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06-06-2017 | Original Paper

Screening of Autism Spectrum Disorders in Geriatric Psychiatry

Auteurs: S. M. J. Heijnen-Kohl, R. M. Kok, R. M. H. J. Wilting, G. Rossi, S. P. J. van Alphen

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 9/2017

Abstract

Autism spectrum disorders (ASD) are difficult to detect in old age. This study examined if ASD symptoms in older adults (age > 60) can be detected with the Dutch informant personality questionnaire, (Hetero-Anamnestische Persoonlijkheidsvragenlijst, HAP) in a mental health setting. Patients with ASD (N = 40) were compared to patients with a different psychiatric diagnosis (N = 43; personality disorders excluded). The ASD group had significant higher scores on the scales ‘Socially avoidant behavior’, ‘Rigid behavior’ and ‘Unpredictable and impulsive behavior’. These scales were able to discriminate between individuals with or without ASD. The HAP can thus be used as a screening instrument for ASD symptoms in elderly patients. Further research is needed to clarify what items have the best predictive validity for ASD symptoms.

vorige artikel Frequency of Dendritic Cells and Their Expression of Costimulatory Molecules in Children with Autism Spectrum Disorders

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Kurtosis was within range (z < 2) for both groups on all scales. Skewness was within range (z < 2) for the scales ‘perfectionist behavior’ and ‘antagonistic behavior’. Skewness was outside range (z > 2) on the scale ‘somatizing behavior’ for both groups. On the other scales, skewness was outside range (z > 2) for either the ASD or the psychiatric control group. Therefore the results of the t test for these scales are double checked non-parametricly with a Mann–Withney test, which led to the same results.

Agresti, A. (1996). An introduction to categorical data analysis (2nd edn.). New York: Wiley.

American Psychiatric Association (Ed.). (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR®. Washington, DC: American Psychiatric Publishing.

American Psychiatric Association (Ed.). (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5™). American Psychiatric Pub.

American Psychological Association (2004). Guidelines for psychological practice with older adults. American Psychologist, 59(4), 236–260. CrossRef

Barendse, H. P. J., & Thissen, A. J. C. (2006). Handleiding van de Hetero-Anamnestische Persoonlijkheidsvragenlijst HAP. Barendse & Thissen.

Barendse, H. P. J., Thissen, A. J. C., Rossi, G., Oei, T. I., & Van Alphen, S. P. J. (2013). Psychometric properties of an informant personality questionnaire (the HAP) in a sample of older adults in the Netherlands and Belgium. Aging & Mental Health, 17(5), 623–629. CrossRef

Barneveld, P. S., Pieterse, J., de Sonneville, L., van Rijn, S., Lahuis, B., van Engeland, H., & Swaab, H. (2011). Overlap of autistic and schizotypal traits in adolescents with autism spectrum disorders. Schizophrenia Research, 126(1), 231–236. CrossRefPubMed

Baxter, A. J., Brugha, T. S., Erskine, H. E., Scheurer, R. W., Vos, T., & Scott, J. G. (2015). The epidemiology and global burden of autism spectrum disorders. Psychological Medicine, 45(03), 601–613. CrossRefPubMed

Bejerot, S. (2007). An autistic dimension A proposed subtype of obsessive-compulsive disorder. AUTISM: The International Journal of Research and Practice, 11(2), 101–110. CrossRef

Billstedt, E. (2000). Autism and Asperger syndrome: Coexistence with other clinical disorders. Acta Psychiatrica Scandinavica, 102(5), 321–330. CrossRefPubMed

Billstedt, E., Carina Gillberg, I., & Gillberg, C. (2007). Autism in adults: Symptom patterns and early childhood predictors. Use of the DISCO in a community sample followed from childhood. Journal of Child Psychology and Psychiatry, 48(11), 1102–1110. CrossRefPubMed

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillside, NJ: Lawrence Earlbaum Associates.

De Koning, M. B., & Fouwels, A. J. (2005). Stoornis van Asperger of persoonlijkheidsstoornis uit het A-cluster: Differentiële diagnostiek bij een volwassen patiënt. Tijdschrift voor Psychiatrie, 47(10), 707.

Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. CrossRefPubMed

Geurts, H. M., & Vissers, M. E. (2012). Elderly with autism: Executive functions and memory. Journal of Autism and DevelopmentalDisorders, 42, 665–675. CrossRef

Happé, F. (2011). Criteria, categories, and continua: Autism and related disorders in DSM-5. Journal of the American Academy of Child & Adolescent Psychiatry, 50(6), 540–542. CrossRef

Happé, F., & Charlton, R. A. (2012). Aging in autism spectrum disorders: A mini-review. Gerontology, 58, 70–78. CrossRefPubMed

Heijnen-Kohl, S.M.J., & van Alphen S.P.J. (2009). Diagnostiek van autismespectrumstoornissen bij ouderen. Tijdschrift voor psychiatrie;, 51(5), 1–5.

Heijnen-Kohl, S.M.J., Van Alphen, S.P.J., & Oude Voshaar, R. C. (2016). Issues in diagnosis and assessment in later life. Chapter 10. In S. D. Wright (Ed.), Autism spectrum disorders in mid and later life (pp. 163–176). London: Jessica Kingsley.

Hengeveld, M. W., Van Londen, L., & van de Gaag, R. J. (2008). Herkenning van autismespectrumstoornissen bij volwassenen. Nederlands tijdschrift voor geneeskunde, 152(24), 1353–1357. PubMed

Hrdlicka, M, & Dudova I. (2013). Controversies in autism: Is a broader model of social disorders needed? Child Adolescent Psychiatry and Mental Health, 18, 7(1), 7–9.

