De-la-Iglesia Myriam, Olivar José-Sixto
Departamento de Psicología, Facultad de Educación, Universidad de Valladolid, Campus María Zambrano, Plaza Alto de los Leones 1, 40005 Segovia, Spain ; Laboratoire LPPS, EA 4057, 92100 Paris, France.
Laboratoire LPPS, EA 4057, 92100 Paris, France ; Departamento de Psicología, Facultad de Educación y Trabajo Social, Universidad de Valladolid, Campus Miguel Delibes, Paseo de Belén 1, 47011 Valladolid, Spain.
ScientificWorldJournal. 2015;2015:127853. doi: 10.1155/2015/127853. Epub 2015 Aug 25.
The objective of our study was to examine, discuss, and provide proposals on diagnostic comorbidity of depression in children and adolescents with high functioning autism spectrum disorder (HFASD) in the following aspects. (1) Prevalence. It was concluded that there are an elevated depression rate and the need for longitudinal studies to determine prevalence and incidence based on functioning level, autistic symptoms, gender, age, type of depression, prognosis, duration, and treatment. (2) Explicative Hypotheses and Vulnerability. The factors that present the greatest specific risk are higher cognitive functioning, self-awareness of deficit, capacity for introspection, stressful life events, adolescence, quality of social relationships, and alexithymia. (3) Risk of Suicide. The need for control and detection of suicidal tendencies and bullying is emphasised. (4) Depressive Symptoms. Indicators for early detection are proposed and their overlap with HFASD is analysed, examining the assessment techniques used and arguing that specific adapted tests are needed.
我们研究的目的是在以下几个方面对高功能自闭症谱系障碍（HFASD）儿童和青少年的抑郁症诊断合并症进行检查、讨论并提出建议。（1）患病率。得出的结论是，抑郁症发生率有所升高，需要进行纵向研究以根据功能水平、自闭症症状、性别、年龄、抑郁症类型、预后、病程和治疗情况来确定患病率和发病率。（2）解释性假设与易感性。呈现出最大特定风险的因素包括较高的认知功能、对缺陷的自我意识、内省能力、压力性生活事件、青春期、社会关系质量和述情障碍。（3）自杀风险。强调了控制和检测自杀倾向及欺凌行为的必要性。（4）抑郁症状。提出了早期检测指标，并分析了它们与HFASD的重叠情况，研究了所使用的评估技术，并主张需要特定的适应性测试。
