Is it still autism? The increasing broadening of the autism spectrum / Marco BERTELLI ; Veronica Boniotti ; Katrina SCIOR in Autism Research, 18-1 (January 2025)  

Public ISBD [article]  inAutism Research > 18-1 (January 2025) . - p.37-43 Titre : Is it still autism? The increasing broadening of the autism spectrum : Autism Research Type de document : texte imprimé Auteurs : Marco BERTELLI, Auteur ; Veronica Boniotti, Auteur ; Katrina SCIOR, Auteur Article en page(s) : p.37-43 Langues : Anglais (eng) Mots-clés : autism spectrum  autism traits  broad autism phenotype  diagnosis  outcome  subthreshold autism Index. décimale : PER Périodiques Résumé : Abstract Clinical significance of a broad autism phenotype (BAP) seems to be increasingly supported by growing reports of high prevalence of subthreshold autism spectrum disorder (sASD) or autistic traits (AT) in various demographic samples, particularly in individuals with psychiatric conditions. We question this increasing extension of the autism spectrum and its potential negative consequences for clinical services, research, cultural attitudes, and resource allocation, as well as alternative explanations of what is currently attributed to sASD and AT. In modern psychiatry the diagnostic threshold is paramount and associated with a significant impairment of functioning, implying that symptom specificity is more relevant than sensitivity. Within a syndrome, symptoms have to be present together, with the parts related to and interconnected with the whole. Single autism symptomatic dimensions have low syndromic specificity and can be observed in many different mental disorders. For instance, communication problems may present in communication disorders, social-cognitive difficulties can be found in schizophrenia, and rigid and/or repetitive behaviors can be found in obsessive compulsive disorder. One alternative interpretation of AT and/or sASD relates to personality traits. For example, within the Big 5 Model, low openness is associated with a dislike of change and a narrow range of interests, low extraversion with social withdrawal and coldness, and low agreeableness with disinterest in others and disregard for their feelings. These risks of overreliance on non-specific aspects of autism are particularly likely to occur with screening checklists, self-assessment, or assessment by a lay interviewer with only limited expertise in clinical assessment. En ligne : https://doi.org/10.1002/aur.3282 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546 [article] Is it still autism? The increasing broadening of the autism spectrum : Autism Research [texte imprimé] / Marco BERTELLI, Auteur ; Veronica Boniotti, Auteur ; Katrina SCIOR, Auteur . - p.37-43. Langues : Anglais (eng) in Autism Research > 18-1 (January 2025) . - p.37-43 Mots-clés : autism spectrum  autism traits  broad autism phenotype  diagnosis  outcome  subthreshold autism Index. décimale : PER Périodiques Résumé : Abstract Clinical significance of a broad autism phenotype (BAP) seems to be increasingly supported by growing reports of high prevalence of subthreshold autism spectrum disorder (sASD) or autistic traits (AT) in various demographic samples, particularly in individuals with psychiatric conditions. We question this increasing extension of the autism spectrum and its potential negative consequences for clinical services, research, cultural attitudes, and resource allocation, as well as alternative explanations of what is currently attributed to sASD and AT. In modern psychiatry the diagnostic threshold is paramount and associated with a significant impairment of functioning, implying that symptom specificity is more relevant than sensitivity. Within a syndrome, symptoms have to be present together, with the parts related to and interconnected with the whole. Single autism symptomatic dimensions have low syndromic specificity and can be observed in many different mental disorders. For instance, communication problems may present in communication disorders, social-cognitive difficulties can be found in schizophrenia, and rigid and/or repetitive behaviors can be found in obsessive compulsive disorder. One alternative interpretation of AT and/or sASD relates to personality traits. For example, within the Big 5 Model, low openness is associated with a dislike of change and a narrow range of interests, low extraversion with social withdrawal and coldness, and low agreeableness with disinterest in others and disregard for their feelings. These risks of overreliance on non-specific aspects of autism are particularly likely to occur with screening checklists, self-assessment, or assessment by a lay interviewer with only limited expertise in clinical assessment. En ligne : https://doi.org/10.1002/aur.3282 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=546

