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Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: a community- and
Marja-Leena Mattila1, Tuula Hurtig, Helena Haapsamo
1Clinic of Child Psychiatry, University Hospital of Oulu, University of Oulu, Oulu, Finland. marja-leena.mattila@fimnet.fi
Abstract:
The present study identifies the prevalence and types of comorbid psychiatric disorders associated with Asperger syndrome (AS)/high-functioning autism (HFA) in a combined community- and clinic-based sample of fifty 9- to 16-year-old subjects using the Schedule for Affective Disorders and Schizophrenia for School-Age Children, Present and Lifetime Version. The level of functioning was estimated using the Children's Global Assessment Scale. The results support common (prevalence 74%) and often multiple comorbid psychiatric disorders in AS/HFA; behavioral disorders were shown in 44%, anxiety disorders in 42% and tic disorders in 26%. Oppositional defiant disorder, major depressive disorder and anxiety disorders as comorbid conditions indicated significantly lower levels of functioning. To target interventions, routine evaluation of psychiatric comorbidity in subjects with AS/HFA is emphasized.
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