonymous], 2001, ED CHILDR AUT
  • [2] Birenbaum A, 1990, Monogr Am Assoc Ment Retard, P1
  • [3] Treating the core features of autism: are we there yet?
    Bodfish, JW
    [J]. MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES RESEARCH REVIEWS, 2004, 10 (04): : 318 - 326
  • [4] BOTUCK S, 1991, MENT RETARD, V29, P43
  • [5] *CMHS, 1999, ANN REP C EV COMPR C
  • [6] Effects of respite care for children with developmental disabilities: Evaluation of an intervention for at risk families
    Cowen, PS
    Reed, DA
    [J]. PUBLIC HEALTH NURSING, 2002, 19 (04) : 272 - 283
  • [7] Cox DR., 1984, ANAL SURVIVAL DATA
  • [8] A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan
    Croen, Lisa A.
    Najjar, Daniel V.
    Ray, G. Thomas
    Lotspeich, Linda
    Bernal, Pilar
    [J]. PEDIATRICS, 2006, 118 (04) : E1203 - E1211
  • [9] HOSTEL-BASED RESPITE CARE FOR ADOLESCENTS WITH DEVELOPMENTAL RETARDATION - THE NEED FOR NORMALIZED RESPITE RESOURCES
    DOSSETOR, DR
    NICOL, AR
    STRETCH, DD
    [J]. JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, 1993, 34 (03): : 391 - 412
  • [10] Validation of the diagnosis of autism in general practitioner records
    Fombonne, E
    Heavey, L
    Smeeth, L
    Rodrigues, LC
    Cook, C
    Smith, PG
    Meng, LY
    Hall, AJ
    [J]. BMC PUBLIC HEALTH, 2004, 4 (1) : 1 - 9