Predictors of Inpatient Psychiatric Hospitalization for Children and Adolescents with Autism Spectrum Disorder

被引:45
作者
Righi, Giulia [1 ,3 ,4 ,5 ]
Benevides, Jill [1 ]
Mazefsky, Carla [6 ]
Siegel, Matthew [7 ]
Sheinkopf, Stephen J. [2 ,3 ,4 ,5 ,8 ,9 ]
Morrow, Eric M. [1 ,3 ,4 ,5 ]
机构
[1] Emma Pendleton Bradley Hosp, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
[2] Women & Infants Hosp Rhode Isl, 101 Dudley St, Providence, RI 02905 USA
[3] Brown Univ, Warren Alpert Med Sch, Dept Psychiat & Human Behav, 700 Butler Dr, Providence, RI 02906 USA
[4] Brown Univ, Div Biol & Med, RI CART, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
[5] Brown Univ, HCHII, 1011 Vet Mem Pkwy, East Providence, RI 02915 USA
[6] Univ Pittsburgh, Dept Psychiat, 3811 Ohara St, Pittsburgh, PA 15213 USA
[7] Tufts Univ, Sch Med, Spring Harbor Hosp, Maine Med Ctr Res Inst, 123 Andover Rd, Westbrook, ME 04092 USA
[8] Brown Univ, RI CART, 101 Dudley St, Providence, RI 02905 USA
[9] Brown Univ, Alpert Med Sch, Hassenfeld Child Hlth Innovat Inst, 101 Dudley St, Providence, RI 02905 USA
关键词
Autism spectrum disorder; Inpatient psychiatric hospitalization; Children and adolescents; Autism inpatient collection (AIC); HEALTH-CARE UTILIZATION; CHALLENGING BEHAVIORS; REPETITIVE BEHAVIORS; SERVICE USE; EXPENDITURES; PREVALENCE; SEVERITY; DEPRESSION; SYMPTOMS; ADULTS;
D O I
10.1007/s10803-017-3154-9
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Autism Spectrum Disorder (ASD) is associated with significant healthcare expenditures and a greater utilization of psychiatric health services. High utilization may not be evenly distributed across individuals with ASD. The objective of this study was to identify individual and family characteristics that increase the risk of psychiatric hospitalization. Naturalistic study of two age- and gender-matched ASD cohorts, inpatients enrolled in the Autism Inpatient Collection (AIC) and outpatients enrolled in the Rhode Island Consortium of Autism Research and Treatment (RI-CART), revealed a number of factors associated with hospitalization. Multiple logistic regression analyses revealed that adaptive functioning, ASD symptom severity, primary caregiver's marital status, the presence of mood disorders, and the presence of sleep problems independently increased the risk of psychiatric hospitalization.
引用
收藏
页码:3647 / 3657
页数:11
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