Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Debates em Psiquiatria (Online) |
Texto Completo: | https://revistardp.org.br/revista/article/view/46 |
Resumo: | Autistic spectrum disorder (ASD) is a neurodevelopmental disorder defined by social deficits, language impairments, and repetitive behaviors with restricted interests. Gastrointestinal disorders are common in children with ASD, and studies have suggested that these changes may interfere with pathogenesis and prognosis in these individuals. The most common symptoms are chronic diarrhea, constipation, abdominal discomfort, gastroesophageal reflux and food intolerance. Gastrointestinal dysfunctions may manifest only by behavioral changes and thus interfere with the functioning of the individual, and may also affect the family relationship, being determinants of quality of life in these individuals. These changes may manifest as self- and hetero-aggression, as well as sleep disturbance or irritability. Due to the social interaction difficulties and speech alterations observed in individuals with ASD, in some cases gastrointestinal disorders are not recognized by the medical team, and behavioral changes are exclusively attributed to ASD, leading to treatment failure. Psychopharmaceuticals used to treat behavioral changes in ASD patients, such as risperidone, may also contribute to altering these children’s dietary patterns and gastrointestinal problems. Multidisciplinary followup is important in order to optimize and ensure earlier diagnosis and identify gastrointestinal problems, thus establishing individualized treatment and avoiding future limitations. |
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Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilitiesDisfunção gastrointestinal no transtorno do espectro autista e suas possíveis condutas terapêuticasDistúrbios gastrointestinaistranstorno do espectro autistadietaGastrointestinal disordersautism spectrum disorderdietAutistic spectrum disorder (ASD) is a neurodevelopmental disorder defined by social deficits, language impairments, and repetitive behaviors with restricted interests. Gastrointestinal disorders are common in children with ASD, and studies have suggested that these changes may interfere with pathogenesis and prognosis in these individuals. The most common symptoms are chronic diarrhea, constipation, abdominal discomfort, gastroesophageal reflux and food intolerance. Gastrointestinal dysfunctions may manifest only by behavioral changes and thus interfere with the functioning of the individual, and may also affect the family relationship, being determinants of quality of life in these individuals. These changes may manifest as self- and hetero-aggression, as well as sleep disturbance or irritability. Due to the social interaction difficulties and speech alterations observed in individuals with ASD, in some cases gastrointestinal disorders are not recognized by the medical team, and behavioral changes are exclusively attributed to ASD, leading to treatment failure. Psychopharmaceuticals used to treat behavioral changes in ASD patients, such as risperidone, may also contribute to altering these children’s dietary patterns and gastrointestinal problems. Multidisciplinary followup is important in order