Valoración de rasgos autistas en menores con un trastorno de la conducta alimentaria

Valoración de rasgos autistas en menores con un trastorno de la conducta alimentaria

Contenido principal del artículo

Victoria Muñoz Martínez
Irene Díaz Quero
Beatriz Mata Saenz
Rafael Baena Mures
Leonor Asensio Aguerri
Laura Nuevo Fernández

Resumen

La superposición entre los trastornos del espectro autista (TEA) y los trastornos de la conducta alimentaria (TCA) lleva tiempo estudiándose, encontrándose sobre todo similitudes en ciertas características cognitivas. El objetivo de este trabajo es analizar la bibliografía disponible acerca de la relación entre los síntomas que corresponden al espectro autista con las diferentes patologías que se engloban dentro de los TCA. La información fue recogida a partir de diferentes bases de datos (Pubmed, Cochrane, Tripdatabase, UpToDate) entre 2013 y 2018. Se emplean los descriptores “eating disorders”, “autism”, “treatment”, “psychotherapy”, “anorexia nervosa”, “bulimia nervosa”, “food avoidant/restriction intake disorder” “binge eating disorder” “obesity” y “adolescence”; así como sus equivalentes en español. Los estudios publicados, referidos a lo largo del texto, sobre todo se refieren a la anorexia nerviosa (AN), existiendo menos investigaciones realizadas con otras patologías alimentarias como obesidad, bulimia, y trastorno por atracón. Sin embargo, y a pesar que sobre todo se señale la relación con la AN, existen características a nivel cognitivo que son compartidas entre los TCA y los TEA que han de ser tenidas en cuenta por sus implicaciones tanto en el tratamiento como en el pronóstico.

Citas

Asociación Americana de Psiquiatría (APA, 2014). Manual diagnóstico y estadístico de los
trastornos mentales. Madrid: Editorial Médica Panamericana.

Bargiela, S., Steward, R., y Mandy, W. (2016). The experiences of late-diagnosed women with
autism spectrum conditions: An investigation of the female autism phenotype. Journal of
Autism and Developmental Disorders, 46(10), 3281-3294.

Björnsdotter, M., Davidovic, M., lainen, L., Starck, G., Olausson, H., y Wentz, E. (2018). Grey
matter correlates of autistic traits in women with anorexia nervosa. Journal of Psychiatry
y Neuroscience, 43(2), 79.

Bora, E., y Köse, S. (2016). Meta?analysis of theory of mind in anorexia nervosa and bulimia
nervosa: A specific ?mpairment of cognitive perspective taking in anorexia nervosa?
International Journal of Eating Disorders, 49(8), 739-740.

Broder-Fingert, S., Brazauskas, K., Lindgren, K., Iannuzzi, D., y Van Cleave, J. (2014).
Prevalence of overweight and obesity in a large clinical sample of children with autism.
Academic Pediatrics, 14(4), 408-414.

Calderoni, S., Fantozzi, P., Balboni, G., Pagni, V., Franzoni, E., Apicella, F., y Muratori, F.
(2015). The impact of internalizing symptoms on autistic traits in adolescents with
restrictive anorexia nervosa. Neuropsychiatric Disease and Treatment, 11, 75–85.

Cascio, C.J., Woynaroski, T., Baranek, G.T., y Wallace, M.T. (2016). Toward an interdisciplinary
approach to understanding sensory function in autism spectrum disorder. Autism
Research, 9(9), 920-925.

Cervantes, P.E., y Matson, J.L. (2015). Comorbid symptomology in adults with autism spectrum
disorder and intellectual disability. Journal of Autism and Developmental Disorders,
45(12), 3961-3970.

Corvey, K., Menear, K.S., Preskitt, J., Goldfarb, S., y Menachemi, N. (2016). Obesity, physical
activity and sedentary behaviors in children with an autism spectrum disorder. Maternal
and Child Health Journal, 20(2), 466-476.

de Vinck-Baroody, O., Shui, A., Macklin, E.A., Hyman, S.L., Leventhal, J.M., y Weitzman, C.
(2015). Overweight and obesity in a sample of children with autism spectrum disorder.
Academic Pediatrics, 15(4), 396-404.

Dell'Osso, L., Carpita, B., Gesi, C., Cremone, I.M., Corsi, M., Massimetti, E., y Ricca, V. (2018).
Subthreshold autism spectrum disorder in patients with eating disorders. Comprehensive
Psychiatry, 81, 66-72.

Firk, C., Mainz, V., Schulte?Ruether, M., Fink, G., Herpertz?Dahlmann, B., y Konrad, K. (2015).
Implicit sequence learning in juvenile anorexia nervosa: neural mechanisms and the
impact of starvation. Journal of Child Psychology and Psychiatry, 56(11), 1168-1176.

