Roy Mandy, Prox-Vagedes Vanessa, Ohlmeier Martin D, Dillo Wolfgang
Department of Psychiatry, Social-Psychiatry and Psychotherapy, Hannover Medical School (MHH), Carl-Neuberg-Straße 1, 30625 Hanover, Germany,
Psychiatr Danub. 2015 Mar;27(1):50-9.
Over the past few years, our knowledge about Asperger syndrome (AS) has increased enormously. Although it used to be a syndrome mainly encountered in childhood and adolescent psychiatry, it is now increasingly recognized in adult psychiatry. Nevertheless, little is known about psychiatric comorbidities and life course of adults with AS. The current study aimed to gain an insight into comorbidities and the development of the social situation of adults with AS.
We investigated psychiatric comorbidities, psychiatric history, professional background, partnerships, and children in 50 adults with AS (34 men and 16 women) over a broad age range (20-62 years).
Seventy percent of adults with AS had at least one psychiatric comorbiditiy. Most frequent comorbidities were depression and anxiety disorders. Obsessive-compulsive disorder and alcohol abuse/dependence were also observed. Many adults had previously been treated with psychopharmacological or psychotherapeutic interventions. Although most adults had a high-level school leaving certificate and had gone on to complete training/university studies, less than half were currently in employment. Fourteen adults were living in a partnership and 10 had children.
Adults with AS often have psychiatric comorbidities, indicating lower levels of mental health. Additionally, they seem to have severe limitations concerning professional success, despite having a good school education. Their family situation is also impaired with regard to starting a family. These considerable limitations in the life of adults with AS may help to understand their specific problems, and emphasize the importance of developing specific treatments for improving their mental health and social integration.
在过去几年里，我们对阿斯伯格综合征（AS）的了解大幅增加。尽管它曾经主要是儿童和青少年精神病学中遇到的一种综合征，但现在在成人精神病学中越来越受到认可。然而，对于患有AS的成年人的精神共病和生活历程知之甚少。当前的研究旨在深入了解患有AS的成年人的共病情况及其社会状况的发展。
我们调查了50名年龄范围广泛（20 - 62岁）的患有AS的成年人（34名男性和16名女性）的精神共病、精神病史、职业背景、伴侣关系和子女情况。
70%的患有AS的成年人至少有一种精神共病。最常见的共病是抑郁症和焦虑症。还观察到强迫症和酒精滥用/依赖。许多成年人此前接受过心理药物或心理治疗干预。尽管大多数成年人拥有高中毕业证书并继续完成了培训/大学学业，但目前只有不到一半的人就业。14名成年人处于伴侣关系中，10人有子女。
患有AS的成年人经常有精神共病，这表明他们的心理健康水平较低。此外，尽管他们接受过良好的学校教育，但在职业成就方面似乎有严重限制。他们组建家庭的情况也受到影响。患有AS的成年人生活中的这些相当大的限制可能有助于理解他们的具体问题，并强调开发特定治疗方法以改善他们的心理健康和社会融合的重要性。
