DO SOME CASES OF ANOREXIA-NERVOSA REFLECT UNDERLYING AUTISTIC-LIKE CONDITIONS
DO SOME CASES OF ANOREXIA-NERVOSA REFLECT UNDERLYING AUTISTIC-LIKE CONDITIONS
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DOI：
10.3233/ben-1992-5105
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发表时间：
1992-03-01
影响因子：
2.8
通讯作者：
RASTAM, M
中科院分区：
文献类型：
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作者：
GILLBERG, C;RASTAM, M
在51名患有神经性厌食症（AN）的青少年样本中-其中包括24例构成1970年出生的AN病例的总人口-几个人在AN发病前很久就表现出类似自闭症的儿童社交，沟通和行为模式。AN组的三个男孩中有一个患有Alberger综合征。48名女孩中有3名有高功能自闭症的病史，并继续表现出自闭症的许多典型特征。另外两名女孩患有妥瑞症和强迫症，并伴有社会交往问题。另外18名女孩符合强迫性人格障碍（OCPD）的标准，其中大多数也有中度至重度的儿童社会交往问题。在来自同一所学校的性别和年龄匹配的对照组中，两名女孩患有OCPD，但没有一人患有自闭症或Tourette综合征。结果进行了讨论的背景下，最近提出的联系之间的Barger综合征，抽动秽语综合征和强迫症的问题，它建议，AN在一个亚组的情况下可能代表属于同一类的自闭症和自闭症样条件的障碍。
In a sample of 51 teenagers with anorexia nervosa (AN)-which included 24 cases constituting the total population of AN cases born in 1970-several had shown social, communicative and behaviour patterns suggestive of autistic-like conditions as children, long before the onset of AN. One of the three boys in the AN group had Asperger syndrome. Three of the 48 girls had histories suggesting high functioning autism and continued to show many features typical of autism. Two further girls had Tourette syndrome and obsessive-compulsive traits in combination with social interaction problems. Eighteen other girls met criteria for obsessive-compulsive personality disorder (OCPD) and most of these also had had moderate-severe childhood social interaction problems. In a sex- and age-matched comparison group from the same schools, two girls had OCPD, but none had autistic-like conditions or Tourette syndrome. The results are discussed in the context of a recently suggested link between Asperger syndrome, Tourette syndrome and obsessive-compulsive problems, and it is suggested that AN in a subgroup of cases might represent a disorder belonging in the same class as autism and autistic-like conditions.