The relationship between autism and psychiatric disorders in Intellectually Disabled Adults / Giampaolo LA MALFA in Research in Autism Spectrum Disorders, 1-3 (July/September 2007)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 1-3 (July/September 2007) . - p.218-228 Titre : The relationship between autism and psychiatric disorders in Intellectually Disabled Adults Type de document : texte imprimé Auteurs : Giampaolo LA MALFA, Auteur ; Stefano LASSI, Auteur ; Roberto SALVINI, Auteur ; Chiara GIGANTI, Auteur ; Marco BERTELLI, Auteur ; Giorgio ALBERTINI, Auteur Année de publication : 2007 Article en page(s) : p.218-228 Langues : Anglais (eng) Mots-clés : Intellectual-Disability Autism Pervasive-developmental-disorders Vulnerability Psychiatric-disorders Index. décimale : PER Périodiques Résumé : Intellectual Disability (ID) shows a high comorbidity with psychiatric disorders with a great variability in the prevalence rates. An important subgroup is represented by subjects with ID and autism or other autistic spectrum disorders (PDD). The purpose of the present study was to assess PDD with specific screening tools in a population of people with ID and compare the groups with or without PDD through the administration of a psychopathological scale in order to verify the differences of psychiatric disorders’ rates. The study was conducted on 90 subjects attending daily centres or residential centres in Florence, Italy. In order to assess the presence of PDD, the PDD-MRS was administrated, while for the assessment of the psychopathological aspects we have used the DASH-II. The presence of a psychiatric disorder has a significant effect on anxiety, depression and organic syndromes and statistically significant differences have been registered in many DASH-II subscales. The statistical comparison between the two groups shows that PDD was clearly correlated with an increased presence of psychiatric disorders. The variable PDD could be considered as a vulnerability factor for psychiatric disorders. However there was still the need to focus on categorical diagnoses, in order to increase our knowledge about the concept of vulnerability in people with ID. En ligne : http://dx.doi.org/10.1016/j.rasd.2006.10.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148 [article] The relationship between autism and psychiatric disorders in Intellectually Disabled Adults [texte imprimé] / Giampaolo LA MALFA, Auteur ; Stefano LASSI, Auteur ; Roberto SALVINI, Auteur ; Chiara GIGANTI, Auteur ; Marco BERTELLI, Auteur ; Giorgio ALBERTINI, Auteur . - 2007 . - p.218-228. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 1-3 (July/September 2007) . - p.218-228 Mots-clés : Intellectual-Disability Autism Pervasive-developmental-disorders Vulnerability Psychiatric-disorders Index. décimale : PER Périodiques Résumé : Intellectual Disability (ID) shows a high comorbidity with psychiatric disorders with a great variability in the prevalence rates. An important subgroup is represented by subjects with ID and autism or other autistic spectrum disorders (PDD). The purpose of the present study was to assess PDD with specific screening tools in a population of people with ID and compare the groups with or without PDD through the administration of a psychopathological scale in order to verify the differences of psychiatric disorders’ rates. The study was conducted on 90 subjects attending daily centres or residential centres in Florence, Italy. In order to assess the presence of PDD, the PDD-MRS was administrated, while for the assessment of the psychopathological aspects we have used the DASH-II. The presence of a psychiatric disorder has a significant effect on anxiety, depression and organic syndromes and statistically significant differences have been registered in many DASH-II subscales. The statistical comparison between the two groups shows that PDD was clearly correlated with an increased presence of psychiatric disorders. The variable PDD could be considered as a vulnerability factor for psychiatric disorders. However there was still the need to focus on categorical diagnoses, in order to increase our knowledge about the concept of vulnerability in people with ID. En ligne : http://dx.doi.org/10.1016/j.rasd.2006.10.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=148

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