Autismus oder ADHS – oder Autismus und ADHS?

Seit Herausgabe des DSM-V ist die gleichzeitige Diagnosestellung von Autismus- Spektrum-Störungen (ASS) und- Aufmerksamkeitsdefizit-/Hyperaktivitäts- störungen (ADHS) möglich. Diese Entwicklungsstörungen kommen sehr häufig zusammen vor und weisen zudem überlappende Symptome auf, was die Differenzialdiagnostik erschwert. Dieser Artikel bietet einen Überblick der wissen- schaftlichen und klinischen Erkenntnisse zur Doppeldiagnose ADHS und ASS.

Publikationsverlauf

Artikel online veröffentlicht:
31. August 2020

• Literatur

• 1 DSM-5 (27.02.2020). https://www.psychiatry.org/psychiatrists/practice/dsm Stand: 27.02.2020
• 2 Antshel KM, Zhang-James Y, Wagner KE. et al. An update on the comorbidity of ADHD and ASD: a focus on clinical management. Expert Rev Neurother 2016; 16: 279-293
• 3 Joshi G, Wozniak J, Petty C. et al. Psychiatric comorbidity and functioning in a clinically referred population of adults with autism spectrum disorders: a comparative study. J Autism Dev Disord 2013; 43: 1314-1325
• 4 Tebartz van Elst L. Autismus und ADHS. Zwischen Normvariante, Persönlichkeitsstörung und neuropsychiatrischer Krankheit. 2. Aufl.. Stuttgart: Verlag W. Kohlhammer; 2018
• 5 Ghirardi L, Brikell I, Kuja-Halkola R. et al. The familial co-aggregation of ASD and ADHD: a register-based cohort study. Mol Psychiatry 2018; 23: 257-262
• 6 Sinzig J, Morsch D, Lehmkuhl G. Do hyperactivity, impulsivity and inattention have an impact on the ability of facial affect recognition in children with autism and ADHD?. Eur Child Adolesc Psychiatry 2008; 17: 63-72 doi:10.1007/s00787–007–0637–9
• 7 Virtanen M, Lallukka T, Kivimäki M. et al. Neurodevelopmental disorders among young adults and the risk of sickness absence and disability pension: a nationwide register linkage study. Scand J Work Environ Health. 2020
• 8 Tebartz van Elst L, Pick M, Biscaldi M. et al. High-functioning autism spectrum disorder as a basic disorder in adult psychiatry and psychotherapy: psychopathological presentation, clinical relevance and therapeutic concepts. Eur Arch Psychiatry Clin Neurosci 2013; 263 (Suppl. 02) S189-96
• 9 Hinshaw SP, Owens EB, Zalecki C. et al. Prospective follow-up of girls with attention-deficit/hyperactivity disorder into early adulthood: continuing impairment includes elevated risk for suicide attempts and self-injury. J Consult Clin Psychol 2012; 80: 1041-1051
• 10 Laverty C, Oliver C, Moss J. et al. Persistence and predictors of self-injurious behaviour in autism: a ten-year prospective cohort study. Mol Autism 2020; 11: 8
• 11 Bijlenga D, Tjon-Ka-Jie JYM, Schuijers F. et al. Atypical sensory profiles as core features of adult ADHD, irrespective of autistic symptoms. Eur Psychiatry 2017; 43: 51-57
• 12 Rydén E, Bejerot S. Autism spectrum disorder in an adult psychiatric population. A naturalistic cross sectional controlled study. Clinical Neuropsychiatry 2008; 5 (01) 13-21
• 13 Muit JJ, Bothof N, Kan CC. Pharmacotherapy of ADHD in Adults With Autism Spectrum Disorder: Effectiveness and Side Effects. J Atten Disord 2020; 24: 215-225
• 14 Jahromi LB, Kasari CL, McCracken JT. et al. Positive effects of methylphenidate on social communication and self-regulation in children with pervasive developmental disorders and hyperactivity. J Autism Dev Disord 2009; 39: 395-404
• 15 Dowben JS, Grant JS, Keltner NL. Clonidine: diverse use in pharmacologic management. Perspect Psychiatr Care 2011; 47: 105-108 doi:10.1111/j.1744–6163.2011.00302.x
• 16 Lopez PL, Torrente FM, Ciapponi A. et al. Cognitive-behavioural interventions for attention deficit hyperactivity disorder (ADHD) in adults. Cochrane Database Syst Rev 2018; 3: CD010840
• 17 Ebert D, Fangmeier T, Lichtblau A. et al. Asperger-Autismus und hochfunktionaler Autismus bei Erwachsenen. Das Therapiemanual der Freiburger Autismus-Studiengruppe. Göttingen: Hogrefe; 2013
• 18 Wentz E, Nydén A, Krevers B. Development of an internet-based support and coaching model for adolescents and young adults with ADHD and autism spectrum disorders: a pilot study. Eur Child Adolesc Psychiatry 2012; 21: 611-622 doi:10.1007/s00787–012–0297–2
• 19 Sehlin H, Hedman Ahlström B, Andersson G. et al. Experiences of an internet-based support and coaching model for adolescents and young adults with ADHD and autism spectrum disorder -a qualitative study. BMC Psychiatry 2018; 18: 15
• 20 Tan BWZ, Pooley JA, Speelman CP. A Meta-Analytic Review of the Efficacy of Physical Exercise Interventions on Cognition in Individuals with Autism Spectrum Disorder and ADHD. J Autism Dev Disord 2016; 46: 3126-3143 Diu: 10.1007/s10803–016–2854-x