Emerging evidence suggests that emotion regulation (ER) impairment in those with ASD is associated with poor mental health. This study used the Emotion Dysregulation Inventory, a new norm‐referenced ER measure with clinical cut‐offs, developed and validated in ASD and non‐ASD samples, to establish rates of ER impairment and understand its association with psychiatric service use in ASD. Parents of 6–17 year olds in three well‐characterized samples (nationally representative US n = 1,000; community ASD n = 1,169; inpatient ASD n = 567) completed a battery of questionnaires about their child. The prevalence of ER impairment was significantly higher in the ASD groups compared to the nationally representative sample and highest in the psychiatric Inpatient ASD group. The community ASD and inpatient ASD samples were four and seven times more likely, respectively, to exceed clinical cutoffs for emotional reactivity than the general US sample. Similarly, history of psychiatric hospitalization, recent emergency services use (police contact, emergency room visits, or in‐home crisis evaluations for emotional or behavioral concerns in the past 2 months), and psychotropic medication prescriptions were significantly higher in the ASD groups. ER impairment was significantly associated with all forms of psychiatric service use, after controlling for demographics (age, sex, race), co‐occurring intellectual disability, and ADHD symptoms. This is the first large‐scale study to document substantially higher rates of ER impairment in youth with ASD compared to the general population. The importance of ER impairment is underscored by its association with higher utilization of inpatient, emergency, and medication services in ASD, after accounting for demographics and ADHD‐related symptoms.

中文翻译：

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与普通人群相比，自闭症患者的情绪失调显着升高：对精神科服务的影响

新出现的证据表明，ASD 患者的情绪调节 (ER) 障碍与心理健康状况不佳有关。本研究使用情绪失调量表，这是一种具有临床截止值的新的规范参考 ER 测量，在 ASD 和非 ASD 样本中开发和验证，以确定 ER 损伤率并了解其与 ASD 中使用精神科服务的关联。三个特征明确的样本中 6-17 岁儿童的父母（美国全国代表性n = 1,000；社区 ASD n = 1,169；住院 ASD n= 567) 完成了一系列关于他们孩子的问卷调查。与全国代表性样本相比，ASD 组中 ER 损伤的患病率显着更高，并且在精神病住院 ASD 组中最高。与一般美国样本相比，社区 ASD 和住院 ASD 样本超过情绪反应的临床临界值的可能性分别高出四倍和七倍。同样，在 ASD 组中，精神病住院史、最近使用紧急服务（警察联系、急诊室就诊或在过去 2 个月内对情绪或行为问题进行家庭危机评估）和精神药物处方明显更高。在控制人口统计学（年龄、性别、种族）后，ER 损伤与所有形式的精神科服务使用显着相关，同时发生的智力障碍和多动症症状。这是第一项大规模研究，记录了与普通人群相比，ASD 青年的 ER 损伤率明显更高。在考虑了人口统计学和 ADHD 相关症状后，ER 损伤的重要性因其与 ASD 住院、急诊和药物服务的更高利用率相关而得到强调。