Title |
Varieties of Misdiagnosis in ASD: An Illustrative Case Series
|
---|---|
Published in |
Journal of Autism and Developmental Disorders, September 2014
|
DOI | 10.1007/s10803-014-2239-y |
Pubmed ID | |
Authors |
Gerrit I. Van Schalkwyk, Francesco Peluso, Zheala Qayyum, James C. McPartland, Fred R. Volkmar |
Abstract |
The relationship between autism spectrum disorders (ASD) and psychotic disorders (PD) is a focus of continued interest. There are substantial conceptual and clinical difficulties associated with diagnosing comorbid PD in individuals who have ASD. In this case series, we report on five cases where adolescents with previously diagnosed ASD were also diagnosed as psychotic. In each case, we found that these patients' 'psychotic' symptoms could be better understood as a part of their underlying ASD diagnosis, with significant implications for treatment, prognosis, and access to services. This misdiagnosis likely represents a combination of adult psychiatrists being relatively inexperienced with this population, and the system of care requiring providers to apply diagnostic labels to justify inpatient hospitalization. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 17% |
Spain | 2 | 7% |
United States | 2 | 7% |
Australia | 2 | 7% |
Canada | 2 | 7% |
Sweden | 1 | 3% |
Comoros | 1 | 3% |
Switzerland | 1 | 3% |
Argentina | 1 | 3% |
Other | 1 | 3% |
Unknown | 11 | 38% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 23 | 79% |
Scientists | 5 | 17% |
Practitioners (doctors, other healthcare professionals) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Malaysia | 1 | <1% |
Mexico | 1 | <1% |
France | 1 | <1% |
Unknown | 150 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 18% |
Student > Ph. D. Student | 23 | 15% |
Researcher | 19 | 12% |
Student > Bachelor | 15 | 10% |
Student > Doctoral Student | 13 | 8% |
Other | 25 | 16% |
Unknown | 31 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 53 | 35% |
Medicine and Dentistry | 24 | 16% |
Nursing and Health Professions | 12 | 8% |
Social Sciences | 7 | 5% |
Neuroscience | 5 | 3% |
Other | 16 | 10% |
Unknown | 36 | 24% |