Multidisciplinary clinical and psychological aspects of diagnosis

Nv, Simashkova; Klyushnik, T P; Koval-Zaytsev, A.; Yakupova, L. P.

doi:10.17759/autdd.2016140408

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…Another discussed problem is the diagnosis of comorbid conditions in ASD [ 27 ]. Autism and schizophrenia is the existence of alternative and even mutually exclusive diagnoses for many domestic psychiatrists [ 28 ]. Therefore, as the patient ages, the diagnosis of autistic disorder may still change to a diagnosis of schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Autism Spectrum Disorders in the Russian Federation: A Retrospective Study

Устинова

Намазова-баранова

Basova

et al. 2022

Consortium Psychiatricum

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Introduction. There has been an increase in the prevalence of ASD worldwide. According to studies, the prevalence correlates with the level of awareness about the disorder in society and in the professional community, the availability of screening procedures, and health and educational services available for families. A comparison of autism prevalence rates within the country helps to identify regions with limited access to diagnostic services and adequate medical care.Aim. Analysis of the number of persons with ASD and differences in the number of registered persons with ASD in the constituent entities of Russia.Material and methods. We used data from official statistical reporting (Form12 "Information on the number of diseases registered in the service area of a medical organization"). Results. A steady upward trend in the number of people with autism has been noted, which has been observed in Russia as a whole and in federal districts. The prevalence rates differ from the global median prevalence of ASD. Regional differences (by 104.5 times) in the frequency of diagnosis were revealed: from a minimum of 1.7 to a maximum of 177.7 per 100,000. 25-75th percentile - 38 regions, below the 25th percentile - 26, above the 75th - 21. Conclusion. The study showed significant differences in the number of ASD diagnoses depending on the region of the country and the background of a low number of registered cases of autism. It suggests that due to the lack of proper diagnosis, a significant part of people with ASD do not receive adequate medical, social and educational support. Possible causes are the lack of awareness of psychiatrists regarding diagnostic criteria approach, low involvement of pediatric service in screening activities, fears of stigmatization due to a psychiatric diagnosis in the absence of developed structures for medical, social and educational support for people with ASD.

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Section: Discussionmentioning

confidence: 99%

The Prevalence of Autism Spectrum Disorders in the Russian Federation: A Retrospective Study

Устинова

Намазова-баранова

Basova

et al. 2022

Consortium Psychiatricum

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“…В настоящее время самоповреждающее поведение при аутизме отечественными авторами рассматривается в качестве стереотипий [1,2,7]. Хотя стереотипное поведение и действия являются одной из ключевых характеристик аутизма, тем не менее описание и характеристика стереотипного самоповреждающего поведения (ССП) у пациентов с расстройствами аутистического спектра (РАС) представлены недостаточно [1,2,8,9,10,11].…”

Section: Introductionunclassified

“…ССП гетерогенно как по выраженности клинических симптомов, так и по причинам (биологическим, психогенным) возникновения. Регистрируемое с высокой частотой ССП у пациентов с РАС обусловлено постоянной психотравматизацией в связи со склонностью к патохарактерологическому реагированию, более частыми обращениями за психиатрической помощью, а также рядом негативных социальных условий [1,7,13,14]. Наиболее распространенными формами ССП у детей с аутизмом являются укусы, царапание или щипание кожи, нанесение себе ударов руками, удары о предметы головой.…”

Section: Introductionunclassified

“…Аутоагрессия встречается при таких редких заболеваниях, как синдром ломкой Х-хромосомы, синдром Lowe, синдром Леша-Нихана, синдром де Ланге, синдром Ретта [15]. Негативные последствия ССП не ограничиваются рамками нанесения непосредственного телесного физического самовреда, они могут включать трудности в обучении, социальную изоляцию, сложности пребывания и лечения в стационарах соматического профиля, нахождения в общественных местах, индуцируют большую нагрузку на ухаживающих родственников и нарушают стабильность семейной системы в целом [6,7,13,14,15,16,17].…”

Section: Introductionunclassified

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Стереотипное Самоповреждающее Поведение При Психотических Формах Аутизма

