Évaluation de la TSA chez les adolescentes avec anorexie mentale en utilisant les mesures cliniques et ddéveloppementale : une enquête préliminaire

Aperçu: G.M.

L'objectif de cette étude était d'utiliser des outils d'évaluation clinique normalisés pour explorer la présence de symptômes du trouble du spectre autistique (TSA) dans un échantillon de femmes adolescentes ayant une anorexie mentale (AM), recevant un traitement journalier ou un traitement hospitalier pour leur trouble de l'alimentation et pour déterminer si de tels symptômes étaient présents pendant la période de développement précoce, une exigence pour un diagnostic de TSA.

ous les participants ont eu un diagnostic d'AN et ont été évalués pour les symptômes de TSA en utilisant l'ADOS-2.

Cette étude suggère que 10% des adolescents atteints d'AN à partir d'un patient hospitalisé ou d'un patient de jour peuvent avoir diagnostic de TSA, tandis que 40% supplémentaires peuvent présenter des symptômes de TSA. 

J Abnorm Child Psychol. 2017 Apr 17. doi: 10.1007/s10802-017-0301-x.

Assessing ASD in Adolescent Females with Anorexia Nervosa using Clinical and Developmental Measures: a Preliminary Investigation

Westwood H¹, Mandy W², Simic M³, Tchanturia K^4,5,6.

Author information

1

Section of Eating Disorders, Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, SE5 8AF, London, UK. heather.l.westwood@kcl.ac.uk

2

Clinical, Educational and Health Psychology, University College London, 1-19 Torrington Place, London, UK.

3

Child and Adolescent Eating Disorder Service, South London and Maudsley NHS Foundation Trust, London, UK.

4

Section of Eating Disorders, Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, SE5 8AF, London, UK.

5

Department of Psychology, Illia State University, Tbilisi, Georgia.

6

Psychological Medicine Clinical Academic Group, South London and Maudsley NHS Foundation Trust National Eating Disorders Service, London, UK.

Abstract

The aim of this study was to use standardised, clinical assessment tools to explore the presence of Autism Spectrum Disorder (ASD) symptoms in a sample of adolescent females with Anorexia Nervosa (AN), receiving either day-patient or inpatient treatment for their eating disorder and to determine whether any such symptoms were present during the early developmental period, a requirement for a diagnosis of ASD. Using a cross-sectional design, 40 females aged between 12 and 18 were recruited from inpatient and day-patient eating disorder services. All participants had a diagnosis of AN and were assessed for symptoms of ASD using the Autism Diagnostic Observation Schedule, 2nd edition (ADOS-2). If participants scored at or above clinical cut-off on the ADOS-2, their parents were asked to complete the Developmental, Dimensional and Diagnostic Interview, short version (3Di-sv). Of the 40 participants assessed, 21 scored above cut-off on the ADOS-2. When developmental history was obtained, only four participants scored above cut-off on all sub-scales of the 3Di-sv, thus meeting full research criteria for ASD. This study suggests that 10% of adolescents with AN from inpatient or day-patient settings may have diagnosable ASD, while a further 40% may show symptoms of ASD, which may arise from the ill-state of AN or are not supported by parental report.

PMID: 28417276

DOI: 10.1007/s10802-017-0301-x