Conditions comorbid to autism

Autism spectrum disorder (ASD) is a neurodevelopmental disorder that begins in early childhood, persists throughout adulthood, and is characterized by difficulties in social communication and restricted, repetitive patterns of behavior.[1] There are many conditions comorbid to autism spectrum disorder, such as attention deficit hyperactivity disorder, anxiety disorders, and epilepsy.

In medicine, comorbidity is the presence of one or more additional conditions co-occurring with the primary one, or the effect of such additional disorders. Distinguishing between ASD and other diagnoses can be challenging because the traits of ASD often overlap with symptoms of other disorders, and the characteristics of ASD make traditional diagnostic procedures difficult.[2][3]

Autism is associated with several genetic disorders,[4] perhaps due to an overlap in genetic causes.[5] About 10–15% of autism cases have an identifiable Mendelian (single-gene) condition, chromosome abnormality, or other genetic syndrome,[6] a category referred to as syndromic autism.

Euler diagram showing overlapping clinical phenotypes in genes associated with monogenic forms of autism spectrum disorder (ASD), dystonia, epilepsy and schizophrenia:
  Genes associated with epilepsy
  Genes associated with schizophrenia
  Genes associated with autism spectrum disorder
  Genes associated with dystonia
  1. ^ American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Washington, DC: American Psychiatric Association. doi:10.1176/appi.books.9780890425787. ISBN 978-0-89042-575-6. S2CID 249488050.
  2. ^ Johnny L. Matson; Peter Sturmey, eds. (2011). International Handbook of Autism and Pervasive Developmental Disorders. New York: Springer. pp. 53–74.
  3. ^ Underwood L, McCarthy J, Tsakanikos E (September 2010). "Mental health of adults with autism spectrum disorders and intellectual disability". Current Opinion in Psychiatry (Review). 23 (5): 421–426. doi:10.1097/YCO.0b013e32833cfc18. PMID 20613532. S2CID 13735841.
  4. ^ Zafeiriou DI, Ververi A, Vargiami E (June 2007). "Childhood autism and associated comorbidities". Brain & Development (Review). 29 (5): 257–272. doi:10.1016/j.braindev.2006.09.003. PMID 17084999. S2CID 16386209.
  5. ^ Cuthbert B (March 1, 2013). "Overlap Blurs Diagnostic Categories – NIH-funded Study". NIMH. Archived from the original on May 10, 2015. Retrieved May 26, 2015. National Institutes of Health-funded researchers discovered that people with disorders traditionally thought to be distinct – autism, ADHD, bipolar disorder, major depression and schizophrenia – were more likely to have suspect genetic variation at the same four chromosomal sites. These included risk versions of two genes that regulate the flow of calcium into cells.
  6. ^ Folstein SE, Rosen-Sheidley B (December 2001). "Genetics of autism: complex aetiology for a heterogeneous disorder". Nature Reviews. Genetics. 2 (12): 943–955. doi:10.1038/35103559. PMID 11733747. S2CID 9331084.