Journal of Neural Transmission

, Volume 111, Issue 7, pp 891–902

Bipolar disorder, schizophrenia, and other psychotic disorders in adults with childhood onset AD/HD and/or autism spectrum disorders

  • O. Stahlberg
  • H. Soderstrom
  • M. Rastam
  • C. Gillberg
Article

DOI: 10.1007/s00702-004-0115-1

Cite this article as:
Stahlberg, O., Soderstrom, H., Rastam, M. et al. J Neural Transm (2004) 111: 891. doi:10.1007/s00702-004-0115-1

Summary.

Individuals with attention-deficit/hyperactivity disorder (AD/HD) and autism spectrum disorders (ASD) often display symptoms from other diagnostic categories. Exclusion criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Statistical Classification of Diseases and Related Health Problems (ICD-10) impede the use of categorical diagnoses to describe the particular problem constellation in a patient. In this study, we describe the prevalence and patterns of comorbid bipolar and psychotic disorders in 241 consecutively referred adult patients with AD/HD and/or ASD. Thirty per cent of patients with AD/HD had comorbid ASD and 38% of patients with ASD had comorbid AD/HD. Of the subjects with ASD, 7% had bipolar disorder with psychotic features, and 7.8% had schizophrenia or another psychotic disorder. The corresponding figures for the patients with AD/HD were 5.0% and 5.0%, respectively. Current diagnostic criteria have to be revised to acknowledge the comorbidity of bipolar and/or psychotic disorders in AD/HD and ASD.

Keywords: AD/HD, autism, bipolar, psychosis, comorbidity

Copyright information

© Springer-Verlag/Wien 2004

Authors and Affiliations

  • O. Stahlberg
    • 1
  • H. Soderstrom
    • 1
  • M. Rastam
    • 1
  • C. Gillberg
    • 1
  1. 1.Department of Child and Adolescent PsychiatryGöteborg UniversitySweden