Department of Clinical Sciences/Psychiatry, Lund University, 221 00, Lund, Sweden.
Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg University, Gothenburg, 411 19, Sweden.
J Autism Dev Disord. 2018 Sep;48(9):3076-3085. doi: 10.1007/s10803-018-3567-0.
In a Swedish sample of persons eligible for disability services and aged 55 years or older in 2012, persons (n = 601) with autism spectrum disorder diagnoses registered in specialist care were identified. Register data concerning diagnoses of other psychiatric disorders, psychiatric care, and psychiatric medication were reviewed. More than 60% had been in contact with psychiatric care. The majority had no intellectual disability (ID) diagnosis recorded during the study period. Apart from ID, affective disorders, anxiety and psychotic disorders were most commonly registered; alcohol/substance abuse disorders were uncommon. Psychotropic drug prescriptions were very common, especially in the ID group. Professionals need awareness of this vulnerable group; studies concerning their life circumstances and service requirements should be conducted.
在 2012 年瑞典的一个符合残疾服务条件且年龄在 55 岁及以上的人群样本中,确定了在专科护理中登记有自闭症谱系障碍诊断的人(n=601)。审查了有关其他精神障碍诊断、精神保健和精神药物治疗的登记数据。超过 60%的人曾接触过精神保健。大多数人在研究期间没有记录到智力残疾(ID)诊断。除 ID 外,最常记录的是情感障碍、焦虑和精神病障碍;酒精/物质滥用障碍不常见。精神药物处方非常常见,尤其是在 ID 组中。专业人员需要意识到这一弱势群体;应该进行关于他们生活环境和服务需求的研究。