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Well-Being and Self-Disorders in Schizotypal Disorder and Asperger Syndrome/Autism Spectrum Disorder

Journal article
Authors M. Nilsson
P. Handest
J. Carlsson
Lena Nylander
L. Pedersen
E. L. Mortensen
S. Arnfred
Published in Journal of Nervous and Mental Disease
Volume 208
Issue 5
Pages 418-423
ISSN 0022-3018
Publication year 2020
Published at Gillberg Neuropsychiatry Centre
Pages 418-423
Language en
Links dx.doi.org/10.1097/nmd.000000000000...
Subject categories Psychiatry, Neurology

Abstract

We explored subjective well-being in two groups of young adult participants diagnosed with either schizotypal disorder (Sd) (n = 29) or Asperger syndrome/autism spectrum disorder (As/ASD) (n = 22). Well-being was impaired in both groups and was lower in the Sd group than in the As/ASD group. Furthermore, there was a negative correlation between well-being and the presence of self-disorders. The negative effect of self-disorders on well-being was still significant when adjusted for diagnosis, age and gender, and level of function. The present findings point toward clinically important disorder-specific differences in the nature of impaired well-being between the Sd group and the As/ASD group, as there seems to be a self-disorder-driven additional contribution to impaired subjective well-being within the schizophrenia spectrum. These findings further nuance the understanding of fundamental and clinically important qualitative differences between the schizophrenia spectrum and the autism spectrum.

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