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Gepubliceerd in: Journal of Autism and Developmental Disorders 4/2015

01-04-2015 | Original Paper

Varieties of Misdiagnosis in ASD: An Illustrative Case Series

Auteurs: Gerrit I. Van Schalkwyk, Francesco Peluso, Zheala Qayyum, James C. McPartland, Fred R. Volkmar

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2015

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Abstract

The relationship between autism spectrum disorders (ASD) and psychotic disorders (PD) is a focus of continued interest. There are substantial conceptual and clinical difficulties associated with diagnosing comorbid PD in individuals who have ASD. In this case series, we report on five cases where adolescents with previously diagnosed ASD were also diagnosed as psychotic. In each case, we found that these patients’ ‘psychotic’ symptoms could be better understood as a part of their underlying ASD diagnosis, with significant implications for treatment, prognosis, and access to services. This misdiagnosis likely represents a combination of adult psychiatrists being relatively inexperienced with this population, and the system of care requiring providers to apply diagnostic labels to justify inpatient hospitalization.
Literatuur
go back to reference American Psychiatric Association. (2013). DSM-5. American Psychiatric Association. (2013). DSM-5.
go back to reference Crespi, B., & Badcock, C. (2008). Psychosis and autism as diametrical disorders of the social brain. The Behavioral and Brain Sciences, 31(3), 241–61; discussion 261–320. doi:10.1017/S0140525X08004214. Crespi, B., & Badcock, C. (2008). Psychosis and autism as diametrical disorders of the social brain. The Behavioral and Brain Sciences, 31(3), 241–61; discussion 261–320. doi:10.​1017/​S0140525X0800421​4.
go back to reference Perlman, L. (2000). Adults with Asperger disorder misdiagnosed as schizophrenic. Professional Psychology: Research and Practice, 31(2), 221–225.CrossRef Perlman, L. (2000). Adults with Asperger disorder misdiagnosed as schizophrenic. Professional Psychology: Research and Practice, 31(2), 221–225.CrossRef
go back to reference Rapoport, J., Chavez, A., Greenstein, D., Addington, A., & Gogtay, N. (2009). Autism spectrum disorders and childhood-onset schizophrenia: Clinical and biological contributions to a relation revisited. Journal of the American Academy of Child and Adolescent Psychiatry, 48(1), 10–18. doi:10.1097/CHI.0b013e31818b1c63.CrossRefPubMedCentralPubMed Rapoport, J., Chavez, A., Greenstein, D., Addington, A., & Gogtay, N. (2009). Autism spectrum disorders and childhood-onset schizophrenia: Clinical and biological contributions to a relation revisited. Journal of the American Academy of Child and Adolescent Psychiatry, 48(1), 10–18. doi:10.​1097/​CHI.​0b013e31818b1c63​.CrossRefPubMedCentralPubMed
go back to reference Sporn, A. L., Addington, A. M., Gogtay, N., Ordoñez, A. E., Gornick, M., Clasen, L., et al. (2004). Pervasive developmental disorder and childhood-onset schizophrenia: Comorbid disorder or a phenotypic variant of a very early onset illness? Biological Psychiatry, 55(10), 989–994. doi:10.1016/j.biopsych.2004.01.019.CrossRefPubMed Sporn, A. L., Addington, A. M., Gogtay, N., Ordoñez, A. E., Gornick, M., Clasen, L., et al. (2004). Pervasive developmental disorder and childhood-onset schizophrenia: Comorbid disorder or a phenotypic variant of a very early onset illness? Biological Psychiatry, 55(10), 989–994. doi:10.​1016/​j.​biopsych.​2004.​01.​019.CrossRefPubMed
go back to reference Sullivan, S., Rai, D., Golding, J., Zammit, S., & Steer, C. (2013). The association between autism spectrum disorder and psychotic experiences in the Avon longitudinal study of parents and children (ALSPAC) birth cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 52(8), 806–814.e2. doi:10.1016/j.jaac.2013.05.010. Sullivan, S., Rai, D., Golding, J., Zammit, S., & Steer, C. (2013). The association between autism spectrum disorder and psychotic experiences in the Avon longitudinal study of parents and children (ALSPAC) birth cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 52(8), 806–814.e2. doi:10.​1016/​j.​jaac.​2013.​05.​010.
go back to reference Tsakanikos, E., Costello, H., Holt, G., Sturmey, P., & Bouras, N. (2007). Behaviour management problems as predictors of psychotropic medication and use of psychiatric services in adults with autism. Journal of Autism and Developmental Disorders, 37(6), 1080–1085. doi:10.1007/s10803-006-0248-1.CrossRefPubMed Tsakanikos, E., Costello, H., Holt, G., Sturmey, P., & Bouras, N. (2007). Behaviour management problems as predictors of psychotropic medication and use of psychiatric services in adults with autism. Journal of Autism and Developmental Disorders, 37(6), 1080–1085. doi:10.​1007/​s10803-006-0248-1.CrossRefPubMed
go back to reference Volkmar, F., Reichow, B., & McPartland, J. (2014). Adolescents and adults with autism spectrum disorders. New York: Springer.CrossRef Volkmar, F., Reichow, B., & McPartland, J. (2014). Adolescents and adults with autism spectrum disorders. New York: Springer.CrossRef
Metagegevens
Titel
Varieties of Misdiagnosis in ASD: An Illustrative Case Series
Auteurs
Gerrit I. Van Schalkwyk
Francesco Peluso
Zheala Qayyum
James C. McPartland
Fred R. Volkmar
Publicatiedatum
01-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 4/2015
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-014-2239-y

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