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High-functioning autism

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From Wikipedia, the free encyclopedia
Historical autism classification

Medical condition
High-functioning autism
Other namesSukhareva syndrome[1]
SpecialtyPsychiatry
SymptomsTrouble withsocial interaction, impairedcommunication, restricted interests, repetitive behavior
ComplicationsSocial isolation, employment problems, family stress,bullying,self-harm[2]
Usual onsetBy age two or three[3][4]
DurationLifelong
CausesGenetic and environmental factors
Diagnostic methodBased on behavior and developmental history
Differential diagnosisAsperger syndrome,attention deficit hyperactivity disorder,Tourette syndrome,anxiety disorder,bipolar disorder,obsessive–compulsive disorder,major depressive disorder[5]
ManagementBehavioral therapy,speech therapy,psychotropic medication[6][7][8]

High-functioning autism (HFA) was historically anautism classification to describe a person who exhibited nointellectual disability but otherwise showed autistic traits, such as difficulty insocial interaction andcommunication. The term was often applied to verbal autistic people of at least average intelligence.[9][10] However, many in medical and autistic communities have called to stop using the term, finding it simplistic and unindicative of the difficulties some autistic people face.[11][12][13]

HFA has never been included in either theAmerican Psychiatric Association'sDiagnostic and Statistical Manual of Mental Disorders (DSM) or theWorld Health Organization'sInternational Classification of Diseases (ICD), the two major classification and diagnostic guidelines forpsychiatric conditions. The DSM-5-TR subtypes autism into three levels based on support needs. Autism Level 1 has the least support needs and corresponds most closely with the "high-functioning" identifier.[14]

Characterization

The term "high-functioning autism" was used in a manner similar toAsperger syndrome, another outdated classification. The defining characteristic recognized by psychologists was a significant delay in the development of early speech and language skills, before the age of three years.[10] The term Asperger syndrome typically excluded a general language delay.[15] Other differences were noted in features of high-functioning autism and Asperger syndrome in a study of 112 children in Germany.[10]

HFA is not a recognised diagnosis by theAmerican Psychiatric Association or theWorld Health Organization; however, HFA was previously used in clinical settings to describe cases of autism spectrum disorder where indicators suggested anintelligence quotient (IQ) of 70 or greater.[citation needed]

Comorbidities

Main article:Conditions comorbid to autism

With the notable exception ofintellectual disabilities, which were not part of HFA, cormobidities found in HFA populations reflected those found in autism. (Between 40 and 55% of individuals with autism also have an intellectual disability.[16]) Studies that looked specifically at HFA have examinedanxiety,[17]bipolar disorder,Tourette syndrome,attention deficit hyperactivity disorder (ADHD), andobsessive–compulsive disorder (OCD). Both HFA and OCD have abnormalities associated withserotonin.[18]

See also

References

  1. ^Manouilenko I, Bejerot S (August 2015)."Sukhareva – Prior to Asperger and Kanner".Nordic Journal of Psychiatry (Report).69 (6) (published 31 March 2015):479–82.doi:10.3109/08039488.2015.1005022.PMID 25826582.S2CID 207473133.
  2. ^"Autism spectrum disorder - Symptoms and causes".Mayo Clinic.Archived from the original on 14 July 2019. Retrieved13 July 2019.
  3. ^"NIMH " Autism Spectrum Disorder".nimh.nih.gov. October 2016.Archived from the original on 21 April 2017. Retrieved20 April 2017.
  4. ^American Psychiatric Association (2013). "Autism Spectrum Disorder. 299.00 (F84.0)".Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Arlington, VA: American Psychiatric Publishing. pp. 50–59.doi:10.1176/appi.books.9780890425596.hdl:2027.42/138395.ISBN 978-0-89042-559-6.
  5. ^K Deserno M."" Autism and depression are connected: A report of two complimentary network studies"".pmc.ncbi.nlm.nih.gov. Retrieved10 Nov 2019.
  6. ^Myers SM, Johnson CP (November 2007)."Management of children with autism spectrum disorders".Pediatrics.120 (5):1162–82.doi:10.1542/peds.2007-2362.PMID 17967921.
  7. ^Sanchack KE, Thomas CA (15 December 2016). "Autism Spectrum Disorder: Primary Care Principles".American Family Physician.94 (12):972–79.PMID 28075089.
  8. ^Sukhodolsky DG, Bloch MH, Panza KE, Reichow B (November 2013)."Cognitive-behavioral therapy for anxiety in children with high-functioning autism: a meta-analysis".Pediatrics.132 (5): e1341–50.doi:10.1542/peds.2013-1193.PMC 3813396.PMID 24167175.
  9. ^Sanders JL (2009). "Qualitative or Quantitative Differences Between Asperger's Disorder and Autism? Historical Considerations".Journal of Autism and Developmental Disorders.39 (11):1560–1567.doi:10.1007/s10803-009-0798-0.ISSN 0162-3257.PMID 19548078.S2CID 26351778.
  10. ^abcCarpenter LA, Soorya L, Halpern D (2009). "Asperger's Syndrome and High-Functioning Autism".Pediatric Annals.38 (1):30–5.doi:10.3928/00904481-20090101-01.PMID 19213291.
  11. ^"Making information and the words we use accessible".NHS England. August 25, 2024. RetrievedAugust 25, 2024.
  12. ^Price D (April 5, 2002).Unmasking Autism: Discovering the New Faces of Neurodiversity. National Geographic Books. p. 47.ISBN 9780593235232.
  13. ^Coffey LT (August 13, 2021)."Autism glossary: What to say, and what not to say, when talking about autism".Today (TV show). RetrievedAugust 25, 2024.
  14. ^The Diagnostic and Statistical Manual of Mental Disorders (5th edition, text revision (DSM-5-TR) ed.). American Psychiatric Association (APA). March 18, 2022.
  15. ^Asperger's DisorderArchived 2013-04-25 atarchive.todayDiagnostic and Statistical Manual of Mental Disorders Fourth edition Text Revision (DSM-IV-TR)American Psychiatric Association (2000)
  16. ^Newschaffer CJ, Croen LA, Daniels J, Giarelli E, Grether JK, Levy SE, Mandell DS, Miller LA, Pinto-Martin J, Reaven J, Reynolds AM, Rice CE, Schendel D, Windham GC (2007)."The Epidemiology of Autism Spectrum Disorders*".Annual Review of Public Health.28 (1):235–258.doi:10.1146/annurev.publhealth.28.021406.144007.ISSN 0163-7525.PMID 17367287.
  17. ^Reaven J (2011). "The treatment of anxiety symptoms in youth with high-functioning autism spectrum disorders: Developmental considerations for parents".Brain Research.1380:255–63.doi:10.1016/j.brainres.2010.09.075.PMID 20875799.S2CID 5226904.
  18. ^Mazzone L, Ruta L, Reale L (2012)."Psychiatric comorbidities in asperger syndrome and high functioning autism: Diagnostic challenges".Annals of General Psychiatry.11 (1): 16.doi:10.1186/1744-859X-11-16.PMC 3416662.PMID 22731684.

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