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在没有智力障碍的自闭症谱系障碍的成年人中,自恋脆弱性的特征

Giovanni Broglia¹, Veronica Nisticò^1,2,3, Bianca Di Paolo¹

¹Dipartimento di Scienze della Salute, Università degli Studi di Milano, Milan, Italy.

Autism research : official journal of the International Society for Autism Research

|November 20, 2023

概括

自闭症谱系障碍 (ASD) 的成年人表现出比神经类型个体更高的脆弱自恋. 这表明自恋人格障碍 (NPD) 在ASD的并发症的潜在低诊断.

科学领域:

精神病学是一个精神病学.
临床心理学临床心理学
神经发育障碍神经发育障碍

背景情况:

自闭症谱系障碍 (ASD) 和自恋人格障碍 (NPD) 分享像普遍的人际关系困难一样的特征.
目前对ASD和NPD的联合诊断率很低,但临床实践显示出诊断方面的挑战.
自恋的壮观和脆弱性是差异诊断和理解并发症的关键维度.

研究的目的:

为了调查自恋的脆弱性和自恋成年人与ASD. 宏伟的维度.
将ASD成年人的自恋特征与神经类型对照进行比较.
探索易受伤害的自恋和自闭症患者的社会关系之间的关系.

主要方法:

向87名患有自闭症 (没有智力障碍) 的成年人进行了病理性自恋目录-52项 (PNI-52).
将ASD样本的PNI-52分数与规范数据进行比较.
分析了PNI-52子尺度和Ritvo自闭症和阿斯伯格诊断尺度修订 (RAADS-R) 之间的关联.

主要成果:

与神经类型对照人群相比,患有自闭症的成年人在总分和脆弱自恋症上得分明显高.
两组之间的宏大自恋得分没有发现显著差异.
易受伤害的自恋与RAADS-R上的较低的社会关系得分有显著的关联.

结论:

研究结果表明,ASD和NPD之间的并发症率可能比之前报告的更高.
目前的诊断标准 (DSM-5) 可能会低估NPD并发症,因为重点是宏伟性.
易受伤害的自恋可能与ASD现象学有关,并介于内化症状,如焦虑和抑郁症.

关键词:

自闭症谱系障碍自闭症谱系障碍伴随性疾病发生率.这是一种宏伟的壮观.自恋型人格障碍自恋型人格障碍神经主义神经主义.个性化的个性.人格障碍个性障碍漏洞就是脆弱性的漏洞.

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