Journal of Autism and Developmental Disorders

, Volume 45, Issue 11, pp 3703–3714 | Cite as

Psychiatric Symptoms in Youth with a History of Autism and Optimal Outcome

  • Alyssa Orinstein
  • Katherine E. Tyson
  • Joyce Suh
  • Eva Troyb
  • Molly Helt
  • Michael Rosenthal
  • Marianne L. Barton
  • Inge-Marie Eigsti
  • Elizabeth Kelley
  • Letitia Naigles
  • Robert T. Schultz
  • Michael C. Stevens
  • Deborah A. Fein
Original Paper

Abstract

Since autism spectrum disorder (ASD) is often comorbid with psychiatric disorders, children who no longer meet criteria for ASD (optimal outcome; OO) may still be at risk for psychiatric disorders. A parent interview for DSM-IV psychiatric disorders (K-SADS-PL) for 33 OO, 42 high-functioning autism (HFA) and 34 typically developing (TD) youth, ages 8–21, showed that OO and HFA groups had elevated current ADHD and specific phobias, with tics in HFA. In the past, the HFA group also had elevated depression and ODD, and the OO group had tics. The HFA group also showed subthreshold symptoms of specific and social phobias, and generalized anxiety. Psychopathology in the OO group abated over time as did their autism, and decreased more than in HFA.

Keywords

Autism spectrum disorder Optimal outcome Psychiatric functioning Comorbidity 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Alyssa Orinstein
    • 1
  • Katherine E. Tyson
    • 1
  • Joyce Suh
    • 1
  • Eva Troyb
    • 1
  • Molly Helt
    • 1
  • Michael Rosenthal
    • 2
  • Marianne L. Barton
    • 1
  • Inge-Marie Eigsti
    • 1
  • Elizabeth Kelley
    • 3
  • Letitia Naigles
    • 1
  • Robert T. Schultz
    • 4
  • Michael C. Stevens
    • 5
    • 6
  • Deborah A. Fein
    • 1
  1. 1.Unit 1020, Department of PsychologyUniversity of ConnecticutStorrsUSA
  2. 2.Child Mind InstituteNew York CityUSA
  3. 3.Queen’s UniversityKingstonUSA
  4. 4.Children’s Hospital of PhiladelphiaPhiladelphiaUSA
  5. 5.Olin Neuropsychiatry Research CenterInstitute of LivingHartfordUSA
  6. 6.Yale University School of MedicineNew HavenUSA

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