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自闭症谱系障碍中的卡塔托尼:患病率,功能影响和诊断见解
Esra Yurumez1, Rahime Duygu Temelturk2, Banu Kaymak1
1Ankara University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Ankara, Turkey; Ankara University, Autism Intervention and Research Center, Ankara, Turkey.
Psychiatry research
|November 3, 2024
概括
自闭症谱系障碍 (ASD) 的青少年比以前认为的更常见. 这项研究发现,在这个人群中,猫和日常功能受损之间存在显著的联系.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病的并发症 精神病的并发症
- 临床心理学 临床心理学
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况.
- 精神运动综合征 (catatonia) 在各种精神疾病中越来越多地被认可.
- 在患有自闭症的青少年中,微妙的catatonia可能被诊断不足.
研究的目的:
- 为了调查青少年患有自闭症的白色的患病率.
- 在这个人群中,检查了catatonia和功能障碍之间的关系.
- 探讨在ASD中触动性,焦虑,抑郁和重复性行为之间的相关性.
主要方法:
- 一项涉及48名被诊断患有自闭症的青少年 (年龄12-18岁) 的横截面研究.
- 用DSM-5标准和布什 - 弗朗西斯Catatonia评级尺度 (BCRS) 进行了评估.
- 功能障碍是通过全球评估量表 (GAS) 来衡量的.
- 父母报告的焦虑,抑郁 (RCADS-PV) 和重复行为 (RBS-R) 也被收集.
主要成果:
- 通过BCRS检测了37.5%的参与者和通过DSM-5标准检测了35.4%的参与者,这些工具之间有很强的一致性.
- 与轻度功能障碍 (12.5%) 的青少年相比,具有更严重功能障碍的青少年 (50%) 的卡塔龙症患病率显著更高.
- 在RCADS-PV的重大抑郁症子表和RBS-R上的刻板印象运动的分数与catatonia的存在相关.
结论:
- 在患有自闭症的青少年中,猫似乎很普遍.
- 在这个群体中,catatonia和功能障碍之间存在显著的关联.
- 需要进一步的研究,以了解ASD的早期表现和catatonia的轨迹.
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