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The influence of sex on major psychiatric comorbidities and parental psychiatric disorders in 22,698 children and adolescents with ICD-9-CM-based autism spectrum disorder.

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Title: The influence of sex on major psychiatric comorbidities and parental psychiatric disorders in 22,698 children and adolescents with ICD-9-CM-based autism spectrum disorder.
Authors: Hsu, Ju-Wei (AUTHOR), Chen, Li-Chi (AUTHOR), Huang, Kai-Lin (AUTHOR), Tsai, Shih-Jen (AUTHOR), Bai, Ya-Mei (AUTHOR), Su, Tung-Ping (AUTHOR), Chen, Tzeng-Ji (AUTHOR), Chen, Mu-Hong (AUTHOR)
Source: European Archives of Psychiatry & Clinical Neuroscience. Feb2024, Vol. 274 Issue 1, p19-25. 7p.
Subjects: Autism spectrum disorders, Mental illness, Attention-deficit hyperactivity disorder, Behavior disorders, Self-injurious behavior, Comorbidity
Geographic Terms: Taiwan
Abstract: It remains unclear how major psychiatric comorbidities and parental psychiatric disorders differ in males and females with autism spectrum disorder (ASD). Between 2001 and 2011, 17,627 children and 5071 adolescents with ASD (ICD-9-CM code: 299) were identified from Taiwan's National Health Insurance Research Database and assessed for major psychiatric comorbidities and parental psychiatric disorders. Compared with females with ASD, males with ASD were more likely to be diagnosed as having attention deficit hyperactivity disorder (relative risk [RR], 95% confidence interval [CI] 1.63, 1.51–1.75) and disruptive behavior disorder (1.38, 1.17–1.62) and less likely to be diagnosed as having schizophrenia (0.45, 0.36–0.56), bipolar disorder (0.58, 0.45–0.74), or intellectual disability (0.53, 0.49–0.58). Furthermore, compared with women, having a parental history of schizophrenia (RR, 95% CI 0.66, 0.49–0.89) or intellectual disability (0.34, 0.19–0.61) was less associated with ASD among men. However, the difference in ASD diagnosis between ICD-9-CM and ICD-10/11-CM systems may reflect the different, but surely overlapping, entity of ASD, which may limit the generalization of our results. Additional studies should be performed. [ABSTRACT FROM AUTHOR]
Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The influence of sex on major psychiatric comorbidities and parental psychiatric disorders in 22,698 children and adolescents with ICD-9-CM-based autism spectrum disorder.
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  Data: <searchLink fieldCode="AR" term="%22Hsu%2C+Ju-Wei%22">Hsu, Ju-Wei</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Li-Chi%22">Chen, Li-Chi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huang%2C+Kai-Lin%22">Huang, Kai-Lin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tsai%2C+Shih-Jen%22">Tsai, Shih-Jen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bai%2C+Ya-Mei%22">Bai, Ya-Mei</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Su%2C+Tung-Ping%22">Su, Tung-Ping</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Tzeng-Ji%22">Chen, Tzeng-Ji</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Mu-Hong%22">Chen, Mu-Hong</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Archives+of+Psychiatry+%26+Clinical+Neuroscience%22">European Archives of Psychiatry & Clinical Neuroscience</searchLink>. Feb2024, Vol. 274 Issue 1, p19-25. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Autism+spectrum+disorders%22">Autism spectrum disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Self-injurious+behavior%22">Self-injurious behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink>
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  Data: It remains unclear how major psychiatric comorbidities and parental psychiatric disorders differ in males and females with autism spectrum disorder (ASD). Between 2001 and 2011, 17,627 children and 5071 adolescents with ASD (ICD-9-CM code: 299) were identified from Taiwan's National Health Insurance Research Database and assessed for major psychiatric comorbidities and parental psychiatric disorders. Compared with females with ASD, males with ASD were more likely to be diagnosed as having attention deficit hyperactivity disorder (relative risk [RR], 95% confidence interval [CI] 1.63, 1.51–1.75) and disruptive behavior disorder (1.38, 1.17–1.62) and less likely to be diagnosed as having schizophrenia (0.45, 0.36–0.56), bipolar disorder (0.58, 0.45–0.74), or intellectual disability (0.53, 0.49–0.58). Furthermore, compared with women, having a parental history of schizophrenia (RR, 95% CI 0.66, 0.49–0.89) or intellectual disability (0.34, 0.19–0.61) was less associated with ASD among men. However, the difference in ASD diagnosis between ICD-9-CM and ICD-10/11-CM systems may reflect the different, but surely overlapping, entity of ASD, which may limit the generalization of our results. Additional studies should be performed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Archives of Psychiatry & Clinical Neuroscience is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Feb2024
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