Comorbid Psychiatric Disorders Associated with Asperger Syndrome/High-functioning Autism: A Community- and Clinic-based Study

被引:248
作者
Mattila, Marja-Leena [1 ]
Hurtig, Tuula [1 ,2 ]
Haapsamo, Helena [1 ]
Jussila, Katja [1 ]
Kuusikko-Gauffin, Sanna [1 ]
Kielinen, Marko [3 ]
Linna, Sirkka-Liisa [1 ,2 ]
Ebeling, Hanna [1 ]
Bloigu, Risto [4 ]
Joskitt, Leena [1 ]
Pauls, David L. [5 ]
Moilanen, Irma [1 ]
机构
[1] Univ Oulu, Clin Child Psychiat, Univ Hosp Oulu, Oulu 90029, Finland
[2] Univ Oulu, Inst Hlth Sci, Oulu 90014, Finland
[3] Univ Oulu, Dept Educ Sci & Teacher Educ, Oulu 90014, Finland
[4] Univ Oulu, Med Informat Grp, Oulu 90014, Finland
[5] Harvard Univ, Sch Med, Massachusetts Gen Hosp, Psychiat & Neurodev Genet Unit,Ctr Human Genet Re, Boston, MA 02114 USA
关键词
Comorbidity; CGAS; Asperger syndrome; Autism; Pervasive developmental disorders; Autism spectrum disorders; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; PERVASIVE DEVELOPMENTAL DISORDERS; DEFICIT HYPERACTIVITY DISORDER; SCHOOL-AGE-CHILDREN; SPECTRUM DISORDERS; PREVALENCE; SYMPTOMS; ANXIETY; ADHD; ADOLESCENTS;
D O I
10.1007/s10803-010-0958-2
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
The present study identifies the prevalence and types of comorbid psychiatric disorders associated with Asperger syndrome (AS)/high-functioning autism (HFA) in a combined community- and clinic-based sample of fifty 9- to 16-year-old subjects using the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Present and Lifetime Version. The level of functioning was estimated using the Children's Global Assessment Scale. The results support common (prevalence 74%) and often multiple comorbid psychiatric disorders in AS/HFA; behavioral disorders were shown in 44%, anxiety disorders in 42% and tic disorders in 26%. Oppositional defiant disorder, major depressive disorder and anxiety disorders as comorbid conditions indicated significantly lower levels of functioning. To target interventions, routine evaluation of psychiatric comorbidity in subjects with AS/HFA is emphasized.
引用
收藏
页码:1080 / 1093
页数:14
相关论文
共 56 条
  • [1] Insomnia in school-age children with Asperger syndrome or high-functioning autism
    Allik, Hiie
    Larsson, Jan-Olov
    Smedje, Hans
    [J]. BMC PSYCHIATRY, 2006, 6 (1)
  • [2] Almqvist F, 1999, EUR CHILD ADOLES PSY, V8, P17
  • [3] [Anonymous], 1993, INT CLASS MENT BEH D
  • [4] [Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
  • [5] The ''autistic psychopathy'' in childhood
    Asperger, H
    [J]. ARCHIV FUR PSYCHIATRIE UND NERVENKRANKHEITEN, 1944, 117 (01): : 76 - 136
  • [6] Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP)
    Baird, Gillian
    Simonoff, Emily
    Pickles, Andrew
    Chandler, Susie
    Loucas, Tom
    Meldrum, David
    Charman, Tony
    [J]. LANCET, 2006, 368 (9531) : 210 - 215
  • [7] The prevalence of Gilles de la Tourette's syndrome in children and adolescents with autism
    Baron-Cohen, S
    Mortimore, C
    Moriarty, J
    Izaguirre, J
    Robertson, M
    [J]. JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1999, 40 (02) : 213 - 218
  • [8] Prevalence of autism-spectrum conditions: UK school-based population study
    Baron-Cohen, Simon
    Scott, Fiona J.
    Allison, Carrie
    Williams, Joanna
    Bolton, Patrick
    Matthews, Fiona E.
    Brayne, Carol
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2009, 194 (06) : 500 - 509
  • [9] Low prevalence of smoking in patients with autism spectrum disorders
    Bejerot, S
    Nylander, L
    [J]. PSYCHIATRY RESEARCH, 2003, 119 (1-2) : 177 - 182
  • [10] Maternal phobic anxiety and child anxiety
    Bernstein, GA
    Layne, AE
    Egan, EA
    Nelson, LP
    [J]. JOURNAL OF ANXIETY DISORDERS, 2005, 19 (06) : 658 - 672