新冠肺炎与神经发育障碍:研究大流行前2年对儿科住院治疗需求的影响。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2024-11-01 Epub Date: 2023-10-04 DOI:10.1007/s10803-023-06136-x
Chris A Clark, Kailyn Turner, Jennifer Kuntz, Andrea Perri, Avril Deegan, Brian Marriott, Susan Graham, Abdul Rahman, Carly A McMorris
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引用次数: 0

摘要

新冠肺炎大流行使世界医疗系统的资源紧张。大多数神经发育障碍(NDD)患者都会遇到严重的心理健康问题,在获得适当支持方面面临巨大障碍,而在疫情期间,这种障碍更加严重。目前尚不清楚新冠肺炎对NDD患者住院治疗需求和有效性的影响程度。使用贝叶斯结构时间序列模型分析了新冠肺炎对儿科住院精神科住院的NDD青年人数的影响,以及他们在大流行前两年的功能和住院时间。加拿大阿尔伯塔省四个儿科住院单元的NDD青年入院数据(n = 2144)进行检查。新冠肺炎疫情爆发后,新冠肺炎青年的住院人数显著增加。与疫情前相比,NDD患者的整体功能明显较差,接受治疗的天数也更少。这些发现强调了需要增加资源来支持这一弱势群体的心理健康需求,并与其他针对普通人群的研究一致,这些研究考察了疫情期间住院精神科病房的使用情况。
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COVID-19 and Neurodevelopmental Disabilities: Examining the Impact of the First 2 Years of the Pandemic on the Demand for Pediatric Inpatient Care.

The COVID-19 pandemic has strained the resources of the world's healthcare systems. Most individuals with neurodevelopmental disabilities (NDDs) experience significant mental health issues and face substantial barriers in accessing appropriate supports which have been exacerbated during the pandemic. It is unknown the extent to which COVID-19 impacted the demand for and effectiveness of inpatient care for those with NDDs. The impact of COVID-19 on the number of admissions of youth with NDDs to pediatric inpatient psychiatry units, as well as their functioning and length of stay during the first two years of the pandemic was analyzed using Bayesian structural time series models. Admission data of youth with NDDs from four pediatric inpatient units in Alberta, Canada (n = 2144) was examined. Inpatient admissions of youth with NDDs significantly increased following the onset of the pandemic. Compared to the period prior to the pandemic, patients with NDDs had significantly worse overall functioning and received fewer days of treatment. These findings highlight the need for increased resources to support the mental health needs of this vulnerable population and are consistent with other studies in the general population examining the utilization of inpatient psychiatric units during the pandemic.

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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
期刊最新文献
Correction: The Knowledge of Autism Questionnaire-UK: Development and Initial Psychometric Evaluation. Correction: Analyzing Community-Based Support Requests Made by Black Families Raising Autistic Children. Brief Report: Differential Persistence of Primary Reflexes for Children with Autism Spectrum Disorder: A Systematic Replication. Brief Report: Increasing Intraverbal Responses to Subcategorical Questions via Tact and Match-to-Sample Instruction. Increasing Vocabulary and Listening Comprehension During Adapted Shared Reading: An Intervention for Preschoolers with Autism Spectrum Disorder.
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