Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder

Over the last few years, new studies focused their attention on the gender-related features in high-functioning autism spectrum disorder (HFA), often leading to controversial results. Another interesting aspect of these subtype of patients is linked to the complexity of clinical presentation, where...

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Main Authors: Lucia Margari, Roberto Palumbi, Antonia Peschechera, Francesco Craig, Concetta de Giambattista, Patrizia Ventura, Francesco Margari
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00159/full
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author Lucia Margari
Roberto Palumbi
Antonia Peschechera
Francesco Craig
Concetta de Giambattista
Patrizia Ventura
Francesco Margari
author_facet Lucia Margari
Roberto Palumbi
Antonia Peschechera
Francesco Craig
Concetta de Giambattista
Patrizia Ventura
Francesco Margari
author_sort Lucia Margari
collection DOAJ
description Over the last few years, new studies focused their attention on the gender-related features in high-functioning autism spectrum disorder (HFA), often leading to controversial results. Another interesting aspect of these subtype of patients is linked to the complexity of clinical presentation, where besides core symptoms, other co-occurrence disorders may complicate the diagnostic evaluation. Therefore, we retrospectively studied 159 HFA patients, male and female, investigating their comorbidities and to find any gender difference. For each patient, were evaluated the presence/absence, type and gender distribution of psychopathological comorbidities, according to DSM-5 diagnostic criteria. The total sample was divided in 100 male and 59 female patients, age and intelligence quotient matched. In our sample, the psychiatric comorbidities observed were Attention Deficit Hyperactivity Disorder, Anxiety Disorders, Depressive Disorders, Bipolar Disorder, Obsessive-Compulsive Disorder, and Anorexia Nervosa. No statistical significant differences were found between male and female HFA patients comorbidities except for Anorexia Nervosa. In both male and female patients, attention deficit and hyperactivity disorder and anxiety disorders were found in high percentage. In conclusion, our investigation showed that a statistical significant difference of comorbidity between male and female HFA patients was found only for AN diagnosis. However, the question about the distinction between female and male HFA patients remains quite interesting and an open area of research for future studies.
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spelling doaj.art-b4f8630f9ebf4c9f87c6a72f8bd1b9df2022-12-22T03:34:50ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402019-03-011010.3389/fpsyt.2019.00159438203Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum DisorderLucia Margari0Roberto Palumbi1Antonia Peschechera2Francesco Craig3Concetta de Giambattista4Patrizia Ventura5Francesco Margari6Basic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyBasic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyBasic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyUnit for Severe Disabilities in Developmental Age and Young Adults, Developmental Neurology and Neurorehabilitation, Scientific Institute IRCCS E. Medea, Brindisi, ItalyBasic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyBasic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyBasic Medical Sciences Neuroscience and Sense Organs Department, University of Bari Aldo Moro, Bari, ItalyOver the last few years, new studies focused their attention on the gender-related features in high-functioning autism spectrum disorder (HFA), often leading to controversial results. Another interesting aspect of these subtype of patients is linked to the complexity of clinical presentation, where besides core symptoms, other co-occurrence disorders may complicate the diagnostic evaluation. Therefore, we retrospectively studied 159 HFA patients, male and female, investigating their comorbidities and to find any gender difference. For each patient, were evaluated the presence/absence, type and gender distribution of psychopathological comorbidities, according to DSM-5 diagnostic criteria. The total sample was divided in 100 male and 59 female patients, age and intelligence quotient matched. In our sample, the psychiatric comorbidities observed were Attention Deficit Hyperactivity Disorder, Anxiety Disorders, Depressive Disorders, Bipolar Disorder, Obsessive-Compulsive Disorder, and Anorexia Nervosa. No statistical significant differences were found between male and female HFA patients comorbidities except for Anorexia Nervosa. In both male and female patients, attention deficit and hyperactivity disorder and anxiety disorders were found in high percentage. In conclusion, our investigation showed that a statistical significant difference of comorbidity between male and female HFA patients was found only for AN diagnosis. However, the question about the distinction between female and male HFA patients remains quite interesting and an open area of research for future studies.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00159/fullhigh-functioningautism spectrum disorderpsychopathological comorbiditiesgender distributionanorexia nervosaADHD
spellingShingle Lucia Margari
Roberto Palumbi
Antonia Peschechera
Francesco Craig
Concetta de Giambattista
Patrizia Ventura
Francesco Margari
Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
Frontiers in Psychiatry
high-functioning
autism spectrum disorder
psychopathological comorbidities
gender distribution
anorexia nervosa
ADHD
title Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
title_full Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
title_fullStr Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
title_full_unstemmed Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
title_short Sex-Gender Comparisons in Comorbidities of Children and Adolescents With High-Functioning Autism Spectrum Disorder
title_sort sex gender comparisons in comorbidities of children and adolescents with high functioning autism spectrum disorder
topic high-functioning
autism spectrum disorder
psychopathological comorbidities
gender distribution
anorexia nervosa
ADHD
url https://www.frontiersin.org/article/10.3389/fpsyt.2019.00159/full
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