Westwood Heather, Tchanturia Kate
Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, SE5 8AF, UK.
South London and Maudsley NHS Trust National Eating Disorders Service, Psychological Medicine Clinical Academic Group, London, UK.
Curr Psychiatry Rep. 2017 Jul;19(7):41. doi: 10.1007/s11920-017-0791-9.
There is growing interest in the relationship between anorexia nervosa (AN) and autism spectrum disorder (ASD). This review aimed to synthesise the most recent research on this topic to identify gaps in current knowledge, directions for future research and reflect on implications for treatment.
Eight studies assessing the presence of ASD in AN were identified in the literature along with three studies examining the impact of symptoms of ASD on treatment outcome. Research with young people and using parental-report measures suggest lower rates of co-morbidity than previous adult studies.
The wide range of diagnostic tools, methodologies and populations studied make it difficult to determine the prevalence of ASD in AN. Despite this, studies consistently report over-representation of symptoms of ASD in AN. Co-morbid AN and ASD may require more intensive treatment or specifically tailored interventions. Future longitudinal research and female-specific diagnostic tools would help elucidate the relationship between these two disorders.
神经性厌食症(AN)与自闭症谱系障碍(ASD)之间的关系越来越受到关注。本综述旨在综合该主题的最新研究,以找出当前知识的空白、未来研究的方向,并思考其对治疗的影响。
在文献中确定了八项评估神经性厌食症中自闭症谱系障碍存在情况的研究,以及三项研究自闭症谱系障碍症状对治疗结果影响的研究。针对年轻人并采用父母报告测量方法的研究表明,共病率低于以往针对成年人的研究。
所研究的诊断工具、方法和人群范围广泛,难以确定神经性厌食症中自闭症谱系障碍的患病率。尽管如此,研究一致报告神经性厌食症中自闭症谱系障碍症状的过度表现。共病的神经性厌食症和自闭症谱系障碍可能需要更强化的治疗或专门定制的干预措施。未来的纵向研究和针对女性的诊断工具将有助于阐明这两种疾病之间的关系。