By Eric Hollander
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Additional resources for Autism Spectrum Disorders (Medical Psychiatry Series)
They found that in the autism group, compulsions were more common than obsessions and no patient had obsessions alone. In contrast to the OCD patients, the autism group’s repetitive behaviors frequently involved ordering, hoarding, telling and asking, touching, tapping, rubbing, and self-mutilation. The commonly reported OCD compulsions of cleaning, checking, and counting were less common. The autism group had signiﬁcantly fewer obsessions involving aggression, sex, religion, symmetry, contamination, and somatic concerns.
Affecting various brain systems. The disorder presents a broad phenotype, with multiple clinical symptoms of differing severity from the three core symptom domains: social interaction, communication, and repetitive behaviors. Current literature describes the “broad autism phenotype” (BAP) to represent the wide range of symptoms observed in individuals with autism spectrum disorders. Deﬁning the BAP allows researchers to study autism spectrum disorders by including individuals, speciﬁcally siblings, with autismrelated symptoms into population samples (8,9).
99,105). The presence of comorbid psychiatric disorders and associated features pose difﬁculty in predicting developmental course as they often contribute to the degree of impairment. For example, mental retardation and seizure disorder may be associated not only with one another but also with functioning during adolescence and ultimate outcome (62,63,70). , Refs. 63,92,100,106). Improvement in the social and communication domains is often greater than improvement in the repetitive behaviors/compulsivity domain (92).