Personality Disorders and ASD
Personality Disorders and ASD
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DOI：
10.1007/978-3-030-26276-1_10
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发表时间：
2019-01-01
期刊：
影响因子：
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通讯作者：
Fusar-Poli, Laura
中科院分区：
文献类型：
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作者：
De Cagna, Francesca;Squillari, Edoardo;Fusar-Poli, Laura
青少年和成年期的自闭症谱系障碍（ASD）通常很难与人格障碍（PD）区分开来，后者是一组可能出现类似症状的疾病。例如，属于集群A的PD（即，类自闭症或类自闭症）与高功能ASD共享古怪行为和社交退缩的存在，而B群PD可能存在情绪表达的失调，以及自我伤害行为（即，边界）和移情行为（即，反社会的）;最后，集群C PD可以再次共享一定程度的社交回避（即，回避型PD）或相同（即，强迫性PD）。评估PD的低功能部分的频谱可能更加困难，很少有工具可用于识别。文献还报道，PD也可以与ASD合并存在。总之，在成人ASD评估期间，考虑PD对于鉴别诊断和更好的治疗计划始终很重要。
Autism spectrum disorder (ASD) in adolescence and adulthood is frequently difficult to discriminate from personality disorders (PD), a group of conditions that could present with similar symptomatology. For instance, PD belonging to cluster A (i.e., schizoid or schizotypal) share with high-functioning ASD the presence of odd behaviors and social withdrawal, while cluster B PD may present dysregulation in emotional expressivity, as well as self-injurious behaviors (i.e., borderline) and empathic behaviors (i.e., antisocial); finally, cluster C PD may again share a certain level of social avoidance (i.e., avoidant PD) or sameness (i.e., obsessive-compulsive PD). The assessment of PD in the low-functioning part of the spectrum may be even more difficult and few tools are available for their identification. Literature also reports that PD can be present also in comorbidity with ASD. In conclusion, during ASD assessment in adulthood it is always important to consider PD, both for differential diagnosis and for better treatment planning.