Fonagy, P., y Target, M. (2006). The mentalization-focused approach to self-pathology. Journal of
Personality Disorders, 20(6), 544-576.

Gillette, M.L.D., Borner, K.B., Nadler, C.B., Poppert, K.M., Stough, C.O., Romine, R.S., y Davis,
A.M. (2015). Prevalence and health correlates of overweight and obesity in children with
autism spectrum disorder. Journal of Developmental y Behavioral Pediatrics, 36(7),
489-496.

Goddard, E., Carral-Fernández, L., Denneny, E., Campbell, I.C. y Treasure, J. (2014). Cognitive
flexibility, central coherence and social emotional processing in males with an eating
disorder. The World Journal of Biological Psychiatry, 15(4), 317-326.

Halladay, A.K., Bishop, S., Constantino, J.N., Daniels, A.M., Koenig, K., Palmer, K., y Taylor,
J.L. (2015). Sex and gender differences in autism spectrum disorder: summarizing
evidence gaps and identifying emerging areas of priority. Molecular Autism, 6(1), 36.

Hill, A.P., Zuckerman, K.E., y Fombonne, E. (2015). Obesity and Autism. Pediatrics, 36(6), 1051-
1056.

Huke, V., Turk, J., Saeidi, S., Kent, A., y Morgan, J. F. (2013). Autism spectrum disorders in
eating disorder populations: A systematic review. European Eating Disorders Review,
21(5), 345–351.

Karjalainen, L., Råstam, M., Paulson-Karlsson, G., y Wentz, E. (2018). Do autism spectrum
disorder and anorexia nervosa have some eating disturbances in common? European
Child y Adolescent Psychiatry, 28(1), 69-78.

Kaur, Y., de Souza, R.J., Gibson, W.T., y Meyre, D. (2017). A systematic review of genetic
syndromes with obesity. Obesity Reviews, 18(6), 603-634.

Keski-Rahkonen, A., y Mustelin, L. (2016). Epidemiology of eating disorders in Europe:
prevalence, incidence, comorbidity, course, consequences, and risk factors. Current
Opinion in Psychiatry, 29(6), 340-345.

Kinnaird, E., Norton, C., y Tchanturia, K. (2017). Clinicians’ views on working with anorexia
nervosa and autism spectrum disorder comorbidity: a qualitative study. BMC Psychiatry,
17(1), 292.

Kral, T.V., Souders, M.C., Tompkins, V.H., Remiker, A.M., Eriksen, W.T., y Pinto?Martin, J.A.
(2015). Child eating behaviors and caregiver feeding practices in children with autism
spectrum disorders. Public Health Nursing, 32(5), 488-497.

Laghi, F., Cotugno, A., Cecere, F., Sirolli, A., Palazzoni, D., y Bosco, F. M. (2014). An
exploratory assessment of theory of mind and psychological impairment in patients with
bulimia nervosa. British Journal of Psychology, 105(4), 509-523.

Lang, K., Treasure, J., y Tchanturia, K. (2016). Is inefficient cognitive processing in anorexia
nervosa a familial trait? A neuropsychological pilot study of mothers of offspring with a
diagnosis of anorexia nervosa. The World Journal of Biological Psychiatry, 17(4), 258-
265.

Lavender, J. (2018). Affective and Neurocognitive Dimensions in a Transdiagnostic Eating
Disorder Sample: Examining Measurement Convergence and Associations with Clinical
Symptoms. Biological Psychiatry, 83(9), S373.

Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., y Rutter, M.
(2000). The Autism Diagnostic Observation Schedule-Generic: A standard measure of
social and communication deficits associated with the spectrum of autism. Journal of
Autism and Developmental Disorders, 30(3), 205-223.

Lord, C., Rutter, M., y Le Couteur, A. (1994). Autism Diagnostic Interview-Revised: a revised
version of a diagnostic interview for caregivers of individuals with possible pervasive
developmental disorders. Journal of Autism and Developmental Disorders, 24(5), 659-
685.

Lucarelli, J., Pappas, D., Welchons, L., y Augustyn, M. (2017). Autism spectrum disorder and
avoidant/restrictive food intake disorder. Journal of Developmental y Behavioral
Pediatrics, 38(1), 79-80.

Mandy, W., y Tchanturia, K. (2015). Do women with eating disorders who have social and
flexibility difficulties really have autism? A case series. Molecular Autism, 6(1), 6.

Mansour, S., Rozenblat, V., Fuller-Tyszkiewicz, M., Paganini, C., Treasure, J., y Krug, I. (2016).
Emotions mediate the relationship between autistic traits and disordered eating: A new
autistic-emotional model for eating pathology. Psychiatry Research, 245, 119-126.

