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Boys with Asperger Syndrome Grow Up: Psychiatric and Neurodevelopmental Disorders 20 Years After Initial Diagnosis.

Journal article
Authors I Carina Gillberg
Adam Helles
Eva Billstedt
Christopher Gillberg
Published in Journal of autism and developmental disorders
Volume 46
Issue 1
Pages 74-82
ISSN 1573-3432
Publication year 2016
Published at Gillberg Neuropsychiatry Centre
Pages 74-82
Language en
Links dx.doi.org/10.1007/s10803-015-2544-...
Subject categories Child and adolescent psychiatry

Abstract

We examined comorbid psychiatric and neurodevelopmental disorders in fifty adult males (mean age 30 years) with Asperger syndrome (AS) diagnosed in childhood and followed up prospectively for almost two decades (13-26 years). Only three of the 50 men had never met criteria for an additional psychiatric/neurodevelopmental diagnosis and more than half had ongoing comorbidity (most commonly either ADHD or depression or both). Any psychiatric comorbidity increased the risk of poorer outcome. The minority of the AS group who no longer met criteria for a full diagnosis of an autism spectrum disorder were usually free of current psychiatric comorbidity. The high rate of psychiatric/neurodevelopmental comorbidities underscores the need for a full psychiatric/neurodevelopmental assessment at follow-up of males with AS.

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