Determination of psychosis-related clinical profiles in children with autism spectrum disorders using latent class analysis
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| 024 | 7 | 0 | |a 10.1007/s00787-014-0576-1 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00787-014-0576-1 | ||
| 245 | 0 | 0 | |a Determination of psychosis-related clinical profiles in children with autism spectrum disorders using latent class analysis |h [Elektronische Daten] |c [Marinos Kyriakopoulos, Argyris Stringaris, Sofia Manolesou, Maja Radobuljac, Brian Jacobs, Avi Reichenberg, Daniel Stahl, Emily Simonoff, Sophia Frangou] |
| 520 | 3 | |a In children with autism spectrum disorders (ASD), high rates of idiosyncratic fears and anxiety reactions and thought disorder are thought to increase the risk of psychosis. The critical next step is to identify whether combinations of these symptoms can be used to categorise individual patients into ASD subclasses, and to test their relevance to psychosis. All patients with ASD (n=84) admitted to a specialist national inpatient unit from 2003 to 2012 were rated for the presence or absence of impairment in affective regulation and anxiety (peculiar phobias, panic episodes, explosive reactions to anxiety), social deficits (social disinterest, avoidance or withdrawal and abnormal attachment) and thought disorder (disorganised or illogical thinking, bizarre fantasies, overvalued or delusional ideas). Latent class analysis of individual symptoms was conducted to identify ASD classes. External validation of these classes was performed using as a criterion the presence of hallucinations. Latent class analysis identified two distinct classes. Bizarre fears and anxiety reactions and thought disorder symptoms differentiated ASD patients into those with psychotic features (ASD-P: 51%) and those without (ASD-NonP: 49%). Hallucinations were present in 26% of the ASD-P class but only 2.4% of the ASD-NonP. Both the ASD-P and the ASD-NonP class benefited from inpatient treatment although inpatient stay was prolonged in the ASD-P class. This study provides the first empirically derived classification of ASD in relation to psychosis based on three underlying symptom dimensions, anxiety, social deficits and thought disorder. These results can be further developed by testing the reproducibility and prognostic value of the identified classes. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Psychotic symptoms |2 nationallicence | |
| 690 | 7 | |a MCDD |2 nationallicence | |
| 690 | 7 | |a Autism spectrum disorder |2 nationallicence | |
| 690 | 7 | |a Inpatient |2 nationallicence | |
| 700 | 1 | |a Kyriakopoulos |D Marinos |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | |
| 700 | 1 | |a Stringaris |D Argyris |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | |
| 700 | 1 | |a Manolesou |D Sofia |u Central and North West London NHS Foundation Trust, London, UK |4 aut | |
| 700 | 1 | |a Radobuljac |D Maja |u University Psychiatric Hospital, Ljubljana, Slovenia |4 aut | |
| 700 | 1 | |a Jacobs |D Brian |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | |
| 700 | 1 | |a Reichenberg |D Avi |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | |
| 700 | 1 | |a Stahl |D Daniel |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | |
| 700 | 1 | |a Simonoff |D Emily |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | |
| 700 | 1 | |a Frangou |D Sophia |u Icahn School of Medicine at Mount Sinai, New York, USA |4 aut | |
| 773 | 0 | |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/3(2015-03-01), 301-307 |x 1018-8827 |q 24:3<301 |1 2015 |2 24 |o 787 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00787-014-0576-1 |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00787-014-0576-1 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kyriakopoulos |D Marinos |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Stringaris |D Argyris |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Manolesou |D Sofia |u Central and North West London NHS Foundation Trust, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Radobuljac |D Maja |u University Psychiatric Hospital, Ljubljana, Slovenia |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Jacobs |D Brian |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Reichenberg |D Avi |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Stahl |D Daniel |u Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, P066, De Crespigny Park, SE5 8AF, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Simonoff |D Emily |u Child and Adolescent Mental Health Clinical Academic Group, South London and the Maudsley NHS Foundation Trust, London, UK |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Frangou |D Sophia |u Icahn School of Medicine at Mount Sinai, New York, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t European Child & Adolescent Psychiatry |d Springer Berlin Heidelberg |g 24/3(2015-03-01), 301-307 |x 1018-8827 |q 24:3<301 |1 2015 |2 24 |o 787 | ||