思春期青年期の自閉症スペクトラム  [in Japanese] Autism Spectrum Disorder in Adolescence  [in Japanese]

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Author(s)

Abstract

<p>精神科・心療内科の臨床場面では, 背景に自閉症スペクトラム (ASD) をもつ成人例が多いといわれている. 特に知的障害のない高機能ASD者は, 診断が遅れ, それまでにさまざまな傷つきを経て不適応に至っている例が多いと思われる. われわれは, ASD特性をもつ思春期青年期の若者の臨床像と支援について論じた. 受診した42例について, 過去の心身症症状について検討したところ, 幼少期に心身症症状を呈し, 思春期青年期に気分障害, 不安障害, 摂食障害などに変化していく例が多かった. また, 青年期の適応良好例に前思春期・思春期前期に治療を受けていた者が多かった. 心身症症状として表れる幼少期または前思春期・思春期前期に何らかの治療や支援があると, その後の適応が良好となる可能性が示唆された. また, 摂食障害とASDは共通点も多い. 症例の紹介とともに, 関連性について論じた.</p>

<p>Many young patients who consult a psychiatrist on a psychosomatic physician are said to have Autism Spectrum Disorder (ASD). Particularly the adolescents with normal intelligence need a proper diagnosis. They have gone through many hardships, and became maladaptive. We discussed clinical features of the adolescents with ASD and the way to support them. We investigated the presence and change of past psychosomatic symptoms in 42 patients with developmental disorder. Many patients presented psychosomatic symptoms in childhood, and the symptoms changed into depressive symptom, anxiety symptom, eating disorder, and so on. Many cases treated in the past showed good adaptation in their youth. It may be possible to prevent secondary psychiatric symptoms in their youth when we find psychosomatic symptoms of the childhood and their early intervention. In addition, there are many similar points in eating disorder and ASD. We presented a case and discussed the relationship between eating disorder and ASD.</p>

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 57(1), 44-50, 2017

    Japanese Society of Psychosomatic Medicine

Codes

  • NII Article ID (NAID)
    130005239585
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • ISSN
    0385-0307
  • NDL Article ID
    027809826
  • NDL Call No.
    Z19-26
  • Data Source
    NDL  J-STAGE 
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