Autism Spectrum Disorder and Co-Occurring Addiction / Patricia J. M. VAN WIJNGAARDEN-CREMERS

Public ISBD in The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions / Susan W. WHITE Titre : Autism Spectrum Disorder and Co-Occurring Addiction Type de document : Texte imprimé et/ou numérique Auteurs : Patricia J. M. VAN WIJNGAARDEN-CREMERS, Auteur Année de publication : 2020 Importance : p.73-80 Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Résumé : For many professionals, patients, and relatives of individuals with autism spectrum disorder (ASD), the co-occurrence with addiction to alcohol or drugs seems unimaginable. How could autism be hidden behind addiction and how could someone diagnosed with autism as a child become addicted in adolescence or adulthood? In this chapter, evidence is presented that this comorbidity is far more frequent in high-functioning adolescents and adults with ASD than is often appreciated. Two different perspectives are considered. First, both conditions are related to the neurotransmitter dopamine. Second, individuals with ASD may become addicted when they try and cope with their social difficulties by taking substances that help them overcome their initial shyness and social anxiety, or they do so to soothe their high levels of arousal and/or hypersensitivity to internal or external stimuli. There are established clinical guidelines for both conditions but none for managing the combination of these two disorders. Thus, the clinician, along with being acutely aware of the possible co-occurrence, should manage individual cases by tailoring an individual approach based on the evidence from both fields. This is illustrated by two clinical cases. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 in The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions / Susan W. WHITE Autism Spectrum Disorder and Co-Occurring Addiction [Texte imprimé et/ou numérique] / Patricia J. M. VAN WIJNGAARDEN-CREMERS, Auteur . - 2020 . - p.73-80. Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Résumé : For many professionals, patients, and relatives of individuals with autism spectrum disorder (ASD), the co-occurrence with addiction to alcohol or drugs seems unimaginable. How could autism be hidden behind addiction and how could someone diagnosed with autism as a child become addicted in adolescence or adulthood? In this chapter, evidence is presented that this comorbidity is far more frequent in high-functioning adolescents and adults with ASD than is often appreciated. Two different perspectives are considered. First, both conditions are related to the neurotransmitter dopamine. Second, individuals with ASD may become addicted when they try and cope with their social difficulties by taking substances that help them overcome their initial shyness and social anxiety, or they do so to soothe their high levels of arousal and/or hypersensitivity to internal or external stimuli. There are established clinical guidelines for both conditions but none for managing the combination of these two disorders. Thus, the clinician, along with being acutely aware of the possible co-occurrence, should manage individual cases by tailoring an individual approach based on the evidence from both fields. This is illustrated by two clinical cases. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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Using the Autism-Spectrum Quotient to Discriminate Autism Spectrum Disorder from ADHD in Adult Patients With and Without Comorbid Substance Use Disorder / Bram B. SIZOO in Journal of Autism and Developmental Disorders, 39-9 (September 2009)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 39-9 (September 2009) . - p.1291-1297 Titre : Using the Autism-Spectrum Quotient to Discriminate Autism Spectrum Disorder from ADHD in Adult Patients With and Without Comorbid Substance Use Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Bram B. SIZOO, Auteur ; Rutger Jan VAN DER GAAG, Auteur ; Wim VAN DEN BRINK, Auteur ; Marielle GORISSEN-VAN EENIGE, Auteur ; Maarten W. KOETER, Auteur ; Patricia J. M. VAN WIJNGAARDEN-CREMERS, Auteur Année de publication : 2009 Article en page(s) : p.1291-1297 Note générale : Open Access Langues : Anglais (eng) Mots-clés : Autism-spectrum-disorder ADHD Substance-use-disorder Autism-spectrum-quotient Index. décimale : PER Périodiques Résumé : It is unknown whether the Autism-spectrum quotient (AQ) can discriminate between Autism Spectrum Disorder (ASD) and Attention Deficit and Hyperactivity Disorder (ADHD) with or without comorbid Substance Use Disorder (SUD). ANOVA’s were used to analyse the mean AQ (sub)scores of 129 adults with ASD or ADHD. We applied receiver operating characteristic (ROC) computations to assess discriminant power. All but one of the mean AQ (sub)scores were significantly higher for adults with ASD compared to those with ADHD. The SUD status in general was not significantly associated with AQ (sub)scores. On the Social Skills subscale patients with ASD and comorbid SUD showed less impairment than those without SUD. The cut-off score 26 yielded 73% correct classifications. The clinical use of the AQ in differentiating between ASD and ADHD is limited. En ligne : http://dx.doi.org/10.1007/s10803-009-0743-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=814 [article] Using the Autism-Spectrum Quotient to Discriminate Autism Spectrum Disorder from ADHD in Adult Patients With and Without Comorbid Substance Use Disorder [Texte imprimé et/ou numérique] / Bram B. SIZOO, Auteur ; Rutger Jan VAN DER GAAG, Auteur ; Wim VAN DEN BRINK, Auteur ; Marielle GORISSEN-VAN EENIGE, Auteur ; Maarten W. KOETER, Auteur ; Patricia J. M. VAN WIJNGAARDEN-CREMERS, Auteur . - 2009 . - p.1291-1297. Open Access Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 39-9 (September 2009) . - p.1291-1297 Mots-clés : Autism-spectrum-disorder ADHD Substance-use-disorder Autism-spectrum-quotient Index. décimale : PER Périodiques Résumé : It is unknown whether the Autism-spectrum quotient (AQ) can discriminate between Autism Spectrum Disorder (ASD) and Attention Deficit and Hyperactivity Disorder (ADHD) with or without comorbid Substance Use Disorder (SUD). ANOVA’s were used to analyse the mean AQ (sub)scores of 129 adults with ASD or ADHD. We applied receiver operating characteristic (ROC) computations to assess discriminant power. All but one of the mean AQ (sub)scores were significantly higher for adults with ASD compared to those with ADHD. The SUD status in general was not significantly associated with AQ (sub)scores. On the Social Skills subscale patients with ASD and comorbid SUD showed less impairment than those without SUD. The cut-off score 26 yielded 73% correct classifications. The clinical use of the AQ in differentiating between ASD and ADHD is limited. En ligne : http://dx.doi.org/10.1007/s10803-009-0743-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=814

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