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自闭症与阿斯伯格综合征:与其他临床疾病共存。

Autism and Asperger syndrome: coexistence with other clinical disorders.

作者信息

Gillberg C, Billstedt E

机构信息

Department of Child and Adolescent Psychiatry, University of Göteborg, Sweden.

出版信息

Acta Psychiatr Scand. 2000 Nov;102(5):321-30. doi: 10.1034/j.1600-0447.2000.102005321.x.

DOI:10.1034/j.1600-0447.2000.102005321.x
PMID:11098802
Abstract

OBJECTIVE

: To provide a clinically useful analysis of the extent to which autism and Asperger syndrome coexist with other disorders.

METHOD

Selective review of the literature detailing data pertaining to symptoms and disorders sometimes encountered in connection with autism or Asperger syndrome.

RESULTS

A large number of medical conditions, psychiatric disorders and behavioural and motor dyscontrol symptoms are associated with autism and Asperger syndrome.

CONCLUSION

Comorbidity is to be expected in autism spectrum disorders -directly or indirectly. Comorbid conditions may be markers for underlying pathophysiology and suggest a more varied treatment approach. There is a great need for in-depth research into this area, meaning that the exclusion criteria of current diagnostic manuals, i.e. those that rule out a diagnosis of autism in some disorders, and a diagnosis of certain other disorders in autism may have to be revised.

摘要

目的

对自闭症和阿斯伯格综合征与其他疾病共存的程度进行临床有用的分析。

方法

对文献进行选择性综述,详细阐述与自闭症或阿斯伯格综合征有时相关的症状和疾病的数据。

结果

大量的医疗状况、精神疾病以及行为和运动控制障碍症状与自闭症和阿斯伯格综合征相关。

结论

自闭症谱系障碍中预期会存在共病情况——直接或间接的。共病状况可能是潜在病理生理学的标志,并提示更具多样性的治疗方法。该领域非常需要深入研究,这意味着当前诊断手册的排除标准,即那些在某些疾病中排除自闭症诊断以及在自闭症中排除某些其他疾病诊断的标准可能必须修订。

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