Prevalence and Correlates of Autism in a State Psychiatric Hospital

Autor/inn/en	Mandell, David S.; Lawer, Lindsay J.; Branch, Kira; Brodkin, Edward S.; Healey, Kristin; Witalec, Robert; Johnson, Donielle N.; Gur, Raquel E.
Titel	Prevalence and Correlates of Autism in a State Psychiatric Hospital
Quelle	In: Autism: The International Journal of Research and Practice, 16 (2012) 6, S.557-567 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361311412058
Schlagwörter	Autism; Pervasive Developmental Disorders; Psychiatric Hospitals; Incidence; Correlation; Patients; Adults; Clinical Diagnosis; Measures (Individuals); Smoking; Substance Abuse; Schizophrenia; Pennsylvania + Suchen Sie Ihr Suchwort? Autismus; Phsychiatric institution; Psychiatrische Einrichtung; Vorkommen; Korrelation; Patient; Messdaten; Rauchen; Drug use; Drug consomption; Drogenkonsum; Schizophrenie
Abstract	This study estimated the ASD prevalence in a psychiatric hospital and evaluated the Social Responsiveness Scale (SRS) combined with other information for differential diagnosis. Chart review, SRS and clinical interviews were collected for 141 patients at one hospital. Diagnosis was determined at case conference. Receiver operating characteristic (ROC) curves were used to evaluate the SRS as a screening instrument. Chi-squared Automatic Interaction Detector (CHAID) analysis estimated the role of other variables, in combination with the SRS, in separating cases and non-cases. Ten percent of the sample had ASD. More than other patients, their onset was prior to 12 years of age, they had gait problems and intellectual disability, and were less likely to have a history of criminal involvement or substance abuse. Sensitivity (0.86) and specificity (0.60) of the SRS were maximized at a score of 84. Adding age of onset less than 12 years and cigarette use among those with SRS less than 80 increased sensitivity to 1.00 without lowering specificity. Adding a history substance abuse among those with SRS greater than 80 increased specificity to 0.90 but dropped sensitivity to 0.79. Undiagnosed ASD may be common in psychiatric hospitals. The SRS, combined with other information, may discriminate well between ASD and other disorders. (Contains 1 table and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10