自闭症谱系障碍和精神障碍的症状交叉:病例报告

Q4 Medicine Psiquiatria Biologica Pub Date : 2024-01-01 DOI:10.1016/j.psiq.2024.100442
Sara Cabezas-Gutiérrez, Pablo Vázquez-Herrera, Batirtze Goitia-Aritxa
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引用次数: 0

摘要

自闭症谱系障碍是一种神经发育障碍,目前全球发病率约为 1%。自闭症谱系障碍的主要症状,如社会交往能力下降、兴趣受限或不典型、认知和语言交流能力不足等,容易与典型精神分裂症的精神病症状相混淆。由于这两种疾病可同时存在,且发病率在 12%至 50%之间,因此有必要进行充分的评估。此外,这两种疾病可同时存在,发病率在 12%至 50%之间。我们介绍了一个临床病例,患者是一名女性,20 岁时开始在精神卫生部门接受随访,其症状与强迫症相符,并伴有冷漠、失神、放弃自理和功能逐渐退化等临床特征。经过多次评估,我们诊断其患有自闭症谱系障碍。我们进行了文献综述,得出的结论是自闭症和精神分裂症之间的症状交叉是常见的,并为区分这两种临床实体提供了临床建议。
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Intersección de síntomas en el trastorno del espectro autista y trastornos psicóticos: a propósito de un caso

Autism spectrum disorder is a neurodevelopmental disorder with a current global prevalence of approximately 1%. It is common that the main symptoms of this disorder, such as deterioration in social interactions, restricted or atypical interests, and cognitive and verbal communication deficiencies, can be confused with symptoms of the psychotic sphere typical of schizophrenia. An adequate evaluation is necessary due that both entities can coexist with a variable prevalence of 12 to 50%. Moreover, both disorders can coexist with a variable prevalence of 12 to 50%. We present the clinical case of a woman who, at the age of 20, began follow-up in the mental health unit due to symptoms compatible with an obsessive-compulsive disorder along with a clinic characterized by apathy, anhedonia, abandonment of self-care and progressive functional deterioration. After several evaluation sessions, we diagnosed an autism spectrum disorder. We carry out a bibliographic review with which we conclude that the intersection of symptoms between autism and schizophrenia is common and clinical recommendations are provided to differentiate both clinical entities.

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来源期刊
Psiquiatria Biologica
Psiquiatria Biologica Medicine-Psychiatry and Mental Health
CiteScore
0.40
自引率
0.00%
发文量
13
期刊介绍: Es la Publicación Oficial de la Sociedad Española de Psiquiatría Biológica. Los recientes avances en el conocimiento de la bioquímica y de la fisiología cerebrales y el progreso en general en el campo de las neurociencias han abierto el camino al desarrollo de la psiquiatría biológica, fundada sobre bases anatomofisiológicas, más sólidas y científicas que la psiquiatría tradicional.
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