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Comorbidity of autism with hyperkinetic disorder

Published online by Cambridge University Press:  13 August 2021

A. Koval-Zaytsev ,
N. Simashkova  and
M. Ivanov
A. Koval-Zaytsev*
Affiliation:
Department Of Child Psychiatry, Federal State Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
N. Simashkova
Affiliation:
Department Of Child Psychiatry, Federal State Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
M. Ivanov
Affiliation:
Department Of Child Psychiatry, Federal State Budgetary Scientific Institution “Mental Health Research Center”, Moscow, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

Autism spectrum disorders encompass a heterogeneous group of neurodevelopmental disorders. Autism may be accompanied by other mental and neurological disorders. Comorbidity in autism is the rule rather than the exception (as reflected in DSM-5).

Objectives

To study comorbidity in patients with childhood autism and hyperkinetic disorder.

Methods

Surveyed 102 patients aged 6–7 years who had infantile psychosis before the age of 3 years (F84.02), comorbid with hyperkinetic disorder (F90.0). Methods: clinical, psychological and psychometric (CARS, PEP, bfcrs, CGI, CPRS-R:S (parents’ form)).

Results

In the surveyed patients, the autism level was 46 points according to CARS. Manifestations of hyperkinetic disorder in patients with F84.02 are found in 72%, which is associated with the severity of catatonic arousal (BFCRS 36 points). The cognitive development of the examined children is characterized by a combination of advancing, normative and delayed levels of development, depending on the type of cognitive dysontogenesis. Low indicators are revealed in involuntary attention, fine motor skills and hand-eye coordination. In patients with F84.02, a secondary hyperkinetic disorder forms upon exit from severe catatonia.

Conclusions

Excessive motor activity is combined with impulsiveness and impaired attention in the period of remission. The use of a complex of clinical and psychodiagnostic techniques aimed at assessing voluntary and involuntary attention provides additional data for the diagnosis of ASD and hyperkinetic disorders.

Keywords

autism spectrum disorderscomorbidityhyperkinetic disorderpsychodiagnostics
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S221 - S222
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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