Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

15-07-2014 | Original Paper

Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders

Auteurs: Sandra Strunz, Linda Westphal, Kathrin Ritter, Isabella Heuser, Isabel Dziobek, Stefan Roepke

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2015

Abstract

Differentiating autism spectrum disorders (ASDs) without accompanying intellectual impairment from personality disorders is often challenging. Identifying personality traits and personality pathology specific to ASD might facilitate diagnostic procedure. We recruited a sample of 59 adults with ASD without accompanying intellectual impairment, 62 individuals with narcissistic personality disorder, 80 individuals with borderline personality disorder, and 106 nonclinical controls. Personality traits, measured with the neo-personality inventory-revised (NEO-PI-R), and personality pathology, measured with the dimensional assessment of personality pathology (DAPP-BQ), were assessed. Personality traits and personality pathology specific to ASD could be identified. ASD individuals scored significantly lower on the NEO-PI-R scales extraversion and openness to experience and significantly higher on the DAPP-BQ scales inhibitedness and compulsivity relative to all other groups. Diagnostic implications are discussed.

vorige artikel Maternal Infection During Pregnancy and Autism Spectrum Disorders

volgende artikel Screening for ASD with the Korean CBCL/1½–5

Please note that the high F-values are predominantly caused by the difference between the clinical groups and the nonclinical controls.

American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR (4th ed.). Washington, DC: American Psychiatric Press.

American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Arlington: American Psychiatric Publishing.

Anckarsäter, H., Stahlberg, O., Larson, T., Hakansson, C., Jutblad, S.-B., Niklasson, L., et al. (2006). The impact of ADHD and autism spectrum disorders on temperament, character, and personality development. American Journal of Psychiatry, 163(7), 1239–1244.CrossRefPubMed

Austin, E. (2005). Personality correlates of the broader autism phenotype as assessed by the Autism Spectrum Quotient (AQ). Personality and Individual Differences, 38, 451–460.CrossRef

Bagby, R. M., Costa, P. T., McCrae, R. R., Livesley, W. J., Kennedy, S. H., Levitan, R. D., et al. (1999). Replicating the five factor model of personality in a psychiatric sample. Personality and Individual Differences, 27, 1135–1139.CrossRef

Barneveld, P. S., Pieterse, J., de Sonneville, L., et al. (2011). Overlap of autistic and schizotypal traits in adolescents with autism spectrum disorders. Schizophrenia Research, 126(1–3), 231–236.CrossRefPubMed

Baron-Cohen, S., Richler, J., Bisarya, D., Gurunathan, N., & Wheelwright, S. (2003). The systemizing quotient: an investigation of adults with Asperger syndrome or high-functioning autism, and normal sex differences. The Royal Society, 358, 361–374.

Brugha, T., McManus, S., Bankart, J., Scott, F., et al. (2011). Epidemiology of autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68(5), 459–466.CrossRefPubMed

Costa, P. T., & McCrae, R. R. (1990). Personality disorders and the five-factor model of personality. Journal of Personality Disorders, 4, 362–371.CrossRef

Costa, P. T., & McCrae, R. R. (1992). Revised NEO personality inventory (NEO-PI-R) and NEO five-factor Inventory (NEO-FFI) professional manual. Odessa: Psychological Assessment Resources.

De Pauw, S. S. W., Mervielde, I., Van Leeuwen, K. G., & De Clercq, B. J. (2011). How temperament and personality contribute to the maladjustment of children with autism. Journal of Autism and Developmental Disorders, 41, 196–212.CrossRefPubMed

Duerden, E. G., Oatley, H. K., Mak-Fan, K. M., McGrath, P. A., et al. (2012). Risk factors associated with self-injurious behaviors in children and adolescents with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 2460–2470.CrossRefPubMed

