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An autistic dimension: a proposed subtype of obsessive-compulsive disorder
Karolinska Institute, Stockholm, Sweden.ORCID iD: 0000-0002-3587-6075
2007 (English)In: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 11, no 2, p. 101-110Article in journal (Refereed) Published
Abstract [en]

This article focuses on the possibility that autism spectrum disorder (ASD: Asperger syndrome, autism and atypical autism) in its milder forms may be clinically important among a substantial proportion of patients with obsessive-compulsive disorder (OCD), and discusses OCD subtypes based on this proposition. The hypothesis derives from extensive clinical experience of OCD and ASD, and literature searches on MEDLINE. Neuropsychological deficits are more common in OCD than in panic disorder and depression. Moreover, obsessive-compulsive and schizotypal personality disorders are over-represented in OCD. These may constitute mis-perceived clinical manifestations of ASD. Furthermore, repetitive behaviours and hoarding are common in Asperger syndrome. It is suggested that the comorbidity results in a more severe and treatment resistant form of OCD. OCD with comorbid ASD should be recognized as a valid OCD subtype, analogous to OCD with comorbid tics. An odd personality, with paranoid, schizotypal, avoidant or obsessive-compulsive traits, may indicate these autistic dimensions in OCD patients.

Place, publisher, year, edition, pages
London, United Kingdom: Sage Publications, 2007. Vol. 11, no 2, p. 101-110
Keywords [en]
Asperger syndrome, autistic disorder, obsessive-compulsive disorder, schizotypal personality disorder
National Category
Medical and Health Sciences Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-50174DOI: 10.1177/1362361307075699ISI: 000245627800003PubMedID: 17353211Scopus ID: 2-s2.0-33847775963OAI: oai:DiVA.org:oru-50174DiVA, id: diva2:925953
Available from: 2016-05-03 Created: 2016-05-03 Last updated: 2017-11-30Bibliographically approved

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Bejerot, Susanne

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