TY - JOUR PY - 2008// TI - Autism spectrum disorders: concurrent clinical disorders JO - Journal of child neurology A1 - Xue Ming, A1 - Brimacombe, Michael A1 - Chaaban, Janti A1 - Zimmerman-Bier, Barbie A1 - Wagner, George C. SP - 6 EP - 13 VL - 23 IS - 1 N2 - Individuals with autism spectrum disorder are heterogeneous in clinical presentation, concurrent disorders, and developmental outcomes. This study characterized the clinical co-occurrences and potential subgroups in 160 children with autism spectrum disorders who presented to The Autism Center between 1999 and 2003. Medical and psychiatric co-occurrences included sleep disorders, epilepsy, food intolerance, gastrointestinal dysfunction, mood disorder, and aggressive and self-injurious behaviors. Sleep disorders were associated with gastrointestinal dysfunction (P < .05) and mood disorders (P < .01). Food intolerance was associated with gastrointestinal dysfunction (P = .001). Subjects with mood disorder tended to develop aggressive or self-injurious behaviors (P < .05). Developmental regression was not associated with increased co-occurrence of medical or psychiatric disorders. Medical co-occurrence did not present as a risk factor for psychiatric co-occurrence, and vice versa. These results showed a high prevalence of multiple medical and psychiatric co-occurrences. There may be common pathophysiologic mechanisms resulting in clinical subgroups of autism spectrum disorders. Recognition of the co-occurrence of concurrent disorders may provide insight into the therapeutic strategy.

Language: en

LA - en SN - 0883-0738 UR - http://dx.doi.org/10.1177/0883073807307102 ID - ref1 ER -