Dziobek, I., Preissler, S., Grosdanovic, Z., Heuser, I., Heekeren, H. R., & Roepke, S. (2011). Neuronal correlates of altered empathy and social cognition in borderline personality disorder. Neuroimage, 15, 539–548.CrossRef

Dziobek, I., Rogers, K., Fleck, S., et al. (2008). Dissociation of cognitive and emotional empathy in adults with Asperger syndrome using the multifaceted empathy test (MET). Journal of Autism and Developmental Disorders, 38(3), 464–473.CrossRefPubMed

Eggert, J., Levendosky, A., & Klump, K. (2007). Relationships among attachment styles, personality characteristics, and disordered eating. International Journal of Eating Disorders, 40, 149–155.CrossRefPubMed

Fein, D., Barton, M., Eigsti, I. M., et al. (2013). Optimal outcome in individuals with a history of autism. Journal of Child Psychology and Psychiatry, 54(2), 195–205.PubMedCentralCrossRefPubMed

First, M. B., Gibbon, M., Spitzer, R. L., et al. (1997a). Structured clinical interview for DSM-IV Axis I disorders—clinician version (SCID-CV). Washington, DC: American Psychiatric Association.

First, M. B., Spitzer, R. L., Gibbon, M., et al. (1997b). Structured clinical interview for DSM-IV Axis II personality disorders—clinical version (SCID-CV). Washington, DC: American Psychiatric Association.

Fitzgerald, M. (2002). Misdiagnosis of Asperger syndrome as anankastic personality disorder. Letter to the editors. Autism, 6, 435.CrossRefPubMed

Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65(6), 591–598.CrossRefPubMed

Hannon, G., & Taylor, E. P. (2013). Suicidal behaviour in adolescents and young adults with ASD: Findings from a systematic review. Clinical Psychology Review, 33(8), 1197–1204.CrossRefPubMed

Helt, M., Kelley, E., Kinsbourne, M., et al. (2008). Can children with autism recover? If so, how? Neuropsychology Review, 18, 339–366.CrossRefPubMed

Hill, E. L., & Berthoz, S. (2006). Response to “Letter to the Editor: The overlap between Alexithymia and Asperger’s Syndrome”, Fitzgerald and Bellgrove, Journal of Autism and Developmental Disorders, 26(4). Journal of Autism and Developmental Disorders, 36, 1143–1145.CrossRefPubMed

Hofvander, B., Delorme, R., Chaste, P., et al. (2009). Psychiatric and psychosocial problems in adults with normal-intelligence autism spectrum disorders. BMC Psychiatry, 9, 35.PubMedCentralCrossRefPubMed

Howlin, P. (2000). Outcome in adult life for more able individuals with autism or Asperger syndrome. Autism, 4(1), 63–83.CrossRef

Hrdlicka, M., & Dudova, I. (2013). Controversies in autism: is a broader model of social disorders needed? Child and Adolescent Psychiatry and Mental Health, 7(9). doi:10.1186/1753-2000-7-9.

Johnson, S. A., Filliter, J. H., & Murphy, R. R. (2009). Discrepancies between self- and parent-perceptions of autistic traits and empathy in high functioning children and adolescents on the autism spectrum. Journal of Autism and Developmental Disorders, 39(12), 1706–1714.CrossRefPubMed

Kanai, C., Iwanami, A., Ota, H., Yamasue, H., Matsushima, E., et al. (2011). Clinical characteristics of adults with Asperger’s syndrome assessed with self-report questionnaires. Research in Autism Spectrum Disorders, 5, 185–190.CrossRef

Ketelaars, C., Horwitz, E., Sytema, S., et al. (2008). Brief report: adults with mild autism spectrum disorders (ASD): Scores on the autism spectrum quotient (AQ) and comorbid psychopathology. Journal of Autism and Developmental Disorders, 38, 176–180.PubMedCentralCrossRefPubMed

Korzekwa, M. I., Dell, P. F., Links, P. S., Thabane, L., & Webb, S. P. (2008). Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure. Comprehensive Psychiatry, 49, 380–386.CrossRefPubMed

