Hengeveld M W, van Londen L, van der Gaag R J
Erasmus MC, afd. Psychiatrie, Postbus 2040, 3000 CA Rotterdam.
Ned Tijdschr Geneeskd. 2008 Jun 14;152(24):1353-7.
Autism spectrum disorder was diagnosed in three adults. The first patient, a married man aged 41, was referred to a psychiatrist with 'impending burn-out'. The second was a 32-year-old male student with schizophrenia and a depressive disorder who was referred to a centre for autism because a friend of his mother's knew someone with Asperger's syndrome. The third patient was a 25-year-old woman with a 'fixation on food' who was referred by her general practitioner to a psychiatrist for evaluation of longstanding use of antidepressant medication. Autism used to be thought of as a condition of childhood. Only recently has the diagnosis and treatment of autism spectrum disorders become the focus of attention in adult psychiatry. It is made all the more difficult as during development into adulthood, the expression of disorders of reciprocal social interaction, communication, imagination and repetitive stereotypical thinking and actions, change.
三名成年人被诊断患有自闭症谱系障碍。第一名患者是一名41岁的已婚男子，因“即将倦怠”被转介给精神科医生。第二名是一名32岁的男性学生，患有精神分裂症和抑郁症，因他母亲的一个朋友认识一位患有阿斯伯格综合征的人，所以他被转介到一个自闭症中心。第三名患者是一名25岁的女性，有“对食物的执着”，她的全科医生将她转介给精神科医生，以评估其长期使用抗抑郁药物的情况。自闭症过去一直被认为是一种儿童疾病。直到最近，自闭症谱系障碍的诊断和治疗才成为成人精神病学关注的焦点。随着发育到成年期，相互社交互动、沟通、想象力以及重复刻板思维和行为等障碍的表现会发生变化，这使得诊断变得更加困难。
