Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Kungsgatan 12, SE-41119, Göteborg, Sweden.
Child and Adolescent Psychiatry, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Eur Child Adolesc Psychiatry. 2019 Jan;28(1):69-78. doi: 10.1007/s00787-018-1188-y. Epub 2018 Jul 4.
A possible overlap between autism spectrum disorder (ASD) and anorexia nervosa (AN), in terms of both behavioural and cognitive features, has led to new areas of research. The aim of the present study was to examine the occurrence of eating behaviours frequently seen in ASD among adolescents and young adults with AN. The participants were females within the age range 15-25 years: 36 with current AN (32 were followed up after 1 year), 19 with ASD, and 30 healthy females. The participants completed the SWedish Eating Assessment for Autism spectrum disorders (SWEAA) and the Autism Spectrum Quotient tool (AQ). AN groups had significantly higher SWEAA scores than the healthy comparison group, also when patients had gained weight. Typical autistic eating behaviours, such as selective eating, were more common in the AN groups than in the ASD group. This is the first time that SWEAA has been implemented in an AN population. Eating behaviours frequently seen in ASD seem to be frequent in AN and some remain also after weight gain.
自闭症谱系障碍 (ASD) 和神经性厌食症 (AN) 在行为和认知特征方面可能存在重叠，这促使人们开展了新的研究领域。本研究旨在探讨 AN 青少年和年轻女性中常见的饮食行为是否也存在于 ASD 中。参与者为年龄在 15-25 岁之间的女性：36 名患有当前的 AN（32 名在 1 年后接受了随访），19 名患有 ASD，以及 30 名健康女性。参与者完成了瑞典自闭症谱系障碍饮食评估工具 (SWEAA) 和自闭症谱系商数工具 (AQ)。AN 组的 SWEAA 评分明显高于健康对照组，即使患者体重增加也是如此。在 AN 组中，选择性进食等典型的自闭症饮食行为比 ASD 组更为常见。这是 SWEAA 首次应用于 AN 人群。ASD 中常见的饮食行为似乎在 AN 中也很常见，有些行为甚至在体重增加后仍然存在。
