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首页> 外文期刊>The British journal of psychiatry : >Episodic psychiatric disorders in teenagers with learning disabilities with and without autism
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Episodic psychiatric disorders in teenagers with learning disabilities with and without autism

机译：有自闭症和无自闭症的学习障碍青少年的发作性精神病

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Background Mental health problems in people with learning disabilities and autism are poorly understood. Aims To investigate the prevalence of episodic psychiatric disorders in a sample of teenagers with learning disabilities with and without autism. Method Teenagers with learning disabilities living in one geographical area were identified. Those with autism were matched to those without. A semi-structured investigator-based interview linked to Research Diagnostic Criteria was used to assess prevalence and type of episodic disorders. Results Significantly more individuals with autism had a lifetime episodic disorder, most commonly major depression. Two individuals with autism had bipolar affective disorder. Other episodic disorders with mood components and behaviour change were also evident, as were unclassifiable disorders characterised by complex psychiatric symptoms, chronicity and general deterioration. Antipsychotics and stimulants were most frequently prescribed; the former associated with episodic disorder, the latter with autism. Conclusions Teenagers with learning disabilities and autism have higher rates of episodic psychiatric disorders than those with learning disabilities alone.
机译：背景技术对学习障碍和自闭症患者的心理健康问题知之甚少。目的研究样本自闭症青少年伴或不伴自闭症的流行性精神病患病率。方法确定居住在一个地理区域的有学习障碍的青少年。自闭症患者与无孤独症患者相匹配。与研究诊断标准相关的基于研究者的半结构化访谈被用来评估发作性疾病的患病率和类型。结果明显有更多的自闭症患者终生发作性疾病，最常见的是严重抑郁症。两个自闭症患者患有双相情感障碍。具有情绪成分和行为改变的其他发作性疾病也很明显，以复杂的精神病症状，慢性和普遍恶化为特征的无法分类的疾病也很明显。抗精神病药和兴奋剂最常开;前者与发作性疾病有关，后者与自闭症有关。结论有学习障碍和自闭症的青少年比单独有学习障碍的青少年发生精神病的比例更高。

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