自闭症和PTSD之间的关联在成人精神病室门诊患者中
Johan Agebjörn1, Christopher Gillberg2, Jonas Eberhard3
1Adult Psychiatric Clinic Arlöv, Region Skåne, Arlöv, Sweden. johan.agebjorn@skane.se.
Journal of autism and developmental disorders
|June 25, 2024
概括
患有自闭症谱系障碍 (ASD) 的精神病室门诊患者中有很大一部分也患有创伤后应激障碍 (PTSD). 刺激和愤怒爆发与PTSD患者的自闭症症状有关.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 创伤研究 创伤研究
背景情况:
- 自闭症谱系障碍 (ASD) 影响一般人口的1-1.5%和多达20%的精神病室门诊患者.
- 创伤后应激障碍 (PTSD) 影响4%的普通人口和14-20%的精神病室门诊患者.
- 了解ASD中PTSD对于准确的诊断和干预至关重要.
研究的目的:
- 调查成年精神病诊所门诊患者中PTSD和ASD之间的关系.
- 为了检查PTSD在ASD个体中如何表现.
- 为同时出现的ASD和PTSD提供诊断和治疗策略的信息.
主要方法:
- 该研究包括90名成年精神病室门诊患者,其中63人根据DSM-5标准被诊断为ASD或下值ASD.
- 使用验证的仪器进行了深入的精神病学评估.
- 使用迷你国际神经精神病学面试 (MINI) 确认了PTSD诊断.
主要成果:
- 一个趋势表明,PTSD在患有ASD (21%) 的人中比没有 (4%) 的人更常见,尽管在这个样本中没有统计学意义.
- 在创伤暴露方面没有发现群体差异.
- 在自闭症症状数量和PTSD易怒/愤怒爆发之间观察到积极的关联.
结论:
- 一个值得注意的精神病诊所外科医生ASD小组也出现了PTSD.
- 在患有自闭症症的个体中,PTSD呈现时,过度兴奋症状可能更为常见.
- 需要进一步的研究来澄清ASD和PTSD之间的复杂相互作用.
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