Center for Psychiatric Research, Maine Medical Center Research Institute, 509 Forest Ave Suite 200B, Portland, ME, USA.
Department of Psychiatry and Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, USA.
J Autism Dev Disord. 2019 Mar;49(3):1242-1249. doi: 10.1007/s10803-018-3816-2.
Psychiatric hospitalization of children with autism spectrum disorder (ASD) is common, but there is little comparative information available on different psychiatric hospital treatment models. Children with ASD ages 4-20 were enrolled upon admission to either a specialized (N = 53) or a general child psychiatric unit (N = 27). Caregivers completed the Aberrant Behavioral Checklist-Irritability Sub-scale (ABC-I) at admission, discharge, and 2 months post-discharge and reported information on crisis service utilization 2 months post-discharge. Children treated in the specialized unit had lower ABC-I scores at discharge and 2 months post-discharge (F = 8.98, p = 0.003) and were significantly less likely to experience an ER visit within 2 months post-discharge (X = 5.51, p = 0.019). Specialized inpatient units may be more effective for children with ASD in need of psychiatric hospitalization.
儿童自闭症谱系障碍（ASD）患者常需住院接受精神科治疗，但不同精神病院治疗模式的比较信息却很少。在入组时，将 4-20 岁的 ASD 儿童分别纳入专门的（N=53）或一般儿童精神科病房（N=27）。在入院、出院和出院后 2 个月时，照顾者使用异常行为检查表-易激惹分量表（ABC-I）进行评估，并在出院后 2 个月时报告危机服务利用情况。在专门病房接受治疗的儿童在出院时和出院后 2 个月时的 ABC-I 评分较低（F=8.98，p=0.003），并且在出院后 2 个月内急诊就诊的可能性显著降低（X=5.51，p=0.019）。对于需要精神病住院治疗的 ASD 儿童，专门的住院病房可能更有效。
