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Published on: July 31, 2016
One hundred males with Asperger syndrome: a clinical study of background and associated factors
Mats Cederlund1, Christopher Gillberg
1Department of Child and Adolescent Psychiatry, Queen Silvia's Hospital for Children and Adolescents, University of Göteborg, Sweden. mats.cederlund@vgregion.se
Insights
This study on young males with Asperger syndrome (AS) found a high rate of non-verbal learning disability and a strong genetic link to autism spectrum disorder. Many also experienced prenatal and perinatal issues, suggesting complex risk factors.
Area of Science:
- Neurodevelopmental disorders
- Clinical psychology
- Genetics
Background:
- Asperger syndrome (AS) is a neurodevelopmental disorder.
- Understanding associated factors in AS is crucial for early intervention.
- Previous research has explored various etiological factors in AS.
Purpose of the Study:
- To investigate the background and associated factors in young males diagnosed with Asperger syndrome.
- To analyze medical records and neuropsychological data of individuals with AS.
- To identify common risk factors and characteristics within this population.
Main Methods:
- Retrospective review of medical records and neuropsychological test data.
- Inclusion of 100 males aged 5.5 to 24.5 years with a clinical diagnosis of AS.
- Analysis of data to identify patterns in learning disabilities, family history, and perinatal factors.
Main Results:
- A high prevalence (51%) of non-verbal learning disability (V-IQ > P-IQ + 15) was observed.
- Strong association with autism spectrum problems in close relatives.
- High rates of prenatal and perinatal complications, including prematurity and postmaturity.
- A subgroup with macrocephalus was identified.
- No association found between AS and low body mass index.
Conclusions:
- Non-verbal learning disability is a significant characteristic in a substantial portion of young males with AS.
- A combination of genetic predisposition and prenatal/perinatal factors likely contributes to AS development.
- Right-hemisphere brain dysfunction is not a core feature of AS in this cohort.
Abstract:
The objective of this study was to investigate the background and associated factors in a representative group of young males with Asperger syndrome (AS) presenting at a specialized autism clinic. One hundred males aged 5 years 6 months to 24 years 6 months, with a mean age of 11 years 4 months (SD 3y 10mo), who had a clinical diagnosis of AS were included in the study. An in-depth review of their medical records and neuropsychological test data was performed. There was a high rate (51%) of non-verbal learning disability (defined as Verbal IQ more than 15 points higher than Performance IQ), but otherwise there was little or no support for the notion of right-hemisphere brain dysfunction being at the core of the syndrome. There was a very high rate of close relatives with autism spectrum problems, but also high rates of prenatal and perinatal problems, including prematurity and postmaturity. In comparison with general population data, those with AS very often had a combination of genetic and prenatal and perinatal risk factors. Non-verbal learning disability test results applied in about half the group. There was a subgroup of individuals with AS who had macrocephalus. However, there was no support for an association of AS with low body mass index.
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