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[Pubertal behavioral decompensation in patients with pervasive developmental disorders].

Nora Grañana¹, Paulo Taddeo, Pía Espoueys

¹Hospital A. Zubizarreta. ngranana@hotmail.com

Vertex (Buenos Aires, Argentina)

|December 29, 2010

Summary

Behavioral decompensation is common in adolescents with autism spectrum disorder (ASD). Most cases resolve with combined psychological and pharmacological interventions and family support.

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Assessment of Social Interaction Behaviors

Assessment of Social Interaction Behaviors

Published on: February 25, 2011

Area of Science:

Neurodevelopmental Disorders
Child and Adolescent Psychiatry
Autism Spectrum Disorders (ASD)

Background:

Autistic spectrum disorders (ASD) present unique challenges during adolescence.
Behavioral decompensation is a significant concern in this population.

Purpose of the Study:

To characterize behavioral decompensation in adolescents diagnosed with ASD.
To identify common symptoms, interventions, and outcomes.

Main Methods:

A prospective study analyzed 11 adolescents with ASD (8 male, 3 female).
Data collected included demographics, initial decompensation symptoms, interventions, and follow-up evolution.
Mean age at decompensation was 13 years (range 10-16).

Main Results:

Common symptoms included hyperactivity, aggression, irritability, shouting, inflexibility, and catatonia.
Most patients had prior psychiatric medication, excluding catatonia cases.
Eight of 11 patients recovered within a mean of 4 months with combined psychological and pharmacological treatment (average 2 drugs).
Two patients with catatonia did not recover; one additional patient showed no improvement with medication.

Conclusions:

Behavioral decompensation is a frequent complication for adolescents with ASD.
Combined interventions and strong familial support are crucial for recovery.
Catatonia may indicate a poorer prognosis.