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Bertelli MO, Boniotti V, Bianco A, Vannucchi G, Buonaguro EF, Micai M, Fatta L, Rossi M, Pecchini E, Bizzari V, Conte M, Lombardi G, Corti S, Scior K, Azeem MW, Hassiotis A, Baghdadli A, Scattoni ML, Salvador-Carulla L, Javed A, Munir K. Caution needed in ascribing subthreshold symptoms as autism spectrum disorder: Commentary on "autistic traits distribution in different psychiatric conditions: A cluster analysis on the basis of the adult autism subthreshold spectrum (AdAS SPECTRUM) questionnaire". Psychiatry Res 2024; 331:115617. [PMID: 38043410 DOI: 10.1016/j.psychres.2023.115617] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 11/08/2023] [Accepted: 11/18/2023] [Indexed: 12/05/2023]
Affiliation(s)
- Marco O Bertelli
- CREA (Research and Clinical Centre), Fondazione San Sebastiano Della Misericordia di Firenze, Florence, Italy.
| | - Veronica Boniotti
- CREA (Research and Clinical Centre), Fondazione San Sebastiano Della Misericordia di Firenze, Florence, Italy
| | - Annamaria Bianco
- CREA (Research and Clinical Centre), Fondazione San Sebastiano Della Misericordia di Firenze, Florence, Italy
| | - Giulia Vannucchi
- Psychiatry Unit, Versilia Hospital, Lido di Camaiore, Lucca, Italy
| | | | - Martina Micai
- National Observatory on Autism, National Institute of Health, Rome, Italy
| | - Laura Fatta
- National Observatory on Autism, National Institute of Health, Rome, Italy
| | - Michele Rossi
- CREA (Research and Clinical Centre), Fondazione San Sebastiano Della Misericordia di Firenze, Florence, Italy
| | - Edoardo Pecchini
- CREA (Research and Clinical Centre), Fondazione San Sebastiano Della Misericordia di Firenze, Florence, Italy
| | - Valeria Bizzari
- Department of General Psychiatry, Center for Psychosocial Medicine, University of Heidelberg, Heidelberg, Germany; Husserl Archives, KU Leuven, Belgium
| | - Michele Conte
- IPSICO (Institute of Behavioural and Cognitive Psychology and Psychotherapy), Florence, Italy
| | - Gianpaolo Lombardi
- IAF.F (Institute of Family Psychotherapy and Higher Education), Florence, Italy
| | - Serafino Corti
- Fondazione Istituto Ospedaliero di SospiroOnlus, Cremona, Italy
| | - Katrina Scior
- Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom
| | - Muhammad Waqar Azeem
- Department of Psychiatry, Sidra Medicine, Doha, Qatar; Weill Cornell Medicine Qatar, Qatar
| | - Angela Hassiotis
- Division of Psychiatry, University College of London, London, United Kingdom
| | - Amaria Baghdadli
- Department of Paediatric Psychiatry, Centre Hospitalier Universitaire de Montpellier, Languedoc-Roussillon, Montpellier, France; Centre de Resources Autisme Languedoc-Roussillon, Languedoc-Roussillon, Montpellier, France
| | | | | | - Afzal Javed
- Institute of Applied Health Research, University of Birmingham, United Kingdom; Pakistan Psychiatric Research Centre, Fountain House, Lahore, Pakistan
| | - Kerim Munir
- Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States
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Dell’Osso L, Amatori G, Cremone IM, Massimetti E, Nardi B, Gravina D, Benedetti F, Muscatello MRA, Pompili M, Politi P, Vita A, Maj M, Carpita B. Autistic and Catatonic Spectrum Symptoms in Patients with Borderline Personality Disorder. Brain Sci 2023; 13:1175. [PMID: 37626531 PMCID: PMC10452061 DOI: 10.3390/brainsci13081175] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 07/28/2023] [Accepted: 08/01/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND Recent literature has shown that a considerable percentage of patients with severe mental disorders can develop, over time, full-blown or subthreshold catatonia. Some studies corroborate the model of an illness trajectory in which different mental disorders would be arranged along a continuum of severity until the development of catatonia. In such an illness pathway, autistic traits (AT) and borderline personality disorder (BPD) may represent important steps. In order to further explore the association between AT, BPD, and catatonia, the aim of this study was to compare catatonic spectrum symptoms and AT among patients with major depressive disorder (MDD), BPD, and healthy controls (CTL), also evaluating possible predictive dimensions of the different diagnoses. METHODS A total of 90 adults affected by BPD, 90 adults with a diagnosis of MDD, and 90 CTL, homogeneous in terms of gender and age, were recruited from six Italian university departments of psychiatry and assessed with the SCID-5-RV, the Catatonia Spectrum (CS), and the Adult Autism Subthreshold Autism Spectrum (AdAS Spectrum). RESULTS The total CS score was significantly higher in the BPD and MDD groups than in the CTL group, while the majority of CS domain scores were significantly higher in the BPD group than in the MDD group, which scored significantly higher than the CTL group. The total AdAS Spectrum score and the AdAS Spectrum domain scores were significantly higher in the BPD group than in the MDD group, which in turn scored significantly higher than the CTL group. The CS domains "psychomotor activity" and "impulsivity", and AdAS Spectrum domains "verbal communication", "empathy", and "hyper-/hyporeactivity to sensory input" were associated with the risk of presenting a diagnosis of BPD.
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Affiliation(s)
- Liliana Dell’Osso
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Giulia Amatori
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Ivan Mirko Cremone
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Enrico Massimetti
- ASST Bergamo Ovest, SSD Psychiatric Diagnosis and Treatment Service, 24047 Treviglio, Italy;
| | - Benedetta Nardi
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Davide Gravina
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Francesca Benedetti
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
| | - Maria Rosaria Anna Muscatello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98124 Messina, Italy;
| | - Maurizio Pompili
- Department of Neuroscience, Mental Health and Sense Organs, University of Roma “La Sapienza”, 00185 Roma, Italy;
| | - Pierluigi Politi
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy;
| | - Antonio Vita
- Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy;
| | - Mario Maj
- Department of Psychiatry, University of Naples “Luigi Vanvitelli”, 80138 Naples, Italy;
| | - Barbara Carpita
- Department of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy; (L.D.); (I.M.C.); (B.N.); (D.G.); (F.B.); (B.C.)
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