Inpatient Care Unit in Children and Adolescents With Autism Spectrum Disorder: Benefits, Difficulties, and Conditions of Hospitalization.


Journal

The Journal of nervous and mental disease
ISSN: 1539-736X
Titre abrégé: J Nerv Ment Dis
Pays: United States
ID NLM: 0375402

Informations de publication

Date de publication:
01 Mar 2022
Historique:
pubmed: 14 10 2021
medline: 3 5 2022
entrez: 13 10 2021
Statut: ppublish

Résumé

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that affects social interactions and behavior. The number of children and adolescents with ASD treated in mental health services has been growing in recent years. Knowing clinical and familial characteristics of hospitalized patients with ASD and multidisciplinary approach are crucial for children and adolescents mental health professionals. In this study, 253 Turkish children and adolescents, with and without ASD, treated in psychiatry inpatient care unit were examined. Applied approaches such as medical consultation areas, psychiatric management of mothers, and pharmacological treatment during hospitalization, were studied. In addition to familial and clinical characteristics of patients with ASD, the benefits and the hospitalization conditions were evaluated. Patients with ASD showed a higher tendency on having relatives with a psychiatric disorder than the patients without ASD. A significant difference was found in terms of age, sex, and intellectual functioning, whereas length of stay did not differ drastically. Also, suicide attempts were significantly higher in patients without ASD than in patients with ASD. This study eases the management of hospitalized ASD patients with giving important information of clinical and familial characteristics.

Identifiants

pubmed: 34643184
doi: 10.1097/NMD.0000000000001429
pii: 00005053-202203000-00009
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

