Mood instability and mental health service use in autism and attention-deficit/hyperactivity disorder: a natural language processing analysis of CRIS electronic healthcare records from 21 906 children and adolescents - Summary - MDSpire
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Mood instability and mental health service use in autism and attention-deficit/hyperactivity disorder: a natural language processing analysis of CRIS electronic healthcare records from 21 906 children and adolescents
To examine the association between baseline mood instability and time to discharge and annual CAMHS use in children and young people with ASD and/or ADHD.
Approach:
Method: label
Method: text
Key Findings:
Mood instability was associated with increased annual CAMHS use: aIRR 1.24 for ASD, aIRR 1.47 for ADHD, and aIRR 1.27 for ASD+ADHD.
Mood instability did not significantly affect discharge timelines in autistic children, but was linked to reduced time to discharge in the ADHD group (aTR 0.76).
The association was strongest in ADHD patients not receiving medication (aIRR 1.67; aTR 0.70).
Interpretation:
Mood instability is associated with elevated CAMHS use in CYP with neurodevelopmental conditions, with varying effects across diagnostic groups.
Limitations:
The study may not account for all confounding factors influencing CAMHS utilization.
Findings are based on electronic health records, which may have limitations in data completeness and accuracy.
Conclusion:
Mood instability is linked to higher CAMHS use in CYP with neurodevelopmental conditions.