*Prédicteurs de l'hospitalisation psychiatrique pour enfants et adolescents avec un diagnostic de "trouble du spectre de l'autisme"

Aperçu: G.M.
Le "trouble du spectre de l'autisme" (TSA) est associé à des dépenses de santé importantes et à une utilisation accrue des services de santé psychiatrique. Une utilisation élevée peut ne pas être répartie de manière égale entre les personnes avec un diagnostic de TSA. L'objectif de cette étude était d'identifier les caractéristiques individuelles et familiales qui augmentent le risque d'hospitalisation psychiatrique.  
Des analyses statistiques ont révélé que le fonctionnement adaptatif, la gravité des symptômes du TSA, l'état matrimonial primaire, la présence de troubles de l'humeur et la présence de problèmes de sommeil augmentaient de manière indépendante le risque d'hospitalisation psychiatrique. 

J Autism Dev Disord. 2017 May 23. doi: 10.1007/s10803-017-3154-9

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

Righi G^1,2,3, Benevides J⁴, Mazefsky C⁵, Siegel M⁶, Sheinkopf SJ^7,8,9,10, Morrow EM^4,8,9; Autism and Developmental Disabilities Inpatient Research Collaborative (ADDIRC).

Collaborators (46)

Siegel M, Erickson C, Gabriels RL, Kaplan D, Mazefsky C, Morrow EM, Righi G, Santangelo SL, Wink L, Benevides J, Beresford C, Best C, Bowen K, Dechant B, Flis T, Gastgeb H, Geer A, Hagopian L, Handen B, Klever A, Lubetsky M, MacKenzie K, Meservy Z, McGonigle J, McGuire K, McNeil F, Montrenes J, Palka T, Pedapati E, Pedersen KA, Peura C, Pierri J, Rogers C, Rossman B, Ruberg J, Sannar E, Small C, Stuckey N, Troen B, Tylenda B, Verdi M, Williams J, Lubetsky D, Williams D, Lubetsky M, Lubetsky M.

Author information

1

Emma Pendleton Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI, 02915, USA. giulia.righi@lifespan.org

2

Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, 700 Butler Dr, Providence, RI, 02906, USA. giulia.righi@lifespan.org.

3

Division of Biology and Medicine, Rhode Island Consortium for Autism Research and Treatment (RI-CART), and the Hassenfeld Child Health Innovation Institute (HCHII), Brown University, 1011 Veterans Memorial Parkway, East Providence, RI, 02915, USA. giulia.righi@lifespan.org.

4

Emma Pendleton Bradley Hospital, 1011 Veterans Memorial Parkway, East Providence, RI, 02915, USA.

5

Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St, Pittsburgh, PA, 15213, USA.

6

Maine Medical Center Research Institute, Spring Harbor Hospital, Tufts University School of Medicine, 123 Andover Road, Westbrook, ME, 04092, USA.

7

Women and Infant's Hospital, 101 Dudley street, Providence, RI, 02905, USA.

8

Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, 700 Butler Dr, Providence, RI, 02906, USA.

9

Division of Biology and Medicine, Rhode Island Consortium for Autism Research and Treatment (RI-CART), and the Hassenfeld Child Health Innovation Institute (HCHII), Brown University, 1011 Veterans Memorial Parkway, East Providence, RI, 02915, USA.

10

Rhode Island Consortium for Autism Research and Treatment (RI-CART), and the Hassenfeld Child Health Innovation Institute, Alpert Medical School of Brown University, 101 Dudley street, Providence, RI, 02905, USA.

Abstract

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.

PMID: 28536960

DOI: 10.1007/s10803-017-3154-9