简介:焦虑症在自闭症谱系障碍(ASD)患者中非常普遍,但是对于患有ASD和更严重的智力障碍(ID)的个体,关于这些疾病的识别和治疗的知识是有限的.当前的案例研究旨在探索和描述住院患者,一名患有ASD的青少年男性的精神病学评估,严重的ID和自我伤害行为(SIB)被诊断为并发焦虑症。该研究进一步旨在探讨这种诊断对后续干预和护理的影响。包括SIB的管理。材料和方法:案例研究,包括多模态,精神评估和随后的干预。结果:在护理策略发生变化后,试图将对焦虑/创伤的理解纳入对SIB的影响,观察到SIB的减少,并且当患者从住院环境中出院时,这种降低的频率得以维持。结论:虽然没有因果关系是可能的,这些经验表明,需要进一步研究关于ASD患者的SIB和焦虑之间可能的关联,包括对治疗的影响。目前病例的经验进一步表明,在涉及ASD的复杂病例中,可以识别和诊断焦虑症。严重的ID,语言能力有限,严重的SIB。
Introduction: Anxiety disorders are highly prevalent in individuals with autism spectrum disorder (ASD), but knowledge is limited regarding identification and treatment of these disorders in individuals with ASD and more severe levels of intellectual disability (ID). The current
case study aims to explore and describe the inpatient, psychiatric assessment in an adolescent male with ASD, severe ID and self-injurious behaviour (SIB) who was diagnosed with a co-occurring anxiety disorder. The study further aims to explore the implications of this diagnosis for subsequent intervention and care, including management of SIB. Materials and methods:
Case study including multimodal, psychiatric assessment and subsequent intervention. Results: Following changes in care strategies attempting to incorporate the understanding of anxiety/trauma as contributing to SIB, a reduction of SIB was observed, and this reduced frequency was maintained when the patient was discharged from the inpatient setting. Conclusions: Though no causal inferences are possible, these experiences indicate that further research is needed regarding possible associations between SIB and anxiety in individuals with ASD, including implications for treatment. Experiences from the current
case further indicate that it is possible to recognize and diagnose anxiety disorder in complex cases involving ASD, severe ID, limited verbal language skills, and severe SIB.