Kuusikko, S., Pollock-Wurman, R., Jussila, K., et al. (2008). Social anxiety in high-functioning children and adolescents with autism and Asperger syndrome. Journal of Autism and Developmental Disorders, 38, 1697–1709.CrossRefPubMed

Lai, M. C., Lombardo, M. V., Pasco, G., Ruigrok, A. N., Wheelwright, S. J., Sadek, S. A., et al. (2011). A behavioral comparison of male and female adults with high functioning autism spectrum conditions. PLoS One, 6, 1–10.

Lieb, K., Linehan, M., Schmahl, C., Zanarini, M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364, 453–461.CrossRefPubMed

Livesley, W. J. (1986). Trait and behavioural prototypes of personality disorder. American Journal of Psychiatry, 143, 728–732.CrossRefPubMed

Livesley, W. J. (1987). A systematic approach to the delineation of personality disorders. American Journal of Psychiatry, 144, 772–777.CrossRefPubMed

Livesley, W. J., & Jackson, D. N. (2009). Manual for the dimensional assessment of personality pathology-Basic Questionnaire. Port Huron: Sigma Press.

Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule (ADOS). Los Angeles: Western Psychological Services.

Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659–685.CrossRefPubMed

Lugnegard, T., Hallerbäck, M. U., & Gillberg, C. (2012). Personality disorders and autism spectrum disorders: What are the connections? Comprehensive Psychiatry, 53, 333–340.CrossRefPubMed

McCrae, R. R., & Costa, P. T, Jr. (1997). Personality trait structure as a human universal. American Psychologist, 52, 509–516.CrossRefPubMed

Miller, J. D., Campbell, W. K., & Pilkonis, P. A. (2007). Narcissistic personality disorder: Relations with distress and functional impairment. Comprehensive Psychiatry, 48(2), 170–177.PubMedCentralCrossRefPubMed

Ozonoff, S., Garcia, N., Clark, E., & Lainihart, J. (2005). MMPI-2 personality profiles of high-functioning adults with autism spectrum disorders. Assessment, 12(1), 86–95.CrossRefPubMed

Pelletier, G. (1998). Borderline personality disorder versus Asperger’s disorder. Journal of the American Academy of Child Adolescent Psychiatry, 37, 1128.CrossRefPubMed

Pilling, S., Baron-Cohen, S., Megnin-Viggars, O., Lee, R., & Taylor, C. (2012). Recognition, referral, diagnosis, and management of adults with autism: Summary of NICE guidance. BMJ, 344, e4082.CrossRefPubMed

Preissler, S., Dziobek, I., Ritter, K., Heekeren, H. R., & Roepke, S. (2010). Social cognition in borderline personality disorder: Evidence for disturbed recognition of the emotions, thought, and intentions of others. Frontiers in Behavioral Neuroscience, 4, 182.PubMedCentralCrossRefPubMed

Pukrop, R., Gentil, I., Steinbring, I., & Steinmeyer, E. (2001). Factorial structure of the German version of the dimensional assessment of personality pathology-Basic Questionnaire in clinical and nonclinical sample. Journal of Personality Disorders, 15, 450–456.CrossRefPubMed

Ritter, K., Dziobek, I., Preissler, S., et al. (2011). Lack of empathy in patients with narcissistic personality disorder. Psychiatry Research, 187(1–2), 241–247.CrossRefPubMed

Roepke, S., Vater, A., Preissler, S., Heekeren, H. R., & Dziobek, I. (2013). Social cognition in borderline personality disorder. Frontiers in Neuroscience,. doi:10.3389/fnins.2012.00195.PubMedCentralPubMed

Ryden, G., Ryden, E., & Hetta, J. (2008). Borderline personality disorder and autism spectrum disorder in females—A cross-sectional study. Clinical Neuropsychiatry, 5(1), 22–30.

