Prevalence of autism in first-episode psychosis in two Hong Kong teaching hospitals.

IF 5.2 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Autism Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI:10.1177/13623613241259062

Terence Ty Kwok, Melody My Chan, Flora Ym Mo, Se-Fong Hung, Patrick Wl Leung, Kelly Yc Lai, Caroline Ks Shea

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Abstract

Lay abstract: Autistic features are commonly observed in children and adolescents with first-episode psychosis, but they are sometimes overlooked by clinicians and caregivers. By comprehensively examining the clinical profiles of 103 children and adolescents (below 18 years old) with first-episode psychosis and conducting the Autism Diagnostic Interview-Revised (the 'gold standard' autism diagnostic tool) with their primary caregivers, we showed that around 28% of patients with first-episode psychosis had a comorbid autism diagnosis, and boys were 3.57 times more likely to have first-episode psychosis-autism spectrum disorder comorbidity than girls. After administering the Autism Diagnostic Interview-Revised, we also observed that an additional 30% of patients with first-episode psychosis met the autism spectrum disorder diagnostic cut-off; their autism spectrum disorder symptoms were probably overshadowed by prodromal psychotic symptoms and left undetected before this study. The co-occurrence of autism and first-episode psychosis might be more common than we previously thought. Careful autism screening and assessment is highly recommended for clinicians working with patients with psychosis.

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香港两家教学医院首次发病的精神病患者中自闭症的患病率。

内容提要：自闭症特征常见于首次发病的精神病儿童和青少年，但有时会被临床医生和护理人员忽视。通过全面研究103名首次发病的精神病儿童和青少年（18岁以下）的临床特征，并与他们的主要照顾者一起进行自闭症诊断访谈-修订版（"金标准 "自闭症诊断工具），我们发现约28%的首次发病的精神病患者合并有自闭症诊断，而男孩首次发病的精神病与自闭症谱系障碍合并的可能性是女孩的3.57倍。在进行《自闭症诊断访谈-修订版》（Autism Diagnostic Interview-Revised）后，我们还观察到，另有30%的首发精神病患者符合自闭症谱系障碍的诊断标准；他们的自闭症谱系障碍症状可能被前驱精神病症状所掩盖，在本研究之前未被发现。自闭症和首发精神病同时出现的情况可能比我们之前想象的更为普遍。强烈建议临床医生对精神病患者进行仔细的自闭症筛查和评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Autism PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

9.80

自引率

11.50%

发文量

160

期刊介绍： Autism is a major, peer-reviewed, international journal, published 8 times a year, publishing research of direct and practical relevance to help improve the quality of life for individuals with autism or autism-related disorders. It is interdisciplinary in nature, focusing on research in many areas, including: intervention; diagnosis; training; education; translational issues related to neuroscience, medical and genetic issues of practical import; psychological processes; evaluation of particular therapies; quality of life; family needs; and epidemiological research. Autism provides a major international forum for peer-reviewed research of direct and practical relevance to improving the quality of life for individuals with autism or autism-related disorders. The journal''s success and popularity reflect the recent worldwide growth in the research and understanding of autistic spectrum disorders, and the consequent impact on the provision of treatment and care. Autism is interdisciplinary in nature, focusing on evaluative research in all areas, including: intervention, diagnosis, training, education, neuroscience, psychological processes, evaluation of particular therapies, quality of life issues, family issues and family services, medical and genetic issues, epidemiological research.