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Catatonia

A Common Cause of Late Regression in Autism

Bibliographic Data

ID15517324
AuthorsMohammad Ghaziuddin (0000-0002-5316-1997, University of Michigan, corresponding author)
Year2021
Volume12
Pages674009-674009
Publication date2021-10-28
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.674009
PMID34777033
OpenAlexW3210436937
LanguageEN
Citations received3
References cited8

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social communication deficits and restricted interests and behaviors which begin very early in life. In about a quarter of cases, the symptoms emerge about 18-24 months after a period of normal development, a phenomenon commonly described as early regression. However, marked functional decline can also occur in persons with autism after a relatively stable childhood. As opposed to early regression, which occurs in normally developing children, late regression occurs typically in adolescents with an established diagnosis of autism. Apart from their occasional mention in the literature, these individuals have not been examined systematically. This Brief Report describes the presentation, comorbidity and short-term outcome of 20 persons with ASD who developed late regression. The mean age of onset of regression was 13 years. One of the earliest symptoms was an increase in obsessive slowing and compulsive rituals. Other symptoms included motor abnormalities, aggression and mood disturbance. The most common comorbid disorder was catatonia occurring in 17 patients. Despite treatment with several modalities, the outcome was often suboptimal. These findings suggest that catatonia is a common cause of late regression in persons with autism. Clinical and research implications are discussed

Aggression · Autism · Autism spectrum disorder · Catatonia · Comorbidity · Mood · Neurodevelopmental disorder · Psychiatry · Schizophrenia (object-oriented programming · Bipolar Disorder and Treatment · Clinical Psychology · Electroconvulsive Therapy Studies · Psychology · Treatment of Major Depression

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    Open Access•Matan Avrahami, David H Ben-Dor et al.•Cambridge Prisms Global Mental…•2024

  • Autism under the umbrella of Essence

    Open Access•Elisabeth Fernell, Christopher Gillberg•Frontiers in Psychiatry•2023

  • Early-onset catatonia associated with SHANK3 mutations

    Open Access•Dirk Dhossche, Dirk M Dhossche et al.•Frontiers in Psychiatry•2023

  • The Multidimensional Anxiety Scale for Children (Masc)

    Open Access•John S March, James D A Parker et al.•Journal of the American Academy…•1997

Unique citing works3
Citations per year1
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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