psychiatryПСИХИАТРИЯPsychiatry (Moscow) (Psikhiatriya)1683-83192618-6667FSBSI “The Mental Health Research Centre”; LLC «Publisher «MIA»10.30629/2618-6667-2019-17-2-29-36psychiatry-401Research ArticleВОПРОСЫ ПСИХОПАТОЛОГИИ, КЛИНИЧЕСКОЙ И БИОЛОГИЧЕСКОЙ ПСИХИАТРИИОсобенности функционального статуса и психопатоло-гических нарушений у взрослых пациентов с установленным в детстве диагнозом расстройства аутистического спектраFunctional Status and Psychopathology in Adults with Child Diagnosis of Autism Spectrum DisordersБородинаЛ. Г.BorodinaL. G.

Любовь Георгиевна Бородина, доцент кафедры клинической и судебной психологии факультета юридической психологии

Lyubov G. Borodina, Cand. of Sci. (Med.), psychiatrist, the State Scientific Center of Mental Health Children

and Adolescents of the Department of Health of Moscow, associate professor in the department of clinical and

forensic psychology faculty legal psychology

bor111a@yandex.ruВГБОУ ВО «Московский государственный психолого-педагогический университет»РоссияMoscow State University of Psychology and PedagogicsRussian Federation2019311020191722936Copyright © Бородина Л.Г., 20192019Бородина Л.Г.Borodina L.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.journalpsychiatry.com/jour/article/view/401Обоснование

Обоснование: катамнез детских расстройств аутистического спектра мало изучен.

Цель

Цель: изучить  клинико-психопатологический  и  функциональный  катамнез  пациентов  с  установленным  в  детстве  диагнозом расстройства аутистического спектра.

Материал и методы

Материал и методы: клинико-катамнестическим методом обследовано 70 взрослых, имевших в детстве диагноз одного из расстройств аутистического спектра.

Результаты

Результаты: на основании данных катамнеза и результатов опроса родителей пациентов разные уровни функционирования взрослых на момент обследования были обозначены как высокий, средний и низкий. Выделены варианты занятости и социального статуса взрослых. Проанализирована связь характера возникавших психопатологических расстройств с уровнем функционирования пациентов. У взрослых пациентов с высоким уровнем функционирования обнаружена предрасположенность к депрессии, с низким — к кататонии. Общей оказалась склонность к возникновению тревоги, дисфории и агрессии.

Заключение

Заключение: катамнестическое исследование показало различные исходы детских расстройств аутистического спектра и различный уровень повседневного функционирования у взрослых.

Background

Background: follow-up of Child autistic spectrum disorders in adults is unknown.

The objective

The objective: to study follow-up and functional state of adults diagnosed as Autistic spectrum disorders in childhood.

Material and methods

Material and methods: parents of 70 adults with child diagnoses of autism spectrum disorders were interviewed on follow-up their adult children diagnosed as Autistic spectrum disorders in childhood. Kind of employement and social status were defined. Level of daily-life functioning was assessed as high, medium and low. The link between psychopathology appearing and levels of functioning was analyzed. High functioning correlated with adults' proneness to depression and low functioning was found in catatonia. Tendency to anxiety, dysphoria and aggression was common.

Conclusion

Conclusion: follow-up study of autism spectrum disorders in childhood showed different psychopathological and functional outcomes in adults.

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The authors declare that there are no conflicts of interest present.