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Master Thesis

Syndrome d'Asperger et autisme de haut niveau : une évolution plutôt favorable à l'âge adulte mais une offre de soins à développer

Abstract : Autism spectrum disorders without intellectual disability (ASD-WID ; Asperger syndrome and high functioning autism) may favorably improve in adulthood but have often heavy functional consequences: low access to university and employment, persistent dependence on environment, social isolation. Psychiatric comorbidites affect the evolution and functioning. This literature review aims to investigate the clinical and functional outcome in adulthood with its predictors and then the main comorbidities and the further needs of support. A systematic research of studies published between 2000 and 2016 about adolescents or adults with ASD-WID is made from the Medline database (PubMed). Results show good clinical outcomes, 13% to 22% of the adult patients not meeting anymore the diagnostic criteria for ASD. Functional evolution is however less positive. Early diagnosis, high average intelligence and good receptive language abilities are predictors of improvement, such as family support. Psychiatric comorbidities are common, more than half of patients being affected by either depression, ADHD or anxiety disorders. Psychosocial interventions appear effective in reducing the burden of comorbidities and in improving functional outcomes but remain under-developped and of difficult access. Diagnostic services must be further developed, as more than half of the individuals receive a diagnosis of ASD-WID after the age of 21.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01674628
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Submitted on : Wednesday, January 3, 2018 - 12:01:18 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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Sylvain Leignier. Syndrome d'Asperger et autisme de haut niveau : une évolution plutôt favorable à l'âge adulte mais une offre de soins à développer. Médecine humaine et pathologie. 2016. ⟨dumas-01674628⟩

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