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|a pmid:22086712
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|a 10.1055/s-0031-1281642
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037 _ _ |a PreJuSER-20486
041 _ _ |a ger
082 _ _ |a 610
084 _ _ |2 WoS
|a Clinical Neurology
084 _ _ |2 WoS
|a Psychiatry
100 1 _ |a Lehnhardt, F.G.
|b 0
|0 P:(DE-HGF)0
245 _ _ |a Das psychosoziale Funktionsniveau spätdiagnostizierter PatientInnen mit hochfunktionalem Autismus im Erwachsenenalter.
260 _ _ |a Stuttgart [u.a.]
|b Thieme
|c 2012
300 _ _ |a 88 - 97
336 7 _ |a Journal Article
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440 _ 0 |a Fortschritte der Neurologie Psychiatrie
|x 0720-4299
|0 18781
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|v 80
500 _ _ |a Record converted from VDB: 12.11.2012
520 _ _ |a The first time diagnosis of autism spectrum disorder (ASD) after passing childhood and adolescence is still considered a rare event. However, in recent years an increasing demand for diagnostic clarifications with suspected ASD in adulthood challenges this view. There is insufficient knowledge about the neuropsychological characterisation and psychosocial outcome of this adult subgroup in the autistic spectrum.To determine the psychosocial functioning (living status, partnerships, level of education, psychiatric history) of adult patients with late diagnosed ASD.In a retrospective study, a chart review was conducted on 178 consecutively diagnosed individuals at a specialised outpatient clinic for adults with ASD. Global ratings of psychosocial functioning, assessment of psychiatric history and neuropsychological and psychopathological investigations were evaluated.The majority of patients (92 %) diagnosed with ASD suffered from high-functioning autism (HFA)/Asperger syndrome (AS) according to the criteria of ICD-10 (F84.5). The gender ratio was 2:1 favouring males. Mean age at diagnosis (34.1 ± 9.5 years), general intelligence (HAWIE-R, global-IQ 115 ± 20) and self-rated autistic symptoms (autism spectrum quotient [AQ] 39 ± 6) were not discriminative to gender. The psychiatric history revealed a lifetime consultation rate of 78 %, most frequently with depression (50 %). The self-report instrument Beck depression inventory (BDI) identified 30 % of individuals presenting with depressive symptoms in clinical relevant intensity (BDI > 17). Achievement of an independent living status was reported by 68 % of individuals, 58 % reported about current or past intimate partnerships and almost two-thirds of the patients had achieved a higher educational status.The majority of ASD diagnosed late in lifetime turned out to be HFA/AS, presenting with high psychosocial adjustment with regard to independent living, educational status and partnerships. The high level of global intelligence supports the hypothesis of cognitively compensated autistic disturbances leading to the diagnosis comparably late in lifetime. The lifetime rate of psychiatric consultations is high, reflecting the importance to consider a diagnosis of ASD even late in life.
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588 _ _ |a Dataset connected to Web of Science, Pubmed
650 _ 2 |2 MeSH
|a Adult
650 _ 2 |2 MeSH
|a Age Factors
650 _ 2 |2 MeSH
|a Asperger Syndrome: psychology
650 _ 2 |2 MeSH
|a Child
650 _ 2 |2 MeSH
|a Child Development Disorders, Pervasive: epidemiology
650 _ 2 |2 MeSH
|a Child Development Disorders, Pervasive: psychology
650 _ 2 |2 MeSH
|a Comorbidity
650 _ 2 |2 MeSH
|a Depression: complications
650 _ 2 |2 MeSH
|a Depression: psychology
650 _ 2 |2 MeSH
|a Educational Status
650 _ 2 |2 MeSH
|a Female
650 _ 2 |2 MeSH
|a Humans
650 _ 2 |2 MeSH
|a International Classification of Diseases
650 _ 2 |2 MeSH
|a Interpersonal Relations
650 _ 2 |2 MeSH
|a Male
650 _ 2 |2 MeSH
|a Mental Disorders: etiology
650 _ 2 |2 MeSH
|a Mental Disorders: psychology
650 _ 2 |2 MeSH
|a Middle Aged
650 _ 2 |2 MeSH
|a Neuropsychological Tests
650 _ 2 |2 MeSH
|a Outpatients
650 _ 2 |2 MeSH
|a Psychiatric Status Rating Scales
650 _ 2 |2 MeSH
|a Retrospective Studies
650 _ 2 |2 MeSH
|a Sex Factors
650 _ 2 |2 MeSH
|a Social Behavior
650 _ 2 |2 MeSH
|a Young Adult
650 _ 7 |a J
|2 WoSType
653 2 0 |2 Author
|a Asperger syndrome
653 2 0 |2 Author
|a adulthood
653 2 0 |2 Author
|a diagnosis late in life
653 2 0 |2 Author
|a psychosocial functioning
700 1 _ |a Gawronski, A.
|b 1
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700 1 _ |a Volpert, K.
|b 2
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700 1 _ |a Schilbach, L.
|b 3
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700 1 _ |a Tepest, R.
|b 4
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700 1 _ |a Huff, W.
|b 5
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700 1 _ |a Vogeley, K.
|b 6
|u FZJ
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773 _ _ |a 10.1055/s-0031-1281642
|g Vol. 80, p. 88 - 97
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|0 PERI:(DE-600)2037701-0
|t Fortschritte der Neurologie, Psychiatrie
|v 80
|y 2012
|x 0720-4299
856 7 _ |u http://dx.doi.org/10.1055/s-0031-1281642
909 C O |o oai:juser.fz-juelich.de:20486
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