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[三名女性自闭症谱系障碍诊断的修订]

[Revision of autism spectrum disorder diagnosis in three women].

作者信息

Tak N G A

出版信息

Tijdschr Psychiatr. 2020;62(6):488-492.

PMID:32583870
Abstract

Increasing attention has arisen for autism spectrum disorders (asd) in adults, especially women. To ensure the specificity of the diagnostic process, careful consideration of the differential diagnosis is necessary, in order to optimise treatment.
AIM: To offer practical recommendations to increase the specificity of the diagnostic process for asd.
RESULTS: The asd diagnoses of the three women were reconsidered and eventually removed in favor of new diagnoses, which opened the door to more suitable therapeutic possibilities.
CONCLUSION: The asd diagnoses of the three women must always be considered. During the diagnostic process, it must be considered whether there are distinctive symptoms of asd present that justify the need for an asd diagnosis, or whether the symptoms can be explained more suitably by another psychiatric disorder.

摘要

成人自闭症谱系障碍(ASD),尤其是成年女性的自闭症谱系障碍,受到了越来越多的关注。为确保诊断过程的特异性,必须仔细考虑鉴别诊断,以优化治疗。

目的

提供实用建议以提高ASD诊断过程的特异性。

结果

对三名女性的ASD诊断进行了重新考虑,最终撤销了这些诊断,转而采用新的诊断,这为更合适的治疗可能性打开了大门。

结论

必须始终考虑这三名女性的ASD诊断。在诊断过程中,必须考虑是否存在ASD的独特症状,这些症状证明有必要进行ASD诊断,或者这些症状是否可以由另一种精神疾病更恰当地解释。

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