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成人自闭症患者的抽动现象学与抽动意识

Tic Phenomenology and Tic Awareness in Adults With Autism.

作者信息

Kahl Ursula, Schunke Odette, Schöttle Daniel, David Nicole, Brandt Valerie, Bäumer Tobias, Roessner Veit, Münchau Alexander, Ganos Christos

机构信息

Department of Neurology University Medical Center Hamburg-Eppendorf Hamburg Germany.

Department of Psychiatry and Psychotherapy University Medical Center Hamburg-Eppendorf Hamburg Germany.

出版信息

Mov Disord Clin Pract. 2015 Mar 30;2(3):237-242. doi: 10.1002/mdc3.12154. eCollection 2015 Sep.

Abstract

Tics are common in people with autism spectrum disorder (ASD). However, their phenomenology and characteristics have not been studied in detail. Based on video sequences of 21 adults with ASD without intellectual disability and 16 adults with Gilles de la Tourette syndrome (GTS), tic severity, tic repertoires, and tic awareness were determined. Ten ASD and all GTS participants had tics during video recordings. The ASD group had significantly fewer tics, compared to GTS. Tic distribution and tic repertoires were comparable, but more restricted in ASD. All GTS participants, but only 5 of the 10 ASD participants, were aware of their tics. Tics are common in adults with ASD. They are indistinguishable from tics in GTS and are similarly distributed, but less severe. Tic awareness is limited in ASD.

摘要

抽动在自闭症谱系障碍(ASD)患者中很常见。然而,其现象学和特征尚未得到详细研究。基于21名无智力障碍的成年ASD患者和16名患有图雷特综合征(GTS)的成年患者的视频序列,确定了抽动严重程度、抽动种类和抽动意识。10名ASD患者和所有GTS患者在视频记录期间有抽动。与GTS相比,ASD组的抽动明显较少。抽动分布和抽动种类具有可比性,但在ASD中更受限制。所有GTS患者,但10名ASD患者中只有5名意识到自己的抽动。抽动在成年ASD患者中很常见。它们与GTS中的抽动无法区分,分布相似,但程度较轻。ASD患者的抽动意识有限。

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