Hurst, R. M., Nelson-Gray, R. O., Mitchell, J. T., & Kwapil, T. R. (2007). The relationship of Asperger’s characteristics and schizotypal personality traits in a non-clinical adult sample. Journal of Autism and Developmental Disorders, 37(9), 1711–1720. CrossRefPubMed

James, I. A., Mukaetova-Ladinska, E., Reichelt, F. K., Briel, R., & Scully, A. (2006). Diagnosing aspergers syndrome in the elderly: A series of case presentations. International Journal of Geriatric Psychiatry, 21, 951–960. CrossRefPubMed

Klonsky, E. D., & Oltmanns, T. F. (2002). Informant-reports of personality disorder: Relation to self-reports and future research directions. Clinical Psychology: Science and Practice, 9(3), 300–311.

Kok, E., & Eurelings-Bontekoe, E. H. M. (2007). De Nederlandse Verkorte MMPI en Austisme Spectrum Stoornis [The Dutch Short Form of the MMPI and Autism Spectrum Disorder]. Wetenschappelijk Tijdschrift Autisme, 1, 32–40.

Lever, A. G. (2016). Aging in Autism: Symptomatology, co-occurring psychopathology, and cognitive functioning across the adult life-span. Amsterdam.

Levy, A., & Perry, A. (2011). Outcomes in adolescents and adults with autism: A review of the literature. Research in Autism Spectrum Disorders, 5(4), 1271–1282. CrossRef

Lugnegård, T., Hallerbäck, M. U., & Gillberg, C. (2012). Personality disorders and autism spectrum disorders: What are the connections? Comprehensive Psychiatry, 53(4), 333–340. CrossRefPubMed

Matilla, M. L., Hurtig, T., Haapsamo, H., Jussila, K., Kuusikko-Gauffin, S., Kielinen, M., ... Moilanen, I. (2010). Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: A community-and clinic-based study. Journal of Autism and Developmental Disorders, 40(9), 1080–1093. CrossRef

Mukaetova-Ladinska, E. B., Perry, E., Baron, M., & Povey, C. (2012). Ageing in people with autistic spectrum disorders. International Journal of Geriatric Psychiatry, 27, 109–118. CrossRefPubMed

Naidu, A., James, I., Mukatoeva-Ladinska, E., & Briel, R. (2006). Diagnosis of asperger syndrome in a 66-year-old male presenting with depression. International Psychogeriatrics, 18(1), 171–188. CrossRefPubMed

Nylander, L., Lugnegård, T., & Hallerbäck, M. (2008). Autism spectrum disorders and schizophrenia spectrum disorders in adults—Is there a connection? A literature review and some suggestions for future clinical research. Clinical Neuropsychiatry, 5(1), 43–54.

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

Perkins, E. A., & Berkman, K. A. (2012). Into the unknown: Aging with autism spectrum disorders. American Journal on Intellectual and Developmental Disabilities, 117(6), 478–496. CrossRefPubMed

Piven, J., & Rabins, P. (2011). Autism spectrum disorders in older adults: Towards defining a research agenda. Journal of American Geriatrics Society, 59, 2151–2155. CrossRef

Seltzer, M. M., Shattuck, P., Abbeduto, L., & Greenberg, J. S. (2004). Trajectory of development in adolescents and adults with autism. Mental Retardation and Developmental Disabilities Research Reviews, 10(4), 234–247. CrossRefPubMed

Soderstrom, H., Rastam, M., & Gillberg, C. (2002). Temperament and character in adults with Asperger syndrome. Autism: The International Journal of Research and Practice, 6(3), 287–297. CrossRef

Spek, A.A, & Geven, F. (2013). Autismespectrumstoornissen bij Ouderen. De Psycholoog, 48(7/8), 53–60.

Totsika, V., Felce, D., Kerr, M., & Hastings, R. P. (2010). Behavioural problems, psychiatric symptoms, and quality of life for older adults with intellectual disability with and without autism. Journal of Autism Developmental Disorders, 40, 1171–1178. CrossRefPubMed

Van Alphen, S.P.J., & Heijnen-Kohl, S.M.J. (2009). Gevalsbeschrijving over een 82-jarige man met een Autismespectrumstoornis. GZ-Psychologie, 2, 1–10.

Van Alphen, S.P.J., & Oude Voshaar, R. C. (2012). Screening of autism spectrum disorders in the elderly. A contribution to a psychometric approach. International Psychogeriatrics, 24, 1187–1188. CrossRefPubMed

Van Niekerk, M.E.H., Groen, W., Vissers, C.W.M., van Driel-de Jong, D., Kan, C. C., & Oude Voshaar, R. C. (2010). Diagnosing autism spectrum disorders in elderly people. International Psychogeriatrics, 29, 1–11.

Verbeek, M., Knispel, A., & Nuijen, J. (2012). GGZ in tabellen 2011. Trimbos-instituut.

Vuijk, R., de Nijs, P.F.A., Vitale, S. G., Simons-Sprong, M., & Hengeveld, M. W. (2012). Persoonlijkheidsaspecten bij volwassenen met autismespectrumstoornissen gemeten met de ‘Temperament and Character Inventory’ (TCI). Tijdschrift voor psychiatrie, 54(8), 699–707. PubMed

Wright, S. D. (Ed.). (2016). Autism spectrum disorders in mid and later life. London: Jessica Kingsley.

Titel: Screening of Autism Spectrum Disorders in Geriatric Psychiatry
Auteurs: S. M. J. Heijnen-Kohl
R. M. Kok
R. M. H. J. Wilting
G. Rossi
S. P. J. van Alphen
Publicatiedatum: 06-06-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 9/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-017-3185-2

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