Skip to main content
Top
Gepubliceerd in:

01-09-2015 | S.I.: Emotion Regulation and Psychiatric Comorbidity in ASD

Brief Report: Understanding Crisis Behaviors in Hospitalized Psychiatric Patients with Autism Spectrum Disorder—Iceberg Assessment Interview

Auteurs: Kate H. Stark, Julia C. Barnes, Nicholas D. Young, Robin L. Gabriels

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Children and adolescents with autism spectrum disorder (ASD) are at risk for emotional dysregulation and behavior problems that can escalate to levels requiring psychiatric hospitalization. Evaluating the etiology of such behaviors can be challenging for health care providers, as individuals with ASD can have difficulty self-reporting concerns. This brief report introduces the Iceberg Assessment Interview (IAI), a tool to organize and elucidate the assessment of issues potentially underlying problem behaviors. A summary of IAIs from a chart review of patients ages 5–18 with ASD (n = 23) admitted to a specialized psychiatric hospital unit illustrates the clinical utility of this tool. Summarized IAI data includes presenting crisis behaviors, caregiver-perceived environmental conditions, and underlying psychosocial and medical problems.
Literatuur
go back to reference Dumas, J. E., Wolf, L. C., Fisman, S. N., & Culligan, A. (1991). Parenting stress, child behavior problems, and dysphoria in parents of children with autism, down syndrome, behavior disorders, and normal development. Exceptionality: A Special Education Journal, 2, 97–110.CrossRef Dumas, J. E., Wolf, L. C., Fisman, S. N., & Culligan, A. (1991). Parenting stress, child behavior problems, and dysphoria in parents of children with autism, down syndrome, behavior disorders, and normal development. Exceptionality: A Special Education Journal, 2, 97–110.CrossRef
go back to reference Durand, V. M., & Crimmins, D. B. (1988). Identifying the variables maintaining self-injurious behavior. Journal of Autism and Developmental Disorders, 18, 99–117.CrossRefPubMed Durand, V. M., & Crimmins, D. B. (1988). Identifying the variables maintaining self-injurious behavior. Journal of Autism and Developmental Disorders, 18, 99–117.CrossRefPubMed
go back to reference Engelhardt, C. R., & Mazurek, M. O. (2014). Video game access, parental rules, and problem behavior: A study of boys with autism spectrum disorder. Autism, 18, 529–537.CrossRefPubMed Engelhardt, C. R., & Mazurek, M. O. (2014). Video game access, parental rules, and problem behavior: A study of boys with autism spectrum disorder. Autism, 18, 529–537.CrossRefPubMed
go back to reference Esbensen, A. J., Greenberg, J. S., Seltzer, M. M., & Aman, M. G. (2009). A longitudinal investigation of psychotropic and non-psychotropic medication use among adolescents and adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1339–1349.PubMedCentralCrossRefPubMed Esbensen, A. J., Greenberg, J. S., Seltzer, M. M., & Aman, M. G. (2009). A longitudinal investigation of psychotropic and non-psychotropic medication use among adolescents and adults with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39, 1339–1349.PubMedCentralCrossRefPubMed
go back to reference Gabriels, R. L., Agnew, J. A., Beresford, C., Morrow, M. A., Mesibov, G., & Wamboldt, M. (2012). Improving psychiatric hospital care for pediatric patients with autism spectrum disorders and intellectual disabilities. Autism Research and Treatment, 2012, 1–7.CrossRef Gabriels, R. L., Agnew, J. A., Beresford, C., Morrow, M. A., Mesibov, G., & Wamboldt, M. (2012). Improving psychiatric hospital care for pediatric patients with autism spectrum disorders and intellectual disabilities. Autism Research and Treatment, 2012, 1–7.CrossRef
go back to reference Ghaziuddin, M., Alessi, N., & Greden, J. F. (1995). Life events and depression in children with pervasive developmental disorders. Journal of Autism and Developmental Disorders, 25, 495–502.CrossRefPubMed Ghaziuddin, M., Alessi, N., & Greden, J. F. (1995). Life events and depression in children with pervasive developmental disorders. Journal of Autism and Developmental Disorders, 25, 495–502.CrossRefPubMed
go back to reference Gillberg, C. (1984). Autistic children growing up: Problems during puberty and adolescence. Developmental Medicine and Child Neurology, 26, 125–129.CrossRefPubMed Gillberg, C. (1984). Autistic children growing up: Problems during puberty and adolescence. Developmental Medicine and Child Neurology, 26, 125–129.CrossRefPubMed
go back to reference Goldman, S. E., McGrew, S., Johnson, K. P., Richdale, A. L., Clemons, T., & Marlow, B. A. (2011). Sleep is associated with problem behaviors in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 1223–1229.CrossRef Goldman, S. E., McGrew, S., Johnson, K. P., Richdale, A. L., Clemons, T., & Marlow, B. A. (2011). Sleep is associated with problem behaviors in children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 1223–1229.CrossRef
go back to reference Guinchat, V., Cravero, C., Diaz, L., Perisse, D., Xavier, J., Amiet, C., et al. (2015). Acute behavioral crises in psychiatric inpatients with autism spectrum disorder (ASD): Recognition of concomitant medical or non ASD psychiatric conditions predicts enhanced improvement. Research in Developmental Disabilities, 38, 242–255.CrossRefPubMed Guinchat, V., Cravero, C., Diaz, L., Perisse, D., Xavier, J., Amiet, C., et al. (2015). Acute behavioral crises in psychiatric inpatients with autism spectrum disorder (ASD): Recognition of concomitant medical or non ASD psychiatric conditions predicts enhanced improvement. Research in Developmental Disabilities, 38, 242–255.CrossRefPubMed
