Service and treatment use among children diagnosed with autism spectrum disorders.
Service and treatment use among children diagnosed with autism spectrum disorders.
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DOI：
10.1097/dbp.0000000000000127
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发表时间：
2015-02
期刊：
影响因子：
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通讯作者：
Blumberg SJ
中科院分区：
文献类型：
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作者：
Zablotsky B;Pringle BA;Colpe LJ;Kogan MD;Rice C;Blumberg SJ
被诊断患有自闭症谱系障碍 (ASD) 的儿童不仅需要大量支持来解决 ASD 核心症状，还需要解决一系列并发病症。本研究探讨了患有或不患有智力障碍 (ID) 的 ASD 儿童的治疗和服务使用情况，以及家长对这些治疗未满足的需求的看法。数据来自基于概率的全国样本，其中包括 2,077 名被诊断患有 ASD、ID 或两者（ASD 和 ID）的儿童。加权多变量逻辑回归检查了诊断组之间当前药物和服务利用的差异，并通过子分析探索了同时发生精神疾病的患者之间的差异。额外的模型检查了父母对未满足需求的看法。与仅患有智力障碍或仅患有自闭症谱系障碍的儿童相比，被诊断患有自闭症谱系障碍和智力障碍的儿童接受当前药物和服务的可能性明显更大。与没有同时发生精神病学诊断的儿童相比，来自所有 3 个诊断组的同时发生精神病学诊断的儿童更有可能接受当前药物治疗，但接受当前服务的可能性并不更大。与没有同时发生精神病诊断的 ASD 儿童的父母相比，患有 ASD 和同时发生精神病诊断的儿童的父母报告需求未得到满足的可能性明显更大。被诊断患有自闭症谱系障碍 (ASD) 和智力障碍 (ID) 的儿童，尤其是患有精神疾病的儿童，是弱势群体，目前的服务 (98%) 和药物 (67%) 使用率很高，但尽管比例很高，但约 30% 的家长表示，他们目前的治疗和服务仍无法满足孩子的发展需求。
Children diagnosed with autism spectrum disorder (ASD) require substantial support to address not only core ASD symptoms, but also a range of co-occurring conditions. This study explores treatment and service use among children with ASD with and without intellectual disability (ID), and parents’ perception of unmet needs from these treatments. Data come from a probability-based national sample of 2,077 children diagnosed with either ASD, ID, or both (ASD and ID). Weighted multivariate logistic regressions examined differences between diagnostic groups for current medication and service utilization with a sub-analysis exploring differences among those with co-occurring psychiatric conditions. Additional modeling examined parents’ perception of unmet needs. Children diagnosed with ASD and ID were significantly more likely to be receiving current medication and services when compared to children with ID only or ASD only. Children with a co-occurring psychiatric diagnosis, from all 3 diagnostic groups, were more likely to be receiving a current medication, but not more likely to be receiving a current service when compared with children without a co-occurring psychiatric diagnosis. Children with ASD and a co-occurring psychiatric diagnosis were significantly more likely to have parents who reported unmet needs when compared with parents of children with ASD without a co-occurring psychiatric diagnosis. Children diagnosed with ASD and ID, especially those with a comorbid psychiatric condition, represent a vulnerable population with substantial rates of current service (98%) and medication (67%) usage, but despite these high rates, approximately 30% of parents report that their child’s developmental needs are still not being met by their current treatment and services.