Self-Disorders in Asperger Syndrome Compared to Schizotypal Disorder: A Clinical Study.

Trastornos del sí mismo en el síndrome de Asperger en comparación con el trastorno esquizotípico: un estudio clínico.

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ID: 25362
2019
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Abstract
There are historical and theoretical indications of a difference in subjective experience between autism spectrum disorder (ASD) and the schizophrenia spectrum. However, this difference has not been empirically explored. Therefore, to explore potential differences in subjective experience between the 2 spectra, we examined the presence/absence of self-disorders in Asperger syndrome/autism spectrum disorder (As/ASD) compared to schizotypal disorder (Sd). Self-disorders represent changes in basic self-awareness which have been found to accumulate within the schizophrenia spectrum.All participants were recruited from clinical units and interviewed with a focus on the exploration of presence/absence of self-disorders, with the Examination of Anomalous Self-Experience (EASE) scale, and a general assessment of present psychopathology, with Schedules for Clinical Assessment in Neuropsychiatry (SCAN).A total of 51 participants (As/ASD, n = 22; Sd, n = 29) were included in the statistical analyses. When controlling for age, gender, years of education, mental problems before the age of 16, and special needs school attendance, there was a clear difference in presence/absence of self-disorders between the 2 groups, with significantly higher levels in the Sd group. Further, there was an overlap in SCAN-rated symptoms between the 2 groups.Our results indicate a significant difference between As/ASD and Sd at the level of the basic self, which, in turn, indicates that an exploration of anomalous self-experience is a valuable supplement in the clinical differentiation between As/ASD and Sd.
Existen indicios históricos y teóricos de una diferencia en la experiencia subjetiva entre el trastorno del espectro autista (TEA) y el espectro de la esquizofrenia. Sin embargo, esta diferencia no se ha explorado empíricamente. Por lo tanto, con el fin de explorar posibles diferencias en la experiencia subjetiva entre ambos espectros, examinamos la presencia/ausencia de trastornos del self en el síndrome de Asperger/trastorno del espectro autista (As/ASD) en comparación con el trastorno esquizotípico (Sd). Los trastornos del self representan alteraciones en la autoconciencia básica que se acumulan de manera característica dentro del espectro de la esquizofrenia. Todos los participantes fueron reclutados en unidades clínicas y entrevistados centrándose en la exploración de la presencia/ausencia de trastornos del self, mediante la escala de Examen de la Experiencia Anómala del Sí Mismo (EASE), y en una evaluación general de la psicopatología actual, mediante los Cuestionarios para la Evaluación Clínica en Neuropsiquiatría (SCAN). Se incluyó a un total de 51 participantes (As/ASD, n = 22; Sd, n = 29) en los análisis estadísticos. Al controlar por edad, sexo, años de educación, problemas de salud mental antes de los 16 años y asistencia a escuelas de educación especial, se observó una clara diferencia en la presencia/ausencia de trastornos del self entre los dos grupos, con niveles significativamente más elevados en el grupo Sd. Asimismo, se constató un solapamiento en los síntomas evaluados mediante el SCAN entre ambos grupos. Nuestros resultados indican una diferencia significativa entre As/ASD y Sd a nivel del self básico, lo que, a su vez, señala que la exploración de la experiencia anómala del self constituye un complemento valioso para la diferenciación clínica entre As/ASD y Sd.
Reference Key
nilsson2019selfdisordersschizophrenia Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nilsson, Maria;Arnfred, Sidse;Carlsson, Jessica;Nylander, Lena;Pedersen, Lennart;Mortensen, Erik Lykke;Handest, Peter;
Journal schizophrenia bulletin
Year 2019
DOI
sbz036
URL
Keywords Keywords not found

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