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PiD - Psychotherapie im Dialog 2020; 21(03): 45-49
DOI: 10.1055/a-0987-5204
Aus der Praxis

Autismus oder ADHS – oder Autismus und ADHS?

Gemeinsamkeiten und Unterschiede in Symptomatik und Therapie
Ismene Hermann
,
Ludger Tebartz van Elst
,
Swantje Matthies
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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.



Publication History

Article published online:
31 August 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 DSM-5 (27.02.2020). https://www.psychiatry.org/psychiatrists/practice/dsm Stand: 27.02.2020
    PubMedGoogle Scholar
  • 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 DOI: 10.1586/14737175.2016.1146591.
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1007/s10803–012–1679–5.
    CrossrefPubMedGoogle Scholar
  • 4 Tebartz van Elst L. Autismus und ADHS. Zwischen Normvariante, Persönlichkeitsstörung und neuropsychiatrischer Krankheit. 2. Aufl.. Stuttgart: Verlag W. Kohlhammer; 2018
    CrossrefGoogle Scholar
  • 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 DOI: 10.1038/mp.2017.17.
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.5271/sjweh.3888
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1007/s00406–013–0459–3.
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1037/a0029451.
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1186/s13229–019–0307-z.
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1016/j.eurpsy.2017.02.481.
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1007/s10803–008–0636–9.
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1002/14651858.CD010840.pub2.
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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 DOI: 10.1186/s12888–018–1599–9.
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar