Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

06-01-2022 | Original Paper

Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry

Auteurs: Johan Nyrenius, Jonas Eberhard, Mohammad Ghaziuddin, Christopher Gillberg, Eva Billstedt

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2022

Abstract

Relatively little has been published about the prevalence of autism in adults with psychiatric disorders. In this study, all new patients referred to an adult psychiatric outpatient clinic in Sweden between November 2019 and October 2020 (n = 562) were screened for autism spectrum disorders using the Ritvo Autism and Asperger Diagnostic Scale Screen (RAADS-14). Out of the 304 (58%) responders, 197 who scored above the cut off (14) were invited to participate in an in-depth assessment. Twenty-six of the 48 that participated in the assessment met criteria for ASD and an additional eight had subthreshold ASD symptoms. We estimated the prevalence of ASD in this population to at least 18.9%, with another 5–10% having subthreshold symptoms.

volgende artikel Intestinal Predictors of Whole Blood Serotonin Levels in Children With or Without Autism

American Psychiatric Association (2000). The diagnostic and statistic manual of mental disorders (4th ed., text rev.). American Psychiatric Association.

American Psychiatric Association. (2013). The Diagnostic and statistic manual of mental disorders (5th ed.). American Psychiatric Publishing.CrossRef

Arvidsson, O., Gillberg, C., Lichtenstein, P., & Lundström, S. (2018). Secular changes in the symptom level of clinically diagnosed autism. The Journal of Child Psychology and Psychiatry, 59(7), 744–751. https://doi.org/10.1111/jcpp.12864CrossRefPubMed

Atladottir, H. O., Gyllenberg, D., Langridge, A., Sandin, S., Hansen, S. N., Leonard, H., Gissler, M., Reichenberg, A., Schendel, D. E., Bourke, J., Hultman, C. M., Grice, D. E., Buxbaum, J. D., & Parner, E. T. (2015). The increasing prevalence of reported diagnoses of childhood psychiatric disorders: A descriptive multinational comparison. European Child and Adolescent Psychiatry, 24(2), 173–183. https://doi.org/10.1007/s00787-014-0553-8CrossRefPubMed

Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: The Special Needs and Autism Project (SNAP). Lancet, 368, 210–215. https://doi.org/10.1016/S0140-6736(06)69041-7CrossRefPubMed

Baron-Cohen, S., Scott, F. J., Allison, C., Williams, J., Bolton, P., Matthews, F. E., & Brayne, C. (2009). Prevalence of autism-spectrum conditions: UK school-based population study. The British Journal of Psychiatry, 194, 500–509. https://doi.org/10.1192/bjp.bp.108.059345CrossRefPubMed

Bieleninik, L., Posserud, M-B, Geretsegget, M., Thompson, G., Elefant, C., & Gold, C. (2017). Tracing the temporal stability of autism spectrum diagnosis and severity as measured by the Autism Diagnostic Observation Schedule: A systematic review and meta-analysis. PLoS One, 12(9). https://doi.org/10.1371/journal.pone.0183160.

Billstedt, E., Gillberg, I. C., & Gillberg, C. (2005). Autism after Adolescence: Population-based 13- to 22-year Follow-up Study of 120 Individuals with Autism Diagnosed in Childhood. Journal of Autism and Developmental Disorders, 35, 351–360. https://doi.org/10.1007/s10803-005-3302-5CrossRefPubMed

Brugha, T. S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., Bebbington, P., Jenkins, R., & Meltzer, H. (2011). Epidemiology of Autism spectrum disorders in adults in the community in England. Archives of General Psychiatry, 68(5), 459–466. https://doi.org/10.1001/archgenpsychiatry.2011.38CrossRefPubMed

Buck, T. R., Viskochil, J., Farley, M., Coon, H., McMahon, W. M., Morgan, J., & Bilder, D. A. (2014). Psychiatric comorbidity and medication use in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 3063–3071. https://doi.org/10.1007/s10803-014-2170-2CrossRefPubMedPubMedCentral

Elwin, M., Schröder, A., Ek, L., Wallsten, T., & Kjellin, L. (2017). Sensory clusters of adults with and without autism spectrum conditions. Journal of Autism and Developmental Disorders, 47, 579–589. https://doi.org/10.1007/s10803-016-2976-1CrossRefPubMed

Eriksson, J., Andersen, L. M. J., & Bejerot, S. (2013). RAADS-14 Screen: Validity of a screening tool for autism spectrum disorder in an adult psychiatric population. Molecular Autism, 4, 1–26. https://doi.org/10.1186/2040-2392-4-49CrossRef

Ghaziuddin, M., & Ghaziuddin, N. (2020). Bipolar disorder and psychosis in autism. Child and Adolescent Psychiatric Clinics of North America, 29, 433–441. https://doi.org/10.1016/j.chc.2020.02.004CrossRefPubMed

Gillberg, C., & Billstedt, E. (2000). Autism and Asperger syndrome: Coexistence with other clinical disorders. Acta Psychiatrica Scandinavia, 102(5), 321–330. https://doi.org/10.1034/j.1600-0447.2000.102005321.xCrossRef

Gillberg, C., Gillberg, I. C., Rastam, M., & Wentz, E. (2001). The Asperger Syndrome (and high-functioning autism)Diagnostic Interview (ASDI): A preliminary study of a new structured clinical interview. Autism, 5(1), 57–66. https://doi.org/10.1177/1362361301005001006CrossRefPubMed

Gillberg, I. C., Helles, A., Billstedt, E., & Gillberg, C. (2016). Boys with Asperger Syndrome grow up: Psychiatric and neurodevelopmental disorders 20 years after initial diagnosis. Journal of Autism and Developmental Disorders, 46, 74–82. https://doi.org/10.1007/s10803-015-2544-0CrossRefPubMed

Girard, T. A., Axelrod, B. N., Patel, R., & Crawford, J. R. (2015). Wechsler Adult Intelligence Scale – IV dyads for estimating global intelligence. Assessment, 22(4), 441–448. https://doi.org/10.1177/1073191114551551CrossRefPubMed

Helles, A., Gillberg, I. C., Gillberg, C., & Billstedt, E. (2015). Asperger syndrome in males over two decades: Stability and predictors of diagnosis. The Journal of Child Psychology and Psychiatry, 56(6), 711–718. https://doi.org/10.1111/jcpp.12334CrossRefPubMed

Huang, Y., Arnold, S. R. C., Foley, K-R., & Trollor, J. N. (2020). Diagnosis of autism in adulthood: A scoping review. Autism, 24(6), 1311–1327. https://doi.org/10.1177/1362361320903128CrossRefPubMed

Huke, V., Turk, J., Saeidi, S., Kent, A., & Morgan, J. F. (2013). Autism spectrum disorders in eating disorder populations: A systematic review. European Eating Disorder Review, 21(5), 345–351. https://doi.org/10.1002/erv.2244CrossRef

Interagency Autism Coordinating Committee (IACC) (2017). Interagency Autism Coordination Committee Strategic Plan for Autism Spectrum Disorder. Retrieved from the U.S. Department of Health and Human Services Interagency Autism Coordinating Committee website: https://iacc.hhs.gov/publications/strategic-plan/2017/.

Kadesjö, B., Janols, L-O., Korkman, M., Mickelsson, K., Strand, G, Trillingsgaard, A., Lambek, R., Øgrim, G., Bredesen, A. M., & Gillberg, C. (2017). Five-To-Fifteen-Revised (5-15R). Available at 5-15.org.

Kanai, C., Hashimoto, R., Itahashi, T., Tani, M., Yamada, T., Ota, H., Iwanami, A., & Kato, N. (2017). Cognitive profiles of adults with high-functioning autism spectrum disorder and those with attention-deficit/hyperactivity disorder based on the WAIS-III. Research in Developmental Disabilities, 61, 108–115. https://doi.org/10.1016/j.ridd.2016.12.008CrossRefPubMed

Kočovska, E., Billstedt, E., Ellefsen, A., Kampmann, H., Gillberg, I. C., Biskupstø, R., Andorsdóttir, G., Stóra, T., Minnis, H., & Gillberg, C. (2013). Autism in the Faroe Islands: Diagnostic stability from childhood to early adult life. The Scientific World Journal. https://doi.org/10.1155/2013/592371CrossRefPubMedPubMedCentral

Kranzler, H. R., Kadden, R. M., Babor, T. F., & Rounsaville, B. J. (1994). Longtitudinal, expert, all data procedure for psychiatric diagnosis in patients with psychoactive substance use disorders. The Journal of Nervous and Mental Disease, 182(5), 277–283. https://doi.org/10.1097/00005053-199405000-00005CrossRefPubMed

Lai, M-C., & Baron-Cohen, S. (2015). Identifying the lost generation of adults with autism spectrum disorder. Lancet Psychiatry, 2(11), 1013–1027. https://doi.org/10.1016/S2215-0366(15)00277-1CrossRefPubMed

Lord, C., Rutter, M., DiLavore, P.S., & Risi, S. (2006). Autism Diagnostic Observation Schedule (ADOS). Western Psychological Services.

Lugnegård, T., & Bejerot, S. (2019). Retrospective parental assessment of childhood neurodevelopmental problems: The use of the Five to Fifteen questionnaire in adults. Bjpsych Open, 5(3), 1–5. https://doi.org/10.1192/bjo.2019.30CrossRef

Mandell, D. S., Lawer, L. J., Branch, K., Brodkin, E. S., Healey, K., Witalec, R., Johnson, D. N., & Gur, R. E. (2012). Prevalence and correlates of autism in a state psychiatric hospital. Autism, 16(6), 557–567.CrossRef

Marinopolou, M., Lugnegård, T., Unenge Hallerbäck, M., Gillberg, C., & Billstedt, E. (2016). Asperger syndrome and schizoprenia: A comparative neuropsychological study. Journal of Autism and Developmental Disorders, 46, 2292–2304. https://doi.org/10.1007/s10803-016-2758-9CrossRef

Marriage, S., Wolverton, A., & Marriage, K. (2009). Autism spectrum disorder grown up: A chart review of adult functioning. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 18(4), 322–328. https://doi.org/10.1177/1362361311412058CrossRefPubMedPubMedCentral

Nylander, L., & Gillberg, C. (2001). Screening for autism spectrum disorders in adult psychiatric out-patients: A preliminary report. Acta Psychiatrica Scandinavica, 103, 428–434. https://doi.org/10.1034/j.1600-0447.2001.00175.xCrossRefPubMed

Ressel, M., Thompson, B., Poulin, M-H., Normand, C. L., Fisher, M. H., Couture, G., & Iarocci, G. (2020). Systematic review of risk and protective factors associated with substance use and abuse in individuals with autism spectrum disorders. Autism, 24(4), 899–918. https://doi.org/10.1177/1362361320910963CrossRefPubMed

Ritvo, R. A., Ritvo, E. R., Guthrie, D., Ritvo, M. J., Hufnagel, D. H., McMahon, W., Tonge, B., Mataix-Cols, D., Jassi, A., Atwood, T., & Eloff, J. (2011). The Ritvo autism asperger diagnostic scale – revised (RAADS-R): A scale to assist the diagnosis of autism spectrum disorder in adults: An international validation study. Journal of Autism and Developmental Disorders, 41(8), 1076–1089. https://doi.org/10.1007/s10803-010-1133-5CrossRefPubMed

Rynkiewicz, A., Janas-Kozik, M., & Slopien, A. (2019). Girls and women with autism. Psychiatria Polska, 53(4). 737–752. https://doi.org/10.12740/PP/OnlineFirst/95098.

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(20), 22–33.