Santor, D. A., Bagby, R. M., & Joffe, R. T. (1997). Evaluating stability and change in personality and depression. Journal of Personality and Social Psychology, 73, 1354–1362.CrossRefPubMed

Sharp, C., Pane, H., Ha, C., Venta, A., Patel, A. B., Sturek, J., & Fonagy, P. (2011). Theory of mind and emotion regulation difficulties in adolescents with borderline traits. Journal of the American Academy of Child and Adolescent Psychiatry, 50(6), 563–573.

Sheehan, D. V., Lecrubier, Y., Hernett-Sheehan, K., et al. (1998). The mini international neuropsychiatric interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview. Journal of Clinical Psychiatry, 59, 22–33.PubMed

Soderstrom, H., Rastam, M., & Gillberg, C. (2002). Temperament and character in adults with Asperger syndrome. Autism, 6(3), 287–297.CrossRefPubMed

Sterling, L., Dawson, G., Estes, A., & Greenson, J. (2008). Characteristics associated with presence of depressive symptoms in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 38, 1011–1018.CrossRefPubMed

Strunz, S., Dziobek, I., & Roepke, S. (2014). Comorbid psychiatric disorders and differential diagnosis of patients with autism spectrum disorder without intellectual disability. Psychotherapie, Psychosomatik, Medizinische Psychologie, 64, 206–213.PubMed

Triebwasser, J., Chemerinski, E., Roussos, P., & Siever, L. J. (2012). Schizoid personality disorder. Journal of Personality Disorders, 26(6), 919–926.CrossRefPubMed

Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24, 412–426.PubMedCentralCrossRefPubMed

van Kampen, D. (2002). The DAPP-BQ in the Netherlands. Journal of Personality Disorders, 16, 235–254.CrossRefPubMed

Wakabayashi, A., Baron-Cohen, S., & Wheelwright, S. (2006). Are autistic traits an independent personality dimension? A study of the autism-spectrum quotient (AQ) and the NEO-PI-R. Personality and Individual Differences, 41, 873–883.CrossRef

White, S. W., Oswald, D., Ollendick, T., & Scahill, L. (2009). Anxiety in children and adolescents with autism spectrum disorders. Clinical Psychology Review, 29(3), 216–229.PubMedCentralCrossRefPubMed

Wolff, S., & McGuire, R. J. (1995). Schizoid personality in girls: a follow-up study—What are the links with Asperger’s syndrome? Journal of Child Psychology and Psychiatry, 36, 793–817.CrossRefPubMed

Zanarini, M. C., Laudate, C. S., Frankenburg, F. R., Wedig, M. M., & Fitzmaurice, G. (2013). Reasons for self-mutilation reported by Borderline patients over 16 years of prospective follow-up. Journal of Personality Disorders, 27(6), 783–794.CrossRefPubMed

Titel: Personality Pathology of Adults With Autism Spectrum Disorder Without Accompanying Intellectual Impairment in Comparison to Adults With Personality Disorders
Auteurs: Sandra Strunz
Linda Westphal
Kathrin Ritter
Isabella Heuser
Isabel Dziobek
Stefan Roepke
Publicatiedatum: 15-07-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 12/2015
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-014-2183-x

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 12/2015

A Randomized Controlled Trial to Improve Social Skills in Young Adults with Autism Spectrum Disorder: The UCLA PEERS® Program

Lexical Processing in School-Age Children with Autism Spectrum Disorder and Children with Specific Language Impairment: The Role of Semantics

Brief Report: Best Discriminators for Identifying Children with Autism Spectrum Disorder at an 18-Month Health Check-Up in Japan

A Study of Physician Knowledge and Experience with Autism in Adults in a Large Integrated Healthcare System

Introduction to Special Issue ASD in Adulthood: Comorbidity and Intervention

Prevalence of Autism Spectrum Disorders in Ecuador: A Pilot Study in Quito