Шалина,

Никитина,

Куликов

et al. 2024

СВПН

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Background. Stereotypical self-injurious behavior (SSB) in children with autism spectrum disorders (ASD) and other mental developmental disorders is considered a widespread and destructive form of behavior. SSB is heterogeneous both in the severity of clinical symptoms and in the causes (biological, psychogenic) of occurrence. SSB in patients with ASD occurs with high frequency and is associated with constant psychotraumatization due to a tendency to pathocharacterological reactions, more frequent hospitalizations in psychiatric institutions, as well as a number of negative social conditions that lead to a deterioration in the quality of life of patients and their relatives. Objective: to study stereotypical self-injurious behavior in patients with psychotic forms of autism spectrum disorders. Study Materials. Based on the Department of Child Psychiatry, a survey of patients (n=25): male (n=19) and female (n=6), aged from 3 years 4 months to 11 years 5 months (mean age 7 years) who were undergoing inpatient treatment in the clinic of the Federal State Budgetary Institution National Center for Children's Health from 2020 to 2023. Inclusion criteria: 1) meeting the ICD-10 diagnoses of childhood autism (ChA, F84.02), atypical autism with mental retardation (AA with mental retardation, F84.11), atypical autism without mental retardation (AA without MR, F84.12), 2) presence of psychotic symptoms during an attack. Non-inclusion criteria: 1) severe organic brain damage, including in patients with cerebral palsy, 2) hereditary diseases and genetic syndromes, 3) other forms of ASD, except for those indicated. Research Methods: clinical-psychopathological, psychometric, clinical-anamnestic, statistical. Results. The identified psychotic attacks had a different structure (with and without regression phenomena), the leading syndrome being catatonic. In patients with psychotic forms of ASD, SSB is most often part of stereotypic behavior and actions, and can have varying severity -from insignificant to traumatic. SSB is often combined with manifestations of a psychopath-like syndrome in the form of heteroaggression and disinhibition of drives; it occurs with a higher frequency in severe cases of the disease with an unfavorable prognosis. SSB is more often typical for children with severe speech underdevelopment. Stereotypes in psychotic forms of autism (F84.02, F84.11, F84.12 according to ICD-10) are heterogeneous in clinical manifestations and can be expressed by both simple and more complex repetitive actions, self-harming actions, actions close to rituals and one-sided interests.

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“…The problem of autism spectrum disorders is among the most complex and actual due to high prevalence of this pathology -1-2% in the infant population [4,5]. The exponential growth of research on this problem began to occur at the end of the last century when there was a kind of "epidemic" of diagnoses of autism [6,7].…”

Section: Introductionmentioning

confidence: 99%

Modern Technologies in Studying the Mechanisms, Diagnostics, and Treatment of Autism Spectrum Disorders (Review)

Федотчев¹,

Dvoryaninova²,

Velikova³

et al. 2019

Sovrem Tehnol Med

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Autism spectrum disorders (ASD) are among the most common and intractable neurological diseases characterized by high heterogeneity and requiring a person-oriented approach to diagnostics and treatment. The purpose of this review is to summarize the literature data of the last 5 years on the contribution of modern technologies to the knowledge of mechanisms, diagnostics, and treatment of ASD. Particular attention is paid to the possibilities of non-drug treatment of ASD with the help of neurointerface technologies, including the brain-computer interface and neurofeedback technologies. The advantages of the musical neurointerface elaborated by the authors with complex feedback from brain and heart biopotentials, providing the possibility of personalized treatment of ASD, are grounded.

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Multidisciplinary clinical and psychological aspects of diagnosis

Cited by 7 publications

References 10 publications

The Prevalence of Autism Spectrum Disorders in the Russian Federation: A Retrospective Study

The Prevalence of Autism Spectrum Disorders in the Russian Federation: A Retrospective Study

Стереотипное Самоповреждающее Поведение При Психотических Формах Аутизма

Modern Technologies in Studying the Mechanisms, Diagnostics, and Treatment of Autism Spectrum Disorders (Review)

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