Autism, smelling behavior and obsessive compulsive disorder
Otizme eşlik eden belirtilerden biri de duyularla ilgilidir. Bu olgu serisinde 15-38 yaşları arasında DSM-IV-TR tanı ölçütlerine göre otistik bozukluk, obsesif kompulsif bozukluk saptanan yedi erkek sunulmuştur. Olguların hepsinin eline aldığı her nesneyi kokladıkları gözlenmiştir. Bu tabloya kokuyla ilgili belirtilerin de eklenmesi sorunun primitif köklerinin olabileceğine ilişkin ek bir kanıttır. Otistik bozukluk tanısı içinde otizm, obsesif kompulsif bozukluk ve kendisiyle ilgili her nesneyi koklama davranışıyla birlikte giden alt tipi olabileceğini düşünüyoruz.
Otizm, koklama davranışı ve obsesif kompulsif bozukluk
One of the symptoms associated with autism is sensations. Seven male patients with age range 15-38 and diag-nosed as autism according to DSM-IV have been presented in this case series. All of the cases presented with smelling of the all objects. It is considered that in addition to the autistic symptoms, smelling behavior show that they have primitive origin. We thought that the triad of obsessive compulsive disorder, autism and smelling the objects might be a subgroup of autistic spectrum disorders.
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- 1. Ivarsson T, Melin K, Wallin L. Categorical and dimensi-onal aspects of co-morbidity in obsessive-compulsive disorder (OCD). Eur Child Adolesc Psychiatry 2008; 17:20-31.
- 2. Bennetton L, Kuschner ES, Hyman SL. Olfaction and taste processing in autism. Biol Psychiatry 2007; 62:1015-1021.
- 3. Bejerot S. An autistic dimension: a proposed subtype of obsessive-compulsive disorder. Autism 2007; 11:101-110.
- 4. Kano Y. Tic and Tourette syndrome. Kokoro No Rinsyo a la Carte 1998; 17(Suppl.):281-283 (in Japanese)
- 5. McDougle CJ, Kresch LE, Goodman WK, Naylor ST, Volkmar FR, Cohen DJ, et al. A case-controlled study of repetitive thoughts and behavior inadults with autistic disorder and obsessive compulsive disorder. Am J Psychiatry 1995; 152:772-777.
- 6. Hollander E. Treatment of obsessive-compulsive spec-trum disorders with SSRIs. Br J Psychiatry 1998; 173(Suppl.35):7-12.
- 7. Christopher Clarke J. The use of an aversive smell to eli-minate autistic self-stimulatory behavior. Child & Family Behavior Therapy 1984; 5:51-61.
- 8. Lehmkuhl HD, Storch EA, Bodfish JW, Geffken GR. Brief report: exposure and response prevention for ob-sessive compulsive disorder in a 12-year-old with autism. J Autism Dev Disord 2008; 38:977-981.