Suckle, E. K. (2021). DSM-5 and challenges to female autism identification. Journal of Autism and Developmental Disorders, 51, 754–759. https://doi.org/10.1007/s10803-020-04574-5CrossRefPubMed

Swedish Public Health Authority (2020). Psykisk hälsa och suicidprevention – lägesrapport 2019 (Psychological health and suicide prevention – report 2019). Retrieved from the Swedish Public Health Authority website: https://www.folkhalsomyndigheten.se/publicerat-material/publikationsarkiv/p/psykisk-halsa-och-suicidprevention.-lagesrapport-2019/.

Takara, K., & Kondo, T. (2014). Autism spectrum disorder among first-visit depressed adult patients: Diagnostic clues from backgrounds and past history. General Hospital Psychiatry, 36, 737–742. https://doi.org/10.1016/j.genhosppsych.2014.08.004CrossRefPubMed

Takayanagi, M., Kawasaki, Y., Shinomiya, M., Hiroshi, H., Okada, S., Ino, T., Sakai, K., Miurakami, K., Ishida, R., Mizuno, K., & Niwa, S-I. (2021). Review of cognitive characteristics of autism spectrum disorder using performance on six subtests on four versions of the Wechsler intelligence scale for children. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-021-04932-xCrossRefPubMedPubMedCentral

Taylor, M. J., Rosenqvist, M. A., Larsson, H., Gillberg, C., D’Onofrio, B. M., Lichtenstein, P., & Lundström, S. (2020). Etiology of Autism Spectrum Disorders and Autistic Traits Over Time. JAMA Psychiatry, 77(9), 936–943. https://doi.org/10.1001/jamapsychiatry.2020.0680CrossRefPubMed

Tromans, S., Chester, V., Kiani, R., Alexander, R., & Brugha, T. (2018). The prevalence of autism spectrum disorders in adult psychiatric inpatients: A systematic review. Clinical Practice & Epidemiology in Mental Health, 14, 177–187. https://doi.org/10.2174/1745017901814010177CrossRef

Underwood, J. F. G., Kendall, K. M., Berrett, J., Lewis, C., Anney, R., van den Bree, M. B. M., & Hall, J. (2019). Autism spectrum disorder diagnosis in adults: Phenotype and genotype findings from a clinically derived cohort. The British Journal of Psychiatry, 215, 647–653. https://doi.org/10.1192/bjp.2019.30CrossRefPubMedPubMedCentral

Vohra, R., Madhavan, S., & Sambamoorthi, U. (2017). Comorbidity prevalence, healthcare utilization, and expenditures of Medicaid enrolled adults with autism spectrum disorders. Autism, 21(8), 995–1009. https://doi.org/10.1177/1362361316665222CrossRefPubMed

Wechsler, D. (2008). Wechsler adult intelligence scale – fourth edition (WAIS-IV). Psychological Corporation.

Woolfenden, S., Sarkozy, V., Ridley, G., & Williams, K. (2012). A systematic review of the diagnostic stability of autism spectrum disorder. Research in Autism Spectrum Disorders, 6(1), 345–354. https://doi.org/10.1016/j.rasd.2011.06.008CrossRef

Titel: Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry
Auteurs: Johan Nyrenius
Jonas Eberhard
Mohammad Ghaziuddin
Christopher Gillberg
Eva Billstedt
Publicatiedatum: 06-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 9/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05411-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 9/2022

Brief Report: Suspected Cannabis-Induced Mania and Psychosis in Young Adult Males with Autism Spectrum Disorder

Preliminary Efficacy of Occupational Therapy in an Equine Environment for Youth with Autism Spectrum Disorder

Second-Order False Beliefs and Linguistic Recursion in Autism Spectrum Disorder

Adults With Autism Should be Considered a Priority in COVID-19 Immunization Programs

Brief Report: Perceptions of Family-Centered Care Across Service Delivery Systems and Types of Caregiver Concerns About Their Toddlers’ Development

Sex/Gender Differences in CARS2 and GARS-3 Item Scores: Evidence of Phenotypic Differences Between Males and Females with ASD