Marshall, J., Ware, R., Ziviani, J., Hill, R. J., y Dodrill, P. (2015). Efficacy of interventions to
improve feeding difficulties in children with autism spectrum disorders: a systematic
review and meta?analysis. Child: Care, Health and Development, 41(2), 278-302.

Montagut, M., Romero, R.M.M., y Andrés, M. (2018). Influencia del sesgo de género en el
diagnóstico de trastorno de espectro autista: una revisión. Escritos de Psicología, 11(1),
42-54.

Must, A., Eliasziw, M., Phillips, S.M., Curtin, C., Kral, T.V., Segal, M., y Bandini, L.G. (2017).
The effect of age on the prevalence of obesity among US youth with autism spectrum
disorder. Childhood Obesity, 13(1), 25-35.

Nazar, B.P., Peynenburg, V., Rhind, C., Hibbs, R., Schmidt, U., Gowers, S., y Treasure, J. (2018).
An examination of the clinical outcomes of adolescents and young adults with broad
autism spectrum traits and autism spectrum disorder and anorexia nervosa: A multicentre study. International Journal of Eating Disorders, 51(2), 174-179.

Oldershaw, A., Lavender, T., y Schmidt, U. (2018). Are socio?emotional and neurocognitive
functioning predictors of therapeutic outcomes for adults with anorexia nervosa?
European Eating Disorders Review, 26(4), 346-359.

Plaisted, K. C. (2001). Reduced generalization in autism: An alternative to weak central
coherence. In J. A. Burack, T. Charman, N. Yirmiya, y P.R. Zelazo (Eds.), The
development of autism: Perspectives from theory and research (pp. 149-169). Mahwah,
NJ: Lawrence Erlbaum Associates Publishers.

Postorino, V., Sanges, V., Giovagnoli, G., Fatta, L.M., De Peppo, L., Armando, M., y Mazzone, L.
(2015). Clinical differences in children with autism spectrum disorder with and without
food selectivity. Appetite, 92, 126-132.

Ratcliffe, B., Wong, M., Dossetor, D., y Hayes, S. (2014). Teaching social–emotional skills to
school-aged children with Autism Spectrum Disorder: A treatment versus control trial in
41 mainstream schools. Research in Autism Spectrum Disorders, 8(12), 1722-1733.

Rohde, P., Stice, E., y Marti, C.N. (2015). Development and predictive effects of eating disorder
risk factors during adolescence: Implications for prevention efforts. International
Journal of Eating Disorders, 48(2), 187-198.

Rynkiewicz, A., Schuller, B., Marchi, E., Piana, S., Camurri, A., Lassalle, A., y Baron-Cohen, S.
(2016). An investigation of the ‘female camouflage effect’in autism using a
computerized ADOS-2 and a test of sex/gender differences. Molecular Autism, 7(1), 10.

Shmaya, Y., Eilat-Adar, S., Leitner, Y., Reif, S., y Gabis, L.V. (2017). Meal time behavior
difficulties but not nutritional deficiencies correlate with sensory processing in children
with autism spectrum disorder. Research in Developmental Disabilities, 66, 27-33.

Smith, K.E., Mason, T.B., Johnson, J.S., Lavender, J.M., y Wonderlich, S.A. (2018). A systematic
review of reviews of neurocognitive functioning in eating disorders: The state?of?
theliterature and future directions. International Journal of Eating Disorders, 51(8), 798-
821.

Stadnick, N., Chlebowski, C., Baker-Ericzén, M., Dyson, M., Garland, A., y Brookman-Frazee, L.
(2017). Psychiatric comorbidity in autism spectrum disorder: Correspondence between
mental health clinician report and structured parent interview. Autism, 21(7), 841-851.

Stewart, C. S., McEwen, F. S., Konstantellou, A., Eisler, I., y Simic, M. (2017). Impact of ASD
traits on treatment outcomes of eating disorders in girls. European Eating Disorders
Review, 25(2), 123-128.

Symons, D. K., y Clark, S. E. (2000). A longitudinal study of mother?child relationships and
theory of mind in the preschool period. Social Development, 9(1), 3-23.

Vissoker, R.E., Latzer, Y., y Gal, E. (2015). Eating and feeding problems and gastrointestinal
dysfunction in Autism Spectrum Disorders. Research in Autism Spectrum Disorders, 12,
10-21.

Westwood, H., Mandy, W., y Tchanturia, K. (2017). Clinical evaluation of autistic symptoms in
women with anorexia nervosa. Molecular Autism, 8(1), 12.

Westwood, H., Stahl, D., Mandy, W., y Tchanturia, K. (2016). The set-shifting profiles of anorexia
nervosa and autism spectrum disorder using the Wisconsin Card Sorting Test: a
systematic review and meta-analysis. Psychological Medicine, 46(9), 1809-1827.