Psychosis in adults with autism spectrum disorder and attention deficit hyperactivity disorder at acute psychiatric wards

IF 2.5 4区医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2023-07-01 DOI:10.1016/j.ejpsy.2022.12.001

Hiromitsu Uno , Wakaho Hayashi , Akari Nakagawa , Takeshi Otowa , Hiroki Yamada , Akira Iwanami

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Abstract

Background and objectives

Psychotic symptoms, such as delusions and hallucinations, in autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) have been increasingly reported in recent literature. In the present study, the prevalence and duration of psychotic symptoms, comorbid psychotic disorders, and clinical characteristics of adults with ASD and ADHD were retrospectively examined via a chart review.

Methods

The participants were 98 adults (mean age, 28.5 years; 72 men) who were admitted to the psychiatric emergency wards of Showa University Karasuyama Hospital, and who were diagnosed with ASD and/or ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria.

Results

Among 69 individuals with ASD, 21 (30.4%) experienced psychotic symptoms, and among 29 individuals with ADHD, 5 (17.2%) exhibited psychosis. While all psychotic symptoms were classified as transient and none had comorbidity with schizophrenia and other psychotic disorders in adults with ADHD, 38.1% of psychosis was classified as prolonged and 10.3% had comorbidity with schizophrenia and other psychotic disorders in adults with ASD.

Conclusion

The results showed that a significant proportion of adults with ASD and ADHD experience psychosis during their course of illness, and provide evidence for the existence of a shared etiology between neurodevelopmental and psychotic disorders.

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急性精神科病房中患有自闭症谱系障碍和注意力缺陷多动障碍的成年人的精神病

背景与目的近年来，自闭症谱系障碍（ASD）和注意力缺陷多动障碍（ADHD）的精神症状如妄想和幻觉的报道越来越多。在本研究中，通过图表回顾对患有ASD和ADHD的成年人的精神病症状、合并精神病障碍的患病率和持续时间以及临床特征进行了回顾性检查。方法受试者为98名（平均年龄28.5岁；72名男性），入住昭和大学卡拉苏山医院精神科急诊病房，根据《精神障碍诊断与统计手册》第四版文本修订标准被诊断为ASD和/或ADHD。结果69例ASD患者中有21例（30.4%）出现精神症状，29例ADHD患者中有5例（17.2%）出现精神病。虽然所有的精神病症状都被归类为短暂性症状，并且在患有多动症的成年人中没有一种症状与精神分裂症和其他精神病性障碍共病，在患有ASD的成年人中，38.1%的精神病被归类为长期精神病，10.3%的人与精神分裂症和其他精神病性障碍共病。结论研究结果表明，相当一部分患有ASD和ADHD的成年人在病程中经历过精神病，并为神经发育障碍和精神病性疾病之间存在共同的病因提供了证据。

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

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.