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Comorbidity of autism with hyperkinetic disorder
Published online by Cambridge University Press: 13 August 2021
Abstract
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).
To study comorbidity in patients with childhood autism and hyperkinetic disorder.
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)).
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.
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.
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- European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S221 - S222
- Creative Commons
- 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.
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- © The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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