206-211

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Références

Ailey SH, Johnson TJ, Cabrera A (2019) Evaluation of factors related to prolonged lengths of stay for patients with autism with or without intellectual disability. J Psychosoc Nurs Ment Health Serv . 57:17–22.
American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: American Psychiatric Association.
Autism and Developmental Disabilities Monitoring Network Surveillance Year 2000 Principal Investigators; Centers for Disease Control and Prevention (2007) Prevalence of autism spectrum disorders—Autism and Developmental Disabilities Monitoring Network, six sites, United States, 2000. MMWR Surveill Summ . 56:1–11.
Autism and Developmental Disabilities Monitoring Network Surveillance Year 2002 Principal Investigators; Centers for Disease Control and Prevention (2007) Prevalence of autism spectrum disorders—Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2002. MMWR Surveill Summ . 56:12–28.
Croen LA, Najjar DV, Ray GT, Lotspeich L, Bernal P (2006) A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics . 118:e1203–e1211.
Daniels JL, Forssen U, Hultman CM, Cnattingius S, Savitz DA, Feychting M, Sparen P (2008) Parental psychiatric disorders associated with autism spectrum disorders in the offspring. Pediatrics . 121:e1357–e1362 Erratum in: Pediatrics. 2008;122(5):1162.
Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C, Montiel-Nava C, Patel V, Paula CS, Wang C, Taghi Yasamy M, Fombonne E (2012) Global prevalence of autism and other pervasive developmental disorders. Autism Res . 5:160–179.
Eriksson MA, Westerlund J, Anderlid BM, Gillberg C, Fernell E (2012) First-degree relatives of young children with autism spectrum disorders: Some gender aspects. Res Dev Disabil . 33:1642–1648.
Fombonne E (2009) Epidemiology of pervasive developmental disorders. Pediatr Res . 65:591–598.
Forkmann T, Scherer A, Boecker M, Pawelzik M, Jostes R, Gauggel S (2011) The Clinical Global Impression Scale and the influence of patient or staff perspective on outcome. BMC Psychiatry . 11:83.
Guinchat V, Cravero C, Diaz L, Périsse D, Xavier J, Amiet C, Gourfinkel-An I, Bodeau N, Wachtel L, Cohen D, Consoli A (2015) Acute behavioral crises in psychiatric inpatients with autism spectrum disorder (ASD): Recognition of concomitant medical or non-ASD psychiatric conditions predicts enhanced improvement. Res Dev Disabil . 38:242–255.
Guy W (1976) ECDEU Assessment Manual for Psychopharmacology. In Revised US Dept Health, Education and Welfare publication (ADM) (pp 76–338). Rockville, MD: National Institude of Mental Health.
Ingersoll B, Meyer K, Becker MW (2011) Increased rates of depressed mood in mothers of children with ASD associated with the presence of the broader autism phenotype. Autism Res . 4:143–148.
Jokiranta E, Brown AS, Heinimaa M, Cheslack-Postava K, Suominen A, Sourander A (2013) Parental psychiatric disorders and autism spectrum disorders. Psychiatry Res . 207:203–211.
Jokiranta-Olkoniemi E, Cheslack-Postava K, Sucksdorff D, Suominen A, Gyllenberg D, Chudal R, Leivonen S, Gissler M, Brown AS, Sourander A (2016) Risk of psychiatric and neurodevelopmental disorders among siblings of probands with autism spectrum disorders. JAMA Psychiat . 73:622–629.
Joshi G, Faraone SV, Wozniak J, Tarko L, Fried R, Galdo M, Furtak SL, Biederman J (2017) Symptom profile of ADHD in youth with high-functioning autism spectrum disorder: A comparative study in psychiatrically referred populations. J Atten Disord . 21:846–855.
Joshi G, Petty C, Wozniak J, Henin A, Fried R, Galdo M, Kotarski M, Walls S, Biederman J (2010) The heavy burden of psychiatric comorbidity in youth with autism spectrum disorders: A large comparative study of a psychiatrically referred population. J Autism Dev Disord . 40:1361–1370.
Kaat AJ, Gadow KD, Lecavalier L (2013) Psychiatric symptom impairment in children with autism spectrum disorders. J Abnorm Child Psychol . 41:959–969.
Karakoc Demirkaya S, Tutkunkardas MD, Mukaddes NM (2016) Assessment of suicidality in children and adolescents with diagnosis of high functioning autism spectrum disorder in a Turkish clinical sample. Neuropsychiatr Dis Treat . 12:2921–2926.
Kuriakose S, Filton B, Marr M, Okparaeke E, Cervantes P, Siegel M, Horwitz S, Havens J (2018) Does an autism spectrum disorder care pathway improve care for children and adolescents with ASD in inpatient psychiatric units? J Autism Dev Disord . 48:4082–4089.
