title: Psychiatric Symptoms in Youth with a History of Autism and Optimal Outcome.
abstract: Since autism spectrum disorder (ASD) is often comorbid with psychiatric disorders, children who no longer meet criteria for ASD (optimal outcome; OO) may still be at risk for psychiatric disorders. A parent interview for DSM-IV psychiatric disorders (K-SADS-PL) for 33 OO, 42 high-functioning autism (HFA) and 34 typically developing (TD) youth, ages 8-21, showed that OO and HFA groups had elevated current ADHD and specific phobias, with tics in HFA. In the past, the HFA group also had elevated depression and ODD, and the OO group had tics. The HFA group also showed subthreshold symptoms of specific and social phobias, and generalized anxiety. Psychopathology in the OO group abated over time as did their autism, and decreased more than in HFA.
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA. alyssa.orinstein@uconn.edu.
authors.forename: Alyssa
authors.initials: A
authors.lastname: Orinstein
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Tyson
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Joyce
authors.initials: J
authors.lastname: Suh
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Eva
authors.initials: E
authors.lastname: Troyb
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Helt
authors.affiliation: Child Mind Institute, New York City, NY, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Rosenthal
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Marianne L
authors.initials: ML
authors.lastname: Barton
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Inge-Marie
authors.initials: IM
authors.lastname: Eigsti
authors.affiliation: Queen's University, Kingston, ON, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Kelley
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Letitia
authors.initials: L
authors.lastname: Naigles
authors.affiliation: Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: Robert T
authors.initials: RT
authors.lastname: Schultz
authors.affiliation: Olin Neuropsychiatry Research Center, Institute of Living, Hartford, CT, USA.|Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Stevens
authors.affiliation: Unit 1020, Department of Psychology, University of Connecticut, Storrs, CT, 06269, USA.
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Fein
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology; D000067877:Autism Spectrum Disorder / Q000453:epidemiology / Q000523:psychology*; D002170:Canada / Q000453:epidemiology; D016022:Case-Control Studies; D002648:Child; D015897:Comorbidity; D003237:Connecticut / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008297:Male; D013981:Tic Disorders / Q000453:epidemiology; D055815:Young Adult
keywords: Autism spectrum disorder; Comorbidity; Optimal outcome; Psychiatric functioning