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Personality disorders and autism spectrum disorders: what are the connections?
Department of Adult Habilitation, Central Hospital, Karlstad, Sweden; Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Child and Adolescent Psychiatry, Central Hospital, Karlstad, Sweden.ORCID iD: 0000-0003-0837-1079
Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
2012 (English)In: Comprehensive Psychiatry, ISSN 0010-440X, E-ISSN 1532-8384, Vol. 53, no 4, p. 333-340Article in journal (Refereed) Published
Abstract [en]

Background: The relationship between autism spectrum disorders/pervasive developmental disorders and personality disorders is not completely clear, although both concepts imply lifelong impairment. The purpose of the present study was to investigate the presence of possible personality disorders in a group of young adults with Asperger syndrome.

Method: Fifty-four young adults with a clinical diagnosis of Asperger syndrome were assessed with Structured Clinical Interview for DSM-IV Axis II disorders to evaluate the presence of a concomitant personality disorder and completed the Autism Spectrum Quotient to measure level of autistic features. Autism spectrum diagnosis was confirmed by Diagnostic Interview for Social and Communication Disorders with a collateral informant.

Results: Approximately half of the study group fulfilled criteria for a personality disorder, all belonging to cluster A or C. There was a significant difference across sex: men with Asperger syndrome meeting personality disorder criteria much more often than women with Asperger syndrome (65% vs 32%). Participants fulfilling criteria for a personality disorder showed more marked autistic features according to the Autism Spectrum Quotient.

Conclusions: There is a considerable overlap in symptoms between Asperger syndrome and certain personality disorders. Similarities and differences of the two concepts are discussed in the framework of the Diagnostic and Statistical Manual of Mental Disorders classification system.

Place, publisher, year, edition, pages
Saunders Elsevier, 2012. Vol. 53, no 4, p. 333-340
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-98070DOI: 10.1016/j.comppsych.2011.05.014ISI: 000303288400003PubMedID: 21821235Scopus ID: 2-s2.0-84859887795OAI: oai:DiVA.org:oru-98070DiVA, id: diva2:1644865
Available from: 2022-03-15 Created: 2022-03-15 Last updated: 2023-12-08Bibliographically approved

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Unenge Hallerbäck, Maria

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