Recognizing Psychosis in Autism Spectrum Disorder

There is strong evidence for the existence of a high comorbidity between autism and psychosis with percentages reaching up to 34. 8% and several significant implications for treatment and prognosis of these patients. However, the identification of comorbid psychosis in patients with Autism Spectrum...

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Main Authors: Michele Ribolsi, Federico Fiori Nastro, Martina Pelle, Caterina Medici, Silvia Sacchetto, Giulia Lisi, Assia Riccioni, Martina Siracusano, Luigi Mazzone, Giorgio Di Lorenzo
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.768586/full
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author Michele Ribolsi
Federico Fiori Nastro
Federico Fiori Nastro
Martina Pelle
Martina Pelle
Caterina Medici
Caterina Medici
Silvia Sacchetto
Silvia Sacchetto
Giulia Lisi
Assia Riccioni
Martina Siracusano
Luigi Mazzone
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Giorgio Di Lorenzo
author_facet Michele Ribolsi
Federico Fiori Nastro
Federico Fiori Nastro
Martina Pelle
Martina Pelle
Caterina Medici
Caterina Medici
Silvia Sacchetto
Silvia Sacchetto
Giulia Lisi
Assia Riccioni
Martina Siracusano
Luigi Mazzone
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Giorgio Di Lorenzo
author_sort Michele Ribolsi
collection DOAJ
description There is strong evidence for the existence of a high comorbidity between autism and psychosis with percentages reaching up to 34. 8% and several significant implications for treatment and prognosis of these patients. However, the identification of comorbid psychosis in patients with Autism Spectrum Disorder represents a complex challenge from a psychopathological point of view, in particular in patients with greater deficits in verbal communication. Intercepting the onset of a psychotic breakdown in autism may be very difficult, both disorders in fact occur along a phenotypic continuum of clinical severity and in many cases, psychotic symptoms are present in an attenuated form. In this paper, we reviewed the available scientific literature about comorbidity between psychosis and autism, focusing our attention on four specific dimensions: delusions, hallucinations, negative symptoms, and clinical course. The aim of this paper is to provide clinical tools to identify these psychotic phenomena in autistic patients, even when they occur in their attenuated form.
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spelling doaj.art-1a8eb4991e5b4dd5b3176a45f07f82e32022-12-22T01:33:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-02-011310.3389/fpsyt.2022.768586768586Recognizing Psychosis in Autism Spectrum DisorderMichele Ribolsi0Federico Fiori Nastro1Federico Fiori Nastro2Martina Pelle3Martina Pelle4Caterina Medici5Caterina Medici6Silvia Sacchetto7Silvia Sacchetto8Giulia Lisi9Assia Riccioni10Martina Siracusano11Luigi Mazzone12Giorgio Di Lorenzo13Giorgio Di Lorenzo14Giorgio Di Lorenzo15Unit of Neurology, Neurophysiology, Neurobiology and Psychiatry, Department of Medicine, University Campus Bio-Medico of Rome, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyPsychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyPsychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyPsychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyPsychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, ItalyDepartment of Mental Health, Azienda Sanitaria Locale (ASL) Roma 1, Rome, ItalyChild Neurology and Psychiatry Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, ItalyChild Neurology and Psychiatry Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyPsychiatry and Clinical Psychology Unit, Fondazione Policlinico Tor Vergata, Rome, ItalyIRCCS–Fondazione Santa Lucia, Rome, ItalyThere is strong evidence for the existence of a high comorbidity between autism and psychosis with percentages reaching up to 34. 8% and several significant implications for treatment and prognosis of these patients. However, the identification of comorbid psychosis in patients with Autism Spectrum Disorder represents a complex challenge from a psychopathological point of view, in particular in patients with greater deficits in verbal communication. Intercepting the onset of a psychotic breakdown in autism may be very difficult, both disorders in fact occur along a phenotypic continuum of clinical severity and in many cases, psychotic symptoms are present in an attenuated form. In this paper, we reviewed the available scientific literature about comorbidity between psychosis and autism, focusing our attention on four specific dimensions: delusions, hallucinations, negative symptoms, and clinical course. The aim of this paper is to provide clinical tools to identify these psychotic phenomena in autistic patients, even when they occur in their attenuated form.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.768586/fullautismpsychosisdelusionshallucinationsnegative symptoms
spellingShingle Michele Ribolsi
Federico Fiori Nastro
Federico Fiori Nastro
Martina Pelle
Martina Pelle
Caterina Medici
Caterina Medici
Silvia Sacchetto
Silvia Sacchetto
Giulia Lisi
Assia Riccioni
Martina Siracusano
Luigi Mazzone
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Giorgio Di Lorenzo
Recognizing Psychosis in Autism Spectrum Disorder
Frontiers in Psychiatry
autism
psychosis
delusions
hallucinations
negative symptoms
title Recognizing Psychosis in Autism Spectrum Disorder
title_full Recognizing Psychosis in Autism Spectrum Disorder
title_fullStr Recognizing Psychosis in Autism Spectrum Disorder
title_full_unstemmed Recognizing Psychosis in Autism Spectrum Disorder
title_short Recognizing Psychosis in Autism Spectrum Disorder
title_sort recognizing psychosis in autism spectrum disorder
topic autism
psychosis
delusions
hallucinations
negative symptoms
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.768586/full
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