Oltre gli aspetti biologici del gender bias nei disturbi dello spettro autistico: stereotipi e mis-diagnosi di genere

Titolo Rivista SALUTE E SOCIETÀ
Autori/Curatori Liliana Dell'Osso, Camilla Gesi, Claudia Carmassi
Anno di pubblicazione 2016 Fascicolo 2016/3 Lingua Italiano
Numero pagine 12 P. 112-123 Dimensione file 85 KB
DOI 10.3280/SES2016-003009
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Epidemiological studies have shown that Autism Spectrum Disorder (ASD) is about four times more prevalent among males than in females. Such prevalence estimate has prompted the hypothesis that the gap between males and females might rely not only on biological factors but also on a gender-biased model of disease, meaning that ASD knowledge and diagnostic tools might be tailored on a male model of ASD. Furthermore, if several female cases of ASD are not recognised, they are likely diagnosed with other mental conditions while seeking for support and treatment. The present work is aimed to look beyond biological determinants of the differences between males and females on the autistic spectrum, accounting for the male stereotype of ASD and for the mis-diagnosis that may follow among females.;

Keywords:Disturbo dello Spettro Autistico; genere; prevalenza; diagnosi; disturbi del comportamento alimentare; Disturbo Borderline di Personalità

  1. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C.: American Psychiatric Association.
  2. Andersson G., Gillberg C., Miniscalo C. (2012). Pre-school children with suspected autism spectrum disorders: Do girls and boys have the same profile. Re-search in Developmental Disabilities, 34: 413–422. DOI: 10.1016/j.ridd.2012.08.02
  3. Attwood T. (2006). The pattern of abilities and development for girls with Asperger’s Syndrome. In: Asperger’s and Girls. Eds. Arlington, TX: Future Horizons Inc.
  4. Astbury J. (2001). Gender disparities in mental health. In: Mental health. Ministerial Round Tables 2001, 54th World Health Assemble, 2001, Who, Geneva, Switzerland.
  5. Biancheri R. (2014). Dalla Medicina di genere al genere in salute. Psicologia della salute, 1: 17-33. DOI: 10.3280/SES2014-00100
  6. Brugha T.S., McManus S., Bankart J., Jenkins R., Smith J., Scott F. (2014). The proportion of true cases of autism is not changing. British Medical Journal, 348: g3774. DOI: 10.1136/bmj.g377
  7. Carmassi C., Akiskal H.S., Yong S.S., Stratta P., Calderani E., Massimetti E., Akiskal K.K., Rossi A., Dell’Osso L. (2013). Post-traumatic stress disorder in DSM-5: estimates of prevalence and criteria comparison versus DSM-IV-TR in a non-clinical sample of earthquake survivors. Journal of Affective Disorders, 151: 843-8. DOI: 10.1016/j.jad.2013.07.02
  8. Carmassi C., Dell’Osso L. (2014). Le differenze di genere in psichiatria. Psicologia della salute, 1: 89-102. DOI: 10.3280/SES2014-00100
  9. Carmassi C., Akiskal, H.S., Bessonov, D. Massimetti G., Calderani E., Stratta P., Rossi A., Dell’Osso L. (2014a). Gender differences in DSM-5 versus DSM-IVTR PTSD prevalence and criteria comparison among 512 survivors to the L’Aquila earthquake. Journal of Affective Disorder, 160: 55-61. DOI: 10.1016/j.jad.2014.02.02
  10. Carmassi C., Stratta P., Massimetti G., Bertelloni C.A., Conversano C., Cremone I.M., Miccoli M., Baggiani A., Rossi A., Dell’Osso L. (2014b). New DSM-5 maladaptive symptoms in PTSD: gender differences and correlations with mood spectrum symptoms in a sample of high school students following survival of an earthquake. Annals of General Psychiatry, 13:28. DOI: 10.1186/s12991-014-0028-
  11. Christensen D.L., Baio J., Braun K.V., Bilder D., Charles J., Constantino J.N., Daniels J., Durkin M.S., Fitzgerald R.T., Kurzius-Spencer M., Lee L.C., Pettygrove S., Robinson C., Schulz E., Wells C., Wingate M.S., Zahorodny W., Yeargin-Allsopp M. (2016). Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2012. MMWR Surveillance Summaries, 65: 1-23. DOI: 10.15585/mmwr.ss6503a
  12. Cloitre M., Garvert D.W., Brewin C.R., Bryant R.A., Maercker A. (2013). Evidence for proposed ICD-11 PTSD and complex PTSD: a latent profile analysis. European Journal of Psychotraumatology, 15: 4. DOI: 10.3402/ejpt.v4i0.2070
  13. Cloitre M., Garvert D.W., Weiss B., Carlson E.B., Bryant R.A. (2014). Distinguishing PTSD, Complex PTSD, and Borderline Personality Disorder: A latent class analysis. European Journal of Psychotraumatology, 15: 5. DOI: 10.3402/ejpt.v5.2509
  14. Constantino J.N., Charman T. (2012). Gender bias, female resilience, and the sex ratio in autism. Journal of the American Academy of Child & Adolescent Psychiatry, 51: 756-8. DOI: 10.1016/j.jaac.2012.05.01