go back to reference Horner, R. H., & Carr, E. G. (1997). Behavioral support for students with severe disabilities functional assessment and comprehensive intervention. The Journal of Special Education, 31, 84–104.CrossRef Horner, R. H., & Carr, E. G. (1997). Behavioral support for students with severe disabilities functional assessment and comprehensive intervention. The Journal of Special Education, 31, 84–104.CrossRef
go back to reference Iwata, B. A., DeLeon, I. G., & Roscoe, E. M. (2013). Reliability and validity of the functional analysis screening tool. Journal of Applied Behavior Analysis, 46, 271–284.CrossRefPubMed Iwata, B. A., DeLeon, I. G., & Roscoe, E. M. (2013). Reliability and validity of the functional analysis screening tool. Journal of Applied Behavior Analysis, 46, 271–284.CrossRefPubMed
go back to reference Kerwin, M. E., Eicher, P. S., & Gelsinger, J. (2005). Parental report of eating problems and gastrointestinal symptoms in children with pervasive developmental disorders. Children’s Health Care, 34, 217–234.CrossRef Kerwin, M. E., Eicher, P. S., & Gelsinger, J. (2005). Parental report of eating problems and gastrointestinal symptoms in children with pervasive developmental disorders. Children’s Health Care, 34, 217–234.CrossRef
go back to reference Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.CrossRefPubMed Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.CrossRefPubMed
go back to reference Matson, J. L., & Vollmer, T. R. (1995). User’s guide: Questions about behavioral function (QABF). Baton Rouge, LA: Scientific Publishers. Matson, J. L., & Vollmer, T. R. (1995). User’s guide: Questions about behavioral function (QABF). Baton Rouge, LA: Scientific Publishers.
go back to reference Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., & White, S. W. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 679–688.PubMedCentralCrossRefPubMed Mazefsky, C. A., Herrington, J., Siegel, M., Scarpa, A., Maddox, B. B., Scahill, L., & White, S. W. (2013). The role of emotion regulation in autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 52, 679–688.PubMedCentralCrossRefPubMed
go back to reference Mazurek, M. O., & Engelhardt, C. R. (2013). Video game use and problem behaviors in boys with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 316–324.CrossRef Mazurek, M. O., & Engelhardt, C. R. (2013). Video game use and problem behaviors in boys with autism spectrum disorders. Research in Autism Spectrum Disorders, 7, 316–324.CrossRef
go back to reference McGonigle, J. J., Venkat, A., Beresford, C., Campbell, T. P., & Gabriels, R. (2014). Management of agitation in individuals with autism spectrum disorders in the emergency department. Child and Adolescent Clinics of North America, 23, 83–95.CrossRef McGonigle, J. J., Venkat, A., Beresford, C., Campbell, T. P., & Gabriels, R. (2014). Management of agitation in individuals with autism spectrum disorders in the emergency department. Child and Adolescent Clinics of North America, 23, 83–95.CrossRef
go back to reference Mesibov, G. B., Shea, V., & Schopler, E. (2004). The TEACCH approach to autism spectrum disorders. New York, NY: Plenum Press.CrossRef Mesibov, G. B., Shea, V., & Schopler, E. (2004). The TEACCH approach to autism spectrum disorders. New York, NY: Plenum Press.CrossRef
go back to reference Nader, R., Oberlander, T. F., Chambers, C. T., & Craig, K. D. (2004). Expression of pain in children with autism. The Clinical Journal of Pain, 20, 88–97.CrossRefPubMed Nader, R., Oberlander, T. F., Chambers, C. T., & Craig, K. D. (2004). Expression of pain in children with autism. The Clinical Journal of Pain, 20, 88–97.CrossRefPubMed
go back to reference Siegel, M., & Gabriels, R. L. (2014). Psychiatric hospital treatment of children with autism and serious behavioral disturbance. Child and Adolescent Psychiatric Clinics of North America, 23, 125–142.CrossRefPubMed Siegel, M., & Gabriels, R. L. (2014). Psychiatric hospital treatment of children with autism and serious behavioral disturbance. Child and Adolescent Psychiatric Clinics of North America, 23, 125–142.CrossRefPubMed
go back to reference Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of American Academy of Child and Adolescent Psychiatry, 47, 921–929.CrossRef Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of American Academy of Child and Adolescent Psychiatry, 47, 921–929.CrossRef
go back to reference Smith, K. R. M., & Matson, J. L. (2010). Behavior problems: Differences among intellectually disabled adults with co-morbid autism spectrum disorders and epilepsy. Research in Developmental Disabilities, 31, 1062–1069.CrossRefPubMed Smith, K. R. M., & Matson, J. L. (2010). Behavior problems: Differences among intellectually disabled adults with co-morbid autism spectrum disorders and epilepsy. Research in Developmental Disabilities, 31, 1062–1069.CrossRefPubMed
Metagegevens
Titel
Brief Report: Understanding Crisis Behaviors in Hospitalized Psychiatric Patients with Autism Spectrum Disorder—Iceberg Assessment Interview
Auteurs
Kate H. Stark
Julia C. Barnes
Nicholas D. Young
Robin L. Gabriels
Publicatiedatum
01-09-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 11/2015
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-015-2552-0