Advertisement

European Child & Adolescent Psychiatry

, Volume 1, Issue 4, pp 209–213 | Cite as

Comorbidity of autistic disorder in children and adolescents

  • Mohammad Ghaziuddin
  • L. Tsai
  • N. Ghaziuddin
Article

Abstract

Although considerable research has been done on various aspects of autism, information about the prevalence of coincident psychiatric disorders that may complicate this syndrome, is negligible. In this paper, we present preliminary data on the presentation of other psychiatric disorders in children and adolescents with autism. Out of an outpaticent sample of 68 autistic children and adolescents, 6 (9%) presented with an associated psychiatric disorder. Depression was the most common diagnosis. None of the patients was given a diagnosis of schizophrenia. Clinical and research implications of the findings are discussed.

Keywords

Public Health Schizophrenia Psychiatric Disorder Preliminary Data Considerable Research 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Bien qu'une recherche considérable ait été enterprise concenant les différents aspects de l'autisme, l'information sur la prévalence des troubles psychiatriques coïcidant et pouvant compliquer ce syndrome reste négligeable. Dans ce travail, nous présentons des faits préliminaires concernant les autres troubles psychiatriques chez les enfants et les adolescents avec autisme. Parmi un échantillon de 68 enfants et adolescents autistes vus en consultation: 6 (9%) présentaient un trouble psychiatrique associé La dépressio était le diagnostic le plus commun. Aucun des patients n'a eu un diagnostic de schizophrénie. Les implications de ces faits pour la clinique et la recherche sont discutées.

Zusammenfassung

Obwohl zu verschiedenen Aspekten des Autismus viel geforscht wurde, gibt es kaum Informationen zur koinzidentiellen Prävalenz von psychiatrischen Störungen, die das Syndrom komplizieren könne. In dieser Arbeit stellen wir vorläufige Daten über begleitende psychiatrische Störungen bei Kindern und Jugedlichen mit Autismus vor. Von 68 ambulant behandelten Kindern und Jugendlichen mit Autismus zeigten 9% eine assoziierte psychiatrische Störung. Depression war die häufigste Diagnose. Bei keinem der Patienten war die Diagnose Schizophrenie gestellt worden. Klinische und wissenschaftliche Implikationen dieser Befunde werden diskutiert.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. American Psychiatric Association (1987).Diagnostic and Statistical Manual, third edition, revised Washington, DC: Author.Google Scholar
  2. Clarke, D.J., Littlejohns, C. S., Corbett, J. A. & Joseph, S. (1989). Pervasive developmental disorders and psychoses in adult life.British Journal of Psychiatry, 155, 692–699.PubMedGoogle Scholar
  3. DeLong, G. R. & Dwyer, J. T. (1988). Correlation of family history with specific autistic subgroups: Asperger's syndrome and bipolar affective disease.Journal of Autism and Developmental Disorders, 18, 593–600.PubMedGoogle Scholar
  4. Ghaziuddin, M. & Tsai, L. (1991). Depression in autistic disorder.British Journal of Psychiatry, 159, 721–723.PubMedGoogle Scholar
  5. Gillberg, C. (1985). Asperger's syndrome and recurrent psychosis-A case study.Journal of Autism and Developmental Disorders, 4, 389–97.Google Scholar
  6. Golden, G. S. & Greenhill, L. (1981). Tourette syndrome in mentally retarded children.Mental Retardation, 19, 17–19.PubMedGoogle Scholar
  7. Goldman, J. J. (1988). Tourette syndrome in severely behavior disordered mentally retarded children.Psychiatric Quarterly, 59, 73–78.PubMedGoogle Scholar
  8. Gordon, C., Rapoport, J., Hamburger, M. S. & Mannheim, G. (1990). Differential response of autistic disorder to clomipramine. Annual Meeting of the American Academy of Child Psychiatry, Chicago.Google Scholar
  9. Kanner, L. (1943) Autistic disturbances of affective contact.Nervous Child, 2, 217–50.Google Scholar
  10. Kerbeshian, J. & Burd, L. (1986). Asperger's syndrome and Tourette syndrome. The case of the Pinball Wizard.British Journal of Psychiatry, 156, 721–725.Google Scholar
  11. Krug, D. A., Arick, J. R. & Almond, P. J. (1980). Behavior checklist for identifying severely handicapped individuals with high levels of autistic behaviour.Journal of Child Psychology and Psychiatry, 21, 221–229.PubMedGoogle Scholar
  12. Lund, J. (1988). Psychiatric aspects of Down's syndrome.Acta Psychiatrica Scandiavica, 78, 369–374.Google Scholar
  13. McDougle, C. J., Price, L. H. & Goodman, W. K. (1990). Fluvoxamine treatment of coincident autistic disorder and obsessive-compulsive disother: A case report.Journal of Autism and Development Disorder, 20, 537–543.Google Scholar
  14. McNally, R. J. & Calamari, J. R. (1989). Obsessive-compulsive disorder in a mentally retarded woman.British Journal of Psychiatry, 155, 116–117.PubMedGoogle Scholar
  15. Petty, L. K., Omitz, E. M., Michelman, J. D. & Zimmerman, E. G. (1984). Autistic children who become schizophrenic.Archives of Genral Psychiatry, 41, 129–55.Google Scholar
  16. Rutter, M. & Schopler, E. (1988). Concepts and diagnostic issues. In M. Rutter & E. Schopler (Eds). Diagnosis and Assessment in Autism. New York: Plenum Press.Google Scholar
  17. Sparrow, S., Balla, D. & Cicchetti, D. (1984).Vineland Adaptive Behavior Scales. Circle Pines, MN: American Guidance Service.Google Scholar
  18. Sovner, R. & Hurley, A. D. (1983). Do the mentally retarded suffer from affective illness.Archives of General Psychiatry, 40, 61–67.PubMedGoogle Scholar
  19. Swedo, S. E. & Rapoport, J. L. (1990). Annotation: Trichotillomania.Journal of Child Psychology and Psychiatry, 32, 401–409.Google Scholar
  20. Vitiello, B., Speat, S. & Behar, D. (1989). Obsessivecompulsive disorder in mentally retarded patients.Journal of Nervous and Mental Disease. 117, 232–236.Google Scholar
  21. Volkmar, F. R. & Cohen, D. J. (1986). Classification and diagnosis of childhood autism. In E. Schopler & G. B. Mesibov (Eds.),Diagnosis and Assessment in Autism. New York: Plenum Press.Google Scholar
  22. Volkmar, F. R. & Cohen, D. J. (1991). Comorbid association of autism and schizophrenia.American Journal of Psychiatry, 148, 1705–1707.PubMedGoogle Scholar
  23. Wing, L. (1981). Asperger's syndrome: A clinical account.Psychological Medicine, 11, 115–29.PubMedGoogle Scholar
  24. Young, J. G., O'Brian, J. D., Gutterman, E. M. & Cohen, P. (1987). Research on the clinical interview.Journal of the American Academy of Child and Adolescent Psychiatry, 5, 613–620.Google Scholar

Copyright information

© Hogrefe & Huber Publishers 1992

Authors and Affiliations

  • Mohammad Ghaziuddin
  • L. Tsai
  • N. Ghaziuddin
    • 1
  1. 1.Department of Child PsychiatryUniversity of Michigan Hosptila, Psychiatry AnnexAnn ArborUSA

Personalised recommendations