  15. Dell’Osso L., Carmassi C., Stratta P., Rossi A. (2012). Maladaptive behaviours after catastrophic events: The contribute of a “spectrum” approach to post traumatic stress disorders. Heroin Addiction and Related Clinical Problems, 14: 49-56. DOI: 10.1186/s12991-014-0028-
  16. Dell’Osso L., Carmassi C., Stratta P., Massimetti G., Akiskal K.K., Akiskal H.S., Maremmani I., Rossi A. (2013). Gender Differences in the Relationship between Maladaptive Behaviors and Post-Traumatic Stress Disorder. A Study on 900 L’Aquila 2009 Earthquake Survivors. Frontiers in Psychiatry, 3:111.
  17. 10.3389/fpsyt.2012.00111
  18. Dell’Osso L., Dalle Luche R., Maj M. (2015a). Adult autism spectrum as a transnosographic dimension. CNS Spectrums, 21: 131-3. DOI: 10.1017/S109285291500045
  19. Dell’Osso L., Dalle Luche R., Carmassi C. (2015b). A New Perspective in Post-Traumatic Stress Disorder: Which Role for Unrecognized Autism Spectrum?. International Journal of Emergency Mental Health and Human Resilience, 17: 436-438. DOI: 10.4172/1522-4821.1000e18
  20. Fombonne E. (1999). The epidemiology of autism: A review. Psychological Medicine, 29(4): 769–786.
  21. Fombonne E. (2003). Epidemiological surveys of autism and other pervasive developmental disorders: an update. Journal of Autism and Developmental Disorders, 33: 365-382. DOI: 10.1023/A:102505461055
  22. Fombonne E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65: 591-598. DOI: 10.1203/PDR.0b013e31819e720
  23. Frith U. (1989). Autism: Explaining the enigma. Malden, MA: Blackwell.
  24. Hofvander B., Delorme R., Chaste P., Nydén A., Wentz E., Ståhlberg O., Herbrecht E., Stopin A., Anckarsäter H., Gillberg C., Råstam M., Leboyer M. (2009) Psychiatric and psychosocial problems in adults with normalintelligence autism spectrum disorders. BioMed Central Psychiatry. 9:35. DOI: 10.1186/1471-244X-9-3
  25. Huke V., Turk J., Saeidi S., Kent A., Morgan J.F. (2013). Autism spectrum disorders in eating disorder populations: A systematic review. European Eating Disorders Review, 21: 345-351. DOI: 10.1002/erv.224
  26. Kopp S., Gillberg C. (1992). Girls with social deficits and learning problems: Autism, atypical Asperger syndrome or a variant of these conditions. European Child and Adolescent Psychiatry, 1: 89–99. DOI: 10.1007/BF0209179
  27. Lang K., Lopez C., Stahl D., Tchanturia K., Treasure J. (2014). Central coherence in eating disorders: An updated systematic review and meta-analysis. The World Journal of Biological Psychiatry, 15: 586–598. DOI: 10.3109/15622975.2014.909606
  28. Lai M.C., Lombardo M.V., Auyeung B., Chakrabarti B., Baron-Cohen S. (2015). Sex/gender differences and autism: setting the scene for future research. American Academy of Child & Adolescent Psychiatry, 54: 11-24. DOI: 10.1016/j.jaac.2014.10.00
  29. Lugnegård T., Hallerbäck M.U., Gillberg C. (2011). Psychiatric comorbidity in young adults with a clinical diagnosis of Asperger syndrome. Research In Developmental Disabilities, 32: 1910-7. DOI: 10.1016/j.ridd.2011.03.02
  30. Mandy W., Tchanturia K. (2015). Do women with eating disorders who have social and flexibility difficulties really have autism? A case series. Molecular Autism, 6:6. DOI: 10.1186/2040-2392-6-
  31. Newschaffer C.J., Croen L.A., Daniels J., Giarelli E., Grether J.K., Levy S.E., Mandell D.S., Miller L.A., Pinto-Martin J., Reaven J., Reynolds A.M., Rice C.E., Schendel D., Windham G.C. (2007). The epidemiology of autism spectrum disorders. Annual Review of Public Health, 28: 235-258. DOI: 10.1146/annurev.publhealth.28.021406.14400
  32. Russell G., Steer C., Golding J. (2011). Social and demographic factors that influence the diagnosis of autistic spectrum disorders. Social Psychiatry and Psychiatric Epidemiology, 46: 1283-1293. DOI: 10.1007/s00127-010-0294-
  33. Tchanturia K., Davies H., Roberts M., Harrison A., Nakazato M., Schmidt U., Morris R. (2012). Poor cognitive flexibility in eating disorders: Examining the evidence using the Wisconsin Card Sorting Task. PLoS One, 7: e28331. DOI: 10.1371/journal.pone.002833
  34. Takara K., Kondo T. (2014a). Autism spectrum disorder among first-visit depressed adult patients: diagnostic clues from backgrounds and past history. General Hospital Psychiatry, 36: 737-42. DOI: 10.1016/j.genhosppsych.2014.08.00
  35. Takara K., Kondo T. (2014b). Comorbid atypical autistic traits as a potential risk factor for suicide attempts among adult depressed patients: a case-control study. Annals of General Psychiatry, 13: 33. DOI: 10.1186/s12991-014-0033-
  36. Wing L. (1997). The autistic spectrum. Lancet. 350: 1761-1766. DOI: 10.1016/S0140-6736(97)09218-

Liliana Dell'Osso, Camilla Gesi, Claudia Carmassi, Oltre gli aspetti biologici del gender bias nei disturbi dello spettro autistico: stereotipi e mis-diagnosi di genere in "SALUTE E SOCIETÀ" 3/2016, pp 112-123, DOI: 10.3280/SES2016-003009