Extreme (“pathological- demand avoidance in autism: a general population study in the Faroe Islands

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• 作者：Christopher Gillberg ; I. Carina Gillberg…
• 关键词：Pathological demand avoidance ; Extreme demand avoidance ; Autism spectrum disorder ; Population study ; Faroe Islands ; Prevalence ; Gender
• 刊名：European Child & Adolescent Psychiatry
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：24
• 期：8
• 页码：979-984
• 全文大小：389 KB
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• 作者单位：Christopher Gillberg (1)
  I. Carina Gillberg (1)
  Lucy Thompson (1) (2)
  Rannvá Biskupsto (1)
  Eva Billstedt (1)
  
  1. Gillberg Neuropsychiatry Centre (GNC), Sahlgrenska Academy, University of Gothenburg, Kungsgatan 12, 411 19, Gothenburg, Sweden
  2. Institute of Health and Wellbeing, University of Glasgow, RHSC Yorkhill, Glasgow, G3 8SJ, Scotland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Psychiatry
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1435-165X

文摘

Research into Pathological Demand Avoidance (PDA), which has been suggested to be a subgroup within the Autism Spectrum Disorder (ASD), is almost nonexistent in spite of the frequent reference to the condition in clinical practice. The total population of 15 to 24-year-olds in the Faroe Islands was screened for ASD, and 67 individuals were identified who met diagnostic criteria for ASD (corresponding to a general population prevalence of ASD of almost 1?%). Of these 67, 50 had parents who were interviewed using the Diagnostic Interview for Social and Communication Disorders (DISCO-11) which contains 15 “PDA-specific-items. Nine individuals met criteria for “possible clinical diagnosis of PDA- meaning that almost one in five of all with ASD also had indications of having had PDA in childhood, and that 0.18?% of the total population had had the combination of ASD and PDA. However, at the time of assessment, only one of the 9 individuals with possible PDA still met “full criteria- PDA possibly constitutes a considerable minority of all cases with ASD diagnosed in childhood, but criteria for the condition are unlikely to be still met in later adolescence and early adult life.