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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Many Young Children with Autism Who Use Psychotropic Medication Do Not Receive Behavior Therapy: A Multisite Case-Control Study
The Journal of pediatrics, v 232, pp 264-271
May 2021
PMID: 33493493
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To explore how many pre-school aged children with autism spectrum disorder (ASD) used psychotropic medication, child and geographic factors associated with psychotropic medication use, and how many children who used psychotropic medication did or did not ever receive behavior therapy.
Children 2-5 years of age were enrolled from 2012 to 2016 in a multisite case-control study designed to investigate the development and risk factors of ASD. Children with a positive ASD screen or ASD diagnosis upon enrollment were asked to complete a comprehensive evaluation to determine ASD status and developmental level. Caregivers completed a Services and Treatments Questionnaire and multiple self-administered questionnaires to determine child use of psychotropic medication, ever receipt of behavior therapy, and presence of co-occurring symptoms.
There were 763 children who were classified as ASD and had data collected on the Services and Treatments Questionnaire. Of those, 62 (8.1%) used psychotropic medication to treat behavioral symptoms and 28 (3.7%) were ≤3 years of age when medication was first started. Attention problems (aOR, 7.65; 95% CI, 3.41-16.1; P < .001) and study site (aOR, 2.62; 95% CI, 1.04-6.56; P = .04) were significantly associated with psychotropic medication use after controlling for maternal race/ethnicity. More than one-half (59.7%) of those who used psychotropic medication did not ever receive behavior therapy.
Many preschool-aged children with ASD who use psychotropic medication do not receive behavior therapy. Pediatricians are an important resource for children and families and can help facilitate behavioral treatment for children with ASD and other disorders.
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Details
- Title
- Many Young Children with Autism Who Use Psychotropic Medication Do Not Receive Behavior Therapy: A Multisite Case-Control Study
- Creators
- Lisa D. Wiggins - National Center on Birth Defects and Developmental DisabilitiesCy Nadler - University of Missouri–Kansas CitySteven Rosenberg - University of Colorado Anschutz Medical CampusEric Moody - University of WyomingNuri Reyes - University of Colorado Anschutz Medical CampusAnn Reynolds - University of Colorado Anschutz Medical CampusAimee Alexander - National Center on Birth Defects and Developmental DisabilitiesJulie Daniels - University of North Carolina at Chapel HillKathleen Thomas - University of North Carolina at Chapel HillEllen Giarelli - Drexel UniversitySusan E. Levy - Children's Hospital of Philadelphia
- Publication Details
- The Journal of pediatrics, v 232, pp 264-271
- Publisher
- Elsevier
- Grant note
- Michigan State University (https://doi.org/10.13039/100007709) Washington University Johns Hopkins University (https://doi.org/10.13039/100007880) Kaiser Foundation Research Institute (https://doi.org/10.13039/100007241) Colorado Department of Public Health University of North Carolina at Chapel Hill (https://doi.org/10.13039/100007890) University of Pennsylvania (https://doi.org/10.13039/100006920) Centers for Disease Control and Prevention (https://doi.org/10.13039/100000030)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:000642520200048
- Scopus ID
- 2-s2.0-85101348618
- Other Identifier
- 991019168480404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics