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Co-occurring psychiatric conditions in autism spectrum disorder
Journal article   Peer reviewed

Co-occurring psychiatric conditions in autism spectrum disorder

Tamara E Rosen, Carla A Mazefsky, Roma A Vasa and Matthew D Lerner
International review of psychiatry (Abingdon, England), v 30(1), pp 40-61
Feb 2018
PMID: 29683351

Abstract

Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - physiopathology Anxiety Disorders - therapy Attention Deficit Disorder with Hyperactivity - diagnosis Attention Deficit Disorder with Hyperactivity - epidemiology Attention Deficit Disorder with Hyperactivity - physiopathology Attention Deficit Disorder with Hyperactivity - therapy Autism Spectrum Disorder - diagnosis Autism Spectrum Disorder - epidemiology Autism Spectrum Disorder - physiopathology Autism Spectrum Disorder - therapy Bipolar Disorder - diagnosis Bipolar Disorder - epidemiology Bipolar Disorder - physiopathology Bipolar Disorder - therapy Comorbidity Conduct Disorder - diagnosis Conduct Disorder - epidemiology Conduct Disorder - physiopathology Conduct Disorder - therapy Depressive Disorder - diagnosis Depressive Disorder - epidemiology Depressive Disorder - physiopathology Depressive Disorder - therapy Humans Schizophrenia - diagnosis Schizophrenia - epidemiology Schizophrenia - physiopathology Schizophrenia - therapy
Individuals with autism spectrum disorder (ASD) are at increased risk for experiencing one or more co-occurring psychiatric conditions. When present, these conditions are associated with additional impairment and distress. It is therefore crucial that clinicians and researchers adequately understand and address these challenges. However, due to symptom overlap, diagnostic overshadowing, and ambiguous symptom presentation in ASD, the assessment of co-occurring conditions in ASD is complex and challenging. Likewise, individual difference factors, such as age, intellectual functioning, and gender, may influence the presentation of co-occurring symptoms. Relatedly, a transdiagnostic framework may offer utility in assessing and treating co-occurring conditions. However, with the exception of anxiety disorders, treatment research for co-occurring psychiatric conditions in ASD is relatively limited. Therefore, the present paper aims to summarize and review available research on the most common co-occurring psychiatric disorders in ASD, with a focus on estimated population-based prevalence rates, diagnostic challenges, the influence of individual differences, and assessment guidelines. The utility of a transdiagnostic framework for conceptualizing co-occurring disorders in ASD is discussed, and the state of treatment research for co-occurring disorders is summarized. This study concludes with a summary of the extant literature, as well as recommendations for future research.

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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