Psychiatric Symptoms in Youth with a History of Autism and Optimal Outcome.

Psychiatric Symptoms in Youth with a History of Autism and Optimal Outcome.
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DOI:
10.1007/s10803-015-2520-8
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发表时间:
2015-11
影响因子:
3.9
通讯作者:
Fein DA
Fein DA
中科院分区:
心理学3区
文献类型:
--
作者:
Orinstein A;Tyson KE;Suh J;Troyb E;Helt M;Rosenthal M;Barton ML;Eigsti IM;Kelley E;Naigles L;Schultz RT;Stevens MC;Fein DA

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由于ASD通常与精神疾病共病,不再符合ASD标准(最佳结局; OO)的儿童可能仍有精神疾病的风险。对33名OO、42名高功能自闭症(HFA)和34名8-21岁的典型发育(TD)青少年进行了DSM-IV精神障碍(K-SADS-PL)的家长访谈,结果显示OO和HFA组目前ADHD和特定恐惧症升高,HFA中有抽搐。在过去,HFA组也有抑郁和ODD升高,OO组有抽搐。HFA组还表现出特定和社交恐惧症以及广泛性焦虑的阈下症状。OO组的精神病理学随着时间的推移而减轻,他们的自闭症也减轻了,并且比HFA组减少得更多。
Since ASD is often comorbid with psychiatric disorders, children who no longer meet criteria for ASD (optimal outcome; OO) may still be at risk for psychiatric disorders. A parent interview for DSM-IV psychiatric disorders (K-SADS-PL) for 33 OO, 42 high-functioning autism (HFA) and 34 typically developing (TD) youth, ages 8–21, showed that OO and HFA groups had elevated current ADHD and specific phobias, with tics in HFA. In the past, the HFA group also had elevated depression and ODD, and the OO group had tics. The HFA group also showed subthreshold symptoms of specific and social phobias, and generalized anxiety. Psychopathology in the OO group abated over time as did their autism, and decreased more than in HFA.