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Patients with chronic fatigue syndrome do not score higher on the autism-spectrum quotient than healthy controls: Comparison with autism spectrum disorder
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Danderyd University Hospital, Karolinska Institutet, Sweden.
Department of Clinical Sciences, Danderyd University Hospital, Karolinska Institutet; and ME/CFS-rehabilitation, Department of Rehabilitation Medicine, Danderyd University Hospital, Stockholm, Sweden.
Department of Medical Sciences, Örebro University, Örebro, Sweden.
2018 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 59, no 4, p. 428-432Article in journal (Refereed) Published
Abstract [en]

Clinically, there is an overlap of several symptoms of chronic fatigue syndrome (CFS) and autism spectrum disorder (ASD), including fatigue; brain "fog"; cognitive impairments; increased sensitivity to sound, light, and odour; increased pain and tenderness; and impaired emotional contact. Adults with CFS (n = 59) or ASD (n = 50) and healthy controls (HC; n = 53) were assessed with the Autism-Spectrum Quotient (AQ) in a cross-sectional study. Non-parametric analysis was used to compare AQ scores among the groups. Univariate analysis of variance (ANCOVA) was used to identify if age, sex, or diagnostic group influenced the differences in scores. Patients with ASD scored significantly higher on the AQ than the CFS group and the HC group. No differences in AQ scores were found between the CFS and HC groups. AQ results were influenced by the diagnostic group but not by age or sex, according to ANCOVA. Despite clinical observations of symptom overlap between ASD and CFS, adult patients with CFS report few autistic traits in the self-report instrument, the AQ. The choice of instrument to assess autistic traits may influence the results.

Place, publisher, year, edition, pages
Blackwell Publishing, 2018. Vol. 59, no 4, p. 428-432
Keywords [en]
Autism-Spectrum Quotient; autism spectrum disorder; chronic fatigue syndrome
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:liu:diva-155863DOI: 10.1111/sjop.12451ISI: 000437295200009PubMedID: 29738079OAI: oai:DiVA.org:liu-155863DiVA, id: diva2:1300773
Available from: 2019-03-29 Created: 2019-03-29 Last updated: 2019-05-03

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