Clinical Pathway for Adult Neurodevelopmental Disorders at Ehime University Hospital Psychiatric Clinic: A preliminary study Kentaro Kawabe 1,2 , Marina Ochi 1,2,3 , Miki Matsumoto 1 , Shizuka Kondo 4 , Ruriko Ito 1,2 , Ayumi Yoshino 1,2 , Kanae Seo 5 , Fumie Horiuchi 1,2 , Shu-ichi Ueno 1 1Department of Neuropsychiatry, Ehime University Graduate School of Medicine, Ehime, Japan 2Center for Child Health, Behavior and Development, Ehime Univercity Hospital 3Horie Hospital 4Matsuyama Res Cross Hospital 5Department of Pediatrics, Kurashiki Central Hospital Keyword: Attention-deficit/hyperactivity disorder , Autism spectrum disorder , Intellectual disability , Outpatient pp.545-557
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.1405205600
  • Abstract
  • Look Inside
  • Reference

 The aim of this study was to examine the clinical features of neurodevelopmental disorders in adulthood using the clinical pathway at the psychiatric clinic of Ehime University Hospital. The study participants were 104 patients(57 men, 47 women)older than 18 years, who had visited the Ehime University Hospital seeking diagnosis for neurodevelopmental disorders during 2013-2016. The clinical pathway for adult neurodevelopmental disorders involves interviews regarding the developmental history and patient's chief complaint, self-completed questionnaires including Autistic Spectrum Quotient Japanese Version, Adult ADHD Self-Report Scale(ASRS), Conners' Adult ADHD Rating Scales, Beck Depression Inventory-Ⅱ, Social Functioning Scale(SFS), the parent-reported Social Responsiveness Scale, and psychological and cognitive tests including Wechsler Adult Intelligence Scale-Ⅲ(WAIS-Ⅲ). The study population included 29 subjects diagnosed with autistic spectrum disorder(ASD)and 18 with ADHD;18 subjects were without psychiatric disorders. We conducted multiple comparison analyses with the data of groups diagnosed with ASD only, with ADHD only, and without psychiatric disorders. The results indicated significantly higher numbers of affected males, and more chief complaints related to psychiatric symptoms in the ASD group. The SFS scores were significantly lower, with higher scores of Verbal Intelligence Quotient(VIQ)in WAIS-Ⅲ in the ASD group. There were significantly more chief complaints related to inattention and a higher number of married persons. Moreover, ASRS scores were significantly higher. in the ADHD group. The clinical pathway for neurodevelopmental disorders in adulthood may be useful in understanding the mental and social functioning of patients. This study provided preliminary findings. Further detailed study of the clinical pathway is required.

Copyright © 2018, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-126X 印刷版ISSN 0488-1281 医学書院