Micali N, Chakrabarti S, Fombonne E
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, London, UK.
Autism. 2004 Mar;8(1):21-37. doi: 10.1177/1362361304040636.
This study aimed to determine if relatives of children with autism and less severe pervasive developmental disorders (PDDs) have higher rates of various components of the broad autistic phenotype. Psychiatric and medical disorders were investigated. Parents of children with PDDs were selected from an epidemiological survey and compared with parents of control children with non-autistic developmental problems. Rates of abnormalities and disorders were compared in relatives of 79 cases and 61 controls. Medical and autoimmune disorders in both groups were endorsed by few relatives. Specific developmental disorders were commoner in parents of controls. Depression and anxiety were significantly more prevalent in mothers of children with PDDs. Significantly more PDD children had at least one first-degree relative with anxiety and one second-degree relative with OCD. PDDs were commoner in first-degree relatives. The implications of the findings for the definition of the broad phenotype of autism are discussed.
本研究旨在确定自闭症儿童以及症状较轻的广泛性发育障碍(PDD)儿童的亲属是否具有更广泛自闭症表型的各种特征。对精神疾病和躯体疾病进行了调查。从一项流行病学调查中选取了PDD儿童的父母,并与患有非自闭症发育问题的对照儿童的父母进行比较。比较了79例病例和61例对照的亲属中异常和疾病的发生率。两组亲属中很少有人认可躯体疾病和自身免疫性疾病。特定发育障碍在对照儿童的父母中更为常见。PDD儿童的母亲中抑郁和焦虑明显更为普遍。明显更多的PDD儿童至少有一位患有焦虑症的一级亲属和一位患有强迫症的二级亲属。PDD在一级亲属中更为常见。讨论了这些发现对自闭症广泛表型定义的意义。