Asperger syndrome natural history, complications and prognosis: Difference between revisions
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* Education of families is critical in developing strategies for understanding strengths and weaknesses;helping the family to cope improves outcome in children. Prognosis may be improved by diagnosis at a younger age that allows for early interventions, while interventions in adulthood are valuable but less beneficial. There are legal implications for individuals with AS as they run the risk of exploitation by others and may be unable to comprehend the societal implications of their actions. | * Education of families is critical in developing strategies for understanding strengths and weaknesses;helping the family to cope improves outcome in children. Prognosis may be improved by diagnosis at a younger age that allows for early interventions, while interventions in adulthood are valuable but less beneficial. There are legal implications for individuals with AS as they run the risk of exploitation by others and may be unable to comprehend the societal implications of their actions. | ||
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== Overview == | |||
== Natural History == | |||
* Social impairment is lifelong. | |||
== Prognosis == | |||
* Most attend regular education classes with additional support services. | |||
* Some need special education services because of their social and behavioral impairments. | |||
* <s>although these children are especially vulnerable to being seen as eccentric and of being teased or victimized;</s> | |||
* <s>Asperger’s initial description predicted a positive outcome for many of his patients, who were often able to utilize their special talents for the purpose of obtaining employment and leading self-supporting lives. His observation of similar traits in family members, i.e., fathers, may also have made him more optimistic about ultimate outcome. Although his account was tempered somewhat by the time he had seen 200 patients with the syndrome (25 years after his original paper), Asperger continued to believe that a more positive outcome was a central criterion differentiating individuals with his syndrome from those with Kanner’s autism.</s> | |||
* <s>Although some clinicians have informally concurred with this statement, particularly in regards to gainful employment, independence, and stablishment of a family, no studies specially addressing the long-term outcome of individuals with AS is currently available.</s> | |||
* <s>The social impairment (particularly the eccentricities and social insensitivity), is thought to be lifelong</s> | |||
==References== | ==References== | ||
Revision as of 06:06, 19 June 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Prognosis
- There is some evidence that as many as 20% of children with AS "grow out" of it, and fail to meet the diagnostic criteria as adults.
As of 2006, no studies addressing the long-term outcome of individuals with Asperger syndrome are available and there are no systematic long-term follow-up studies of children with AS. Individuals with AS appear to have normal life expectancy but have an increased prevalence of comorbid psychiatric conditions such as depression and anxiety that may significantly affect prognosis. Although social impairment is lifelong, outcome is generally more positive than with individuals with lower functioning autism spectrum disorders; for example, ASD symptoms are more likely to diminish with time in children with AS or HFA.[1] Although most students with AS/HFA have average mathematical ability and test slightly worse in mathematics than in general intelligence, some are gifted in mathematics[2] and AS has not prevented some adults from major accomplishments such as winning the Nobel Prize.[3]
- Children with AS may require special education services because of their social and behavioral difficulties although many attend regular education classes. Adolescents with AS may exhibit ongoing difficulty with self-care, organization and disturbances in social and romantic relationships; despite high cognitive potential, most remain at home, although some do marry and work independently. The "different-ness" adolescents experience can be traumatic.[4] Anxiety may stem from preoccupation over possible violations of routines and rituals, from being placed in a situation without a clear schedule or expectations, or from concern with failing in social encounters; the resulting stress may manifest as inattention, withdrawal, reliance on obsessions, hyperactivity, or aggressive or oppositional behavior. Depression is often the result of chronic frustration from repeated failure to engage others socially, and mood disorders requiring treatment may develop.
- Education of families is critical in developing strategies for understanding strengths and weaknesses;helping the family to cope improves outcome in children. Prognosis may be improved by diagnosis at a younger age that allows for early interventions, while interventions in adulthood are valuable but less beneficial. There are legal implications for individuals with AS as they run the risk of exploitation by others and may be unable to comprehend the societal implications of their actions.
Overview
Natural History
- Social impairment is lifelong.
Prognosis
- Most attend regular education classes with additional support services.
- Some need special education services because of their social and behavioral impairments.
although these children are especially vulnerable to being seen as eccentric and of being teased or victimized;Asperger’s initial description predicted a positive outcome for many of his patients, who were often able to utilize their special talents for the purpose of obtaining employment and leading self-supporting lives. His observation of similar traits in family members, i.e., fathers, may also have made him more optimistic about ultimate outcome. Although his account was tempered somewhat by the time he had seen 200 patients with the syndrome (25 years after his original paper), Asperger continued to believe that a more positive outcome was a central criterion differentiating individuals with his syndrome from those with Kanner’s autism.Although some clinicians have informally concurred with this statement, particularly in regards to gainful employment, independence, and stablishment of a family, no studies specially addressing the long-term outcome of individuals with AS is currently available.The social impairment (particularly the eccentricities and social insensitivity), is thought to be lifelong
References
- ↑ Coplan J, Jawad AF (2005). "Modeling clinical outcome of children with autistic spectrum disorders". Pediatrics. 116 (1): 117–22. doi:10.1542/peds.2004-1118. PMID 15995041. Lay summary – press release (2005-07-05).
- ↑ Chiang HM, Lin YH (2007). "Mathematical ability of students with Asperger syndrome and high-functioning autism". Autism. 11 (6): 547–56. doi:10.1177/1362361307083259. PMID 17947290.
- ↑ Herera S (2005-02-25). "Mild autism has 'selective advantages'". CNBC. Retrieved 2007-11-14.
- ↑ Moran M (2006). "Asperger's may be answer to diagnostic mysteries". Psychiatr News. 41 (19): 21.