Lecavalier L, McCracken CE, Aman MG, McDougle CJ, McCracken JT, Tierney E, Smith T, Johnson C, King B, Handen B, Swiezy NB, Arnold LE, Bearss K, Vitiello B, Scahill L (2019) An exploration of concomitant psychiatric disorders in children with autism spectrum disorder. Compr Psychiatry . 88:57–64.
Maenner MJ, Shaw KA, Baio J, Washington A, Patrick M, DiRienzo M, Christensen DL, Wiggins LD, Pettygrove S, Andrews JG, Lopez M, Hudson A, Baroud T, Schwenk Y, White T, Rosenberg CR, Lee L-C, Harrington RA, Huston M, Hewitt A, Esler A, Hall-Lande J, Poynter JN, Hallas-Muchow L, Constantino JN, Fitzgerald RT, Zahorodny W, Shenouda J, Daniels JL, Warren Z, Vehorn A, Salinas A, Durkin MS, Dietz PM; EdS1 (2020) Prevalence of autism spectrum disorder among children aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill Summ . 69:1–12.
Mandell DS (2008) Psychiatric hospitalization among children with autism spectrum disorders. J Autism Dev Disord . 38:1059–1065.
McGuire K, Erickson C, Gabriels RL, Kaplan D, Mazefsky C, McGonigle J, Meservy J, Pedapati E, Pierri J, Wink L, Siegel M, Siegel M (2015) Psychiatric hospitalization of children with autism or intellectual disability: Consensus statements on best practices. J Am Acad Child Adolesc Psychiatry . 54:969–971.
Nayfack AM, Huffman LC, Feldman HM, Chan J, Saynina O, Wise PH (2014) Hospitalizations of children with autism increased from 1999 to 2009. J Autism Dev Disord . 44:1087–1094.
Papadopoulos D (2021) Mothers' experiences and challenges raising a child with autism spectrum disorder: A qualitative study. Brain Sci . 11:309.
Pedersen KA, Santangelo SL, Gabriels RL, Righi G, Erard M, Siegel M (2018) Behavioral outcomes of specialized psychiatric hospitalization in the autism inpatient collection (AIC): A multisite comparison. J Autism Dev Disord . 48:3658–3667.
Raja M (2014) Suicide risk in adults with Asperger's syndrome. Lancet Psychiatry . 1:99–101.
Righi G, Benevides J, Mazefsky C, Siegel M, Sheinkopf SJ, Morrow EM (2018) Predictors of inpatient psychiatric hospitalization for children and adolescents with autism spectrum disorder. J Autism Dev Disord . 48:3647–3657.
Sanders K, Staubitz J, Juárez AP, Marler S, Browning W, McDonnell E, Altstein L, Macklin EA, Warren Z (2020) Addressing challenging behavior during hospitalizations for children with autism: A pilot applied behavior analysis randomized controlled trial. Autism Res . 13:1072–1078.
Savasir I, Sahin N (1995) Wechsler Intelligence Scale for Children- Revised Form (WISC-R) handbook . Ankara, Turkey: Turkish Psychological Articles.
Savasir I, Sezgin N, Erol N (1998) Ankara Developmental Screening Inventory . Ankara, Turkey: Rekmay LLC.
Schopler E, Reichler RJ, Renner BR (2002) The Childhood Autism Rating Scale (CARS) . Los Angeles, CA: Western Psychological Services.
Siegel M, Doyle K, Chemelski B, Payne D, Ellsworth B, Harmon J, Robbins D, Milligan B, Lubetsky M (2012) Specialized inpatient psychiatry units for children with autism and developmental disorders: A United States survey. J Autism Dev Disord . 42:1863–1869.
Siegel M, Gabriels RL (2014) Psychiatric hospital treatment of children with autism and serious behavioral disturbance. Child Adolesc Psychiatr Clin N Am . 23:125–142.
Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G (2008) Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry . 47:921–929.
Stratis EA, Lecavalier L (2013) Restricted and repetitive behaviors and psychiatric symptoms in youth with autism spectrum disorders. Res Autism Spectr Disord . 7:757–766.
Sucuoğlu B, Öktem F, Akkök F, Ve Gökler B (1996) A study of the scales for the assessment of the children with autism. 3P Dergisi . 4:116–121.
Taylor BJ, Sanders KB, Kyle M, Pedersen KA, Veenstra–Vanderweele J, Siegel M (2019) Inpatient Psychiatric Treatment of Serious Behavioral Problems in Children with Autism Spectrum Disorder (ASD): Specialized Versus General Inpatient Units. J Autism Dev Disord . 49:1242–1249.
Wechsler D (1949) Wechsler Intelligence Scale for Children. Wechsler Intelligence Scale for Children . San Antonio, TX: Psychological Corporation.
Wechsler D (1974) WISC-R Manual for the Wechsler Intelligence Scale for Children revised . New York, NY: Psychological Corporation.
Wink LK, Pedapati EV, Adams R, Erickson CA, Pedersen KA, Morrow EM, Kaplan D, Siegel M; Autism and Developmental Disorders Inpatient Research Collaborative (ADDIRC) (2017) Characterization of medication use in a multicenter sample of pediatric inpatients with autism spectrum disorder. J Autism Dev Disord . 48:3711–3719.

Auteurs

Burcu Ozbaran (B)

Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ege University, Izmir, Turkey.

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