Psychiatric Comorbidity in Children and Adolescents with High Functioning Autism

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
S. Herguner ◽  
N. Motavalli
Keyword(s):  
Children And Adolescents ◽  
Psychiatric Comorbidity ◽  
High Functioning Autism ◽  
High Rate ◽  
School Age Children ◽  
Disruptive Behavior Disorder ◽  
High Functioning ◽  
Clinically Referred ◽  
Oppositional Defiant ◽  
Axis I

Aim:The present study aimed to investigate psychiatric comorbidity rates and patterns in a sample of clinically referred school-aged children with High Functioning Autism (HFA).Method:All cases were taken from children and adolescents who consecutively referred to Istanbul Faculty of Medicine, Department Child and Adolescent Psychiatry, Autism Unit. Participants were 30 children and adolescents (29 male, 1 female), aged 6-15 (10y 2m ± 2y 2m) year-old, who met DSM-IV criteria for Autistic Disorder and had a Performance IQ over 70 on WISC-R. Psychiatric comorbidity was assessed using the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version (K-SADS-PL).Results:90% (n=27) of the children had at least one comorbid psychiatric disorder, and 76.6% (n=23) had two or more. In 76.6% (n=23) of the cases at least one Anxiety Disorder was present, and in 63% (n=19) of the children criteria for at least one Disruptive Behavior Disorder was met. The most frequent Axis I psychiatric diagnoses were ADHD (60%), SP (53.3%), Oppositional Defiant Disorder (30%) and OCD (20%).Conclusion:A very high rate of psychiatric disorders was detected in a small group of clinically referred children and adolescents with HFA. These results underscore the importance of detailed assessment of behavioral and emotional problems in ASDs.

scholarly journals Self-Reported and Parent-Reported School Bullying in Adolescents with High Functioning Autism Spectrum Disorder: The Roles of Autistic Social Impairment, Attention-Deficit/Hyperactivity and Oppositional Defiant Disorder Symptoms

2019 ◽  
Vol 16 (7) ◽  
pp. 1117 ◽  
Author(s):  
Wen-Jiun Chou ◽  
Ray Hsiao ◽  
Hsing-Chang Ni ◽  
Sophie Liang ◽  
Chiao-Fan Lin ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Oppositional Defiant Disorder ◽  
Attention Deficit ◽  
High Functioning Autism ◽  
Autism Spectrum ◽  
Social Impairment ◽  
Bullying Victimization ◽  
High Functioning ◽  
Oppositional Defiant ◽  
Odd Symptoms

The aim of this study was to examine the prevalence of self-reported and parent-reported bullying victimization, perpetration, and victimization-perpetration and the associations of autistic social impairment and attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms with bullying involvement in adolescents with high functioning autism spectrum disorder (ASD). A total of 219 adolescents with high functioning ASD participated in this study. The associations of sociodemographic characteristics, parent-reported autistic social impairment, and parent-reported ADHD and ODD symptoms with self-reported and parent-reported bullying victimization, perpetration, and victimization-perpetration were examined using logistic regression analysis. The results found that the agreement between self-reported and parent-reported bullying involvement was low. Compared with bullying involvement experiences reported by adolescents themselves, parents reported higher rates of pure bullying victimization (23.7% vs. 17.8%) and victimization-perpetration (28.8% vs. 9.1%) but a lower rate of pure bullying perpetration (5.9% vs. 9.1%). Deficit in socio-communication increases the risk of being pure victims and victim-perpetrators. Parent-reported victim-perpetrators had more severe ODD symptoms than did parent-reported pure victims.

scholarly journals The Fair Decision-making of Children and Adolescents with High-functioning Autism Spectrum Disorder from the Perspective of Dual-process Theories

2020 ◽  
Author(s):  
Peiying Jin ◽  
Yao Wang ◽  
Yun LI ◽  
Yunhua Xiao ◽  
Chunyan Li ◽  
...  
Keyword(s):  
Decision Making ◽  
Autism Spectrum Disorder ◽  
Regression Analysis ◽  
Children And Adolescents ◽  
High Functioning Autism ◽  
Autism Spectrum ◽  
Acceptance Rate ◽  
Spectrum Disorder ◽  
Dual Process ◽  
High Functioning

Abstract Background: Fairness has received much attention in our society. At present, the findings regarding fair decision-making in high-functioning autism spectrum disorder (HF-ASD) are inconsistent. Previous studies have shown that the fair decision-making of typically developing children is influenced by theory of mind (ToM) and executive functioning (EF). As those with HF-ASD have defects in both domains, this study aims to explore the differences in fair decision-making between children and adolescents with HF-ASD and those with typical development (TD). Methods: We used a simply ultimatum game (UG) to explore 31 children and adolescents with HF-ASD and 38 children and adolescents with TD. T tests and chi-square tests were used to compare group differences, and Pearson correlation analysis and stepwise regression analysis were used to analyse the mechanisms influencing the two groups' unfair acceptance rates. Results: The results show that children with HF-ASD are more likely to accept unfair offers, but for adolescents, the difference is not significant. Regression analysis showed that the interaction between the behavior regulation index (BRI) and age could negatively predict the unfair acceptance rate of children and adolescents with HF-ASD. Working memory and ToM can negatively predict the unfair acceptance rate of those with TD. Conclusion: This study concluded that the development of fair decision-making by children and adolescents with HF-ASD falls far behind that of those with TD. Intuition processes play a dominant role in the fair decision-making processes of children and adolescents with HF-ASD, and we believe that comorbidity, age, experience and emotional management are important factors influencing the fair decision-making of individuals with HF-ASD.

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