Dell'Osso Liliana, Dalle Luche Riccardo, Cerliani Corrado, Bertelloni Carlo Antonio, Gesi Camilla, Carmassi Claudia
Section of Psychiatry, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Section of Psychiatry, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Compr Psychiatry. 2015 Aug;61:10-4. doi: 10.1016/j.comppsych.2015.04.003. Epub 2015 Apr 14.
This paper highlights the clinical challenges faced when assessing patients with stalking behaviors with psychotic disorders, suggesting the need for an accurate assessment of adult autism spectrum symptoms. A 25-year-old man with a diagnosis of delusional disorder, erotomanic type, was hospitalized for acute psychotic symptoms occurred in the framework of a repeated stalking behavior towards his ex girlfriend. When assessed for adult autism spectrum symptoms upon an accurate clinical evaluation, he reported elevated scores in the mentalizing deficit and social anxiety domains by means of the 14 item Ritvo Autism and Asperger Diagnostic Scale (RAADS-14). Authors discuss a possible role of adult (subthreshold) autism spectrum symptoms, generally disregarded in adult psychiatry, on the type of psychotic features and stalking behavior developed that may help for appropriate diagnosis and treatment.
本文强调了在评估患有精神病性障碍且有跟踪行为的患者时所面临的临床挑战，表明需要准确评估成人自闭症谱系症状。一名25岁被诊断为钟情型妄想障碍的男性因对其前女友反复跟踪行为过程中出现的急性精神病症状而住院。在经过准确的临床评估对其成人自闭症谱系症状进行评估时，他通过14项里特沃自闭症及阿斯伯格诊断量表（RAADS - 14）报告了在心理理论缺陷和社交焦虑领域得分升高。作者讨论了成人（阈下）自闭症谱系症状（在成人精神病学中通常被忽视）对所出现的精神病性特征类型和跟踪行为的可能作用，这可能有助于进行恰当的诊断和治疗。
