The relationship between Asperger's syndrome and schizophrenia in adolescence

被引:27
|
作者
Waris, Petra [1 ]
Lindberg, Nina [2 ,3 ]
Kettunen, Kirsi [4 ]
Tani, Pekka [5 ]
机构
[1] Eteva Joint Municipal Author Disabil Serv, Kerava 04200, Finland
[2] Univ Helsinki, Dept Adolescent Psychiat, Cent Hosp, Hus Helsinki 00029, Finland
[3] Kellokoski Hosp, Dept Forens Psychiat, Kellokoski 00450, Finland
[4] Kellokoski Hosp, Dept Adolescent Psychiat, Kellokoski 00450, Finland
[5] Univ Helsinki, Dept Psychiat, Cent Hosp, Hus Helsinki 00029, Finland
关键词
Schizophrenia; Asperger's syndrome; Pervasive developmental disorder; Adolescence; Comorbidity; PERVASIVE DEVELOPMENTAL DISORDER; CHILDHOOD-ONSET SCHIZOPHRENIA; COMMUNICATION DISORDERS; DIAGNOSTIC INTERVIEW; SPECTRUM DISORDERS; CHILDREN; COMORBIDITY; RELIABILITY; PREVALENCE; PSYCHOSIS;
D O I
10.1007/s00787-012-0338-x
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Asperger's syndrome (AS), a pervasive developmental disorder (PDD), has nowadays been widely advocated in media. Therefore, psychiatrists treating adolescents frequently meet patients as well as their families reporting of symptoms resembling those of Asperger's syndrome. It is known that symptoms of Asperger's syndrome have some overlap with those of schizophrenia, but less is known about comorbidity between these two syndromes. We describe a sample of 18 adolescents with early onset schizophrenia. Diagnosis of schizophrenia was based on assessment with Kiddie Schedule for Affective Disorders and Schizophrenia. The diagnostic interview for Social and Communication Disorders version 11 was used to assess autism spectrum disorders. Ten adolescents fulfilled symptom criteria of Asperger's syndrome after the onset of schizophrenia, while only two persons had Asperger's syndrome before the onset of schizophrenia, a prerequisite for diagnosis. 44 % of the adolescents fulfilled the diagnosis of some PDD in childhood. Most of them were, however, unrecognized before the onset of schizophrenia. On the other hand, all 18 patients had one or more symptoms of PDDS in adolescence. Adolescents with schizophrenia have often symptoms consistent with AS, although only few of them have fulfilled the diagnostic criteria in their childhood, a prerequisite for the diagnosis of AS. There is a risk for misdiagnosis of adolescents with autistic symptoms if detailed longitudinal anamnesis is not obtained.
引用
收藏
页码:217 / 223
页数:7
相关论文
共 50 条
  • [1] The relationship between Asperger’s syndrome and schizophrenia in adolescence
    Petra Waris
    Nina Lindberg
    Kirsi Kettunen
    Pekka Tani
    European Child & Adolescent Psychiatry, 2013, 22 : 217 - 223
  • [2] Theory of Mind in Schizophrenia and Asperger's Syndrome: Relationship with Negative Symptoms
    Ozguven, Halise Devrimci
    Oner, Ozgur
    Baskak, Bora
    Oktem, Ferhunde
    Olmez, Senay
    Munir, Kerim
    KLINIK PSIKOFARMAKOLOJI BULTENI-BULLETIN OF CLINICAL PSYCHOPHARMACOLOGY, 2010, 20 (01): : 5 - 13
  • [3] Schizophrenia or Asperger syndrome?
    Da Fonseca, David
    Viellard, Marine
    Fakra, Eric
    Bastard-Rosset, Delphine
    Deruelle, Christine
    Poinso, Francois
    PRESSE MEDICALE, 2008, 37 (09): : 1268 - 1273
  • [4] The Relationship between Subclinical Asperger's Syndrome and Frontotemporal Lobar Degeneration
    Midorikawa, Akira
    Kawamura, Mitsuru
    DEMENTIA AND GERIATRIC COGNITIVE DISORDERS EXTRA, 2012, 2 (01): : 180 - 186
  • [5] Asperger syndrome in adolescence: living with the ups, the downs things in between
    Ludlow, PG
    JOURNAL OF ADOLESCENCE, 2005, 28 (03) : 441 - 442
  • [6] SCHIZOPHRENIA AND AUTISM/ASPERGER'S SYNDROME: OVERLAP AND DIFFERENCE
    Fitzgerald, Michael
    CLINICAL NEUROPSYCHIATRY, 2012, 9 (04): : 171 - 176
  • [7] Asperger's syndrome and sexuality: From adolescence through adulthood
    Bogdashina, Olga
    AUTISM, 2006, 10 (06) : 644 - 645
  • [8] Comorbid Asperger's Syndrome and Schizophrenia and use of Clozapine
    Yanartas, Omer
    Saygili, Ishak
    Yilmaz, Yucel
    Citak, Serhat
    Kara, Hayrettin
    KLINIK PSIKOFARMAKOLOJI BULTENI-BULLETIN OF CLINICAL PSYCHOPHARMACOLOGY, 2011, 21 (02): : 147 - 149
  • [9] Emotional Education in Early Onset Schizophrenia and Asperger's Syndrome
    Frolli, Alessandro
    Ricci, Maria Carla
    Tortorelli, Francesco Alberto
    Cavallaro, Antonella
    Valenzano, Luana
    Rega, Angelo
    Operto, Francesca Felicia
    Corrivetti, Giulio
    BEHAVIORAL SCIENCES, 2020, 10 (09)
  • [10] Overlap between alexithymia and Asperger's Syndrome
    Fitzgerald, M
    Molyneux, G
    AMERICAN JOURNAL OF PSYCHIATRY, 2004, 161 (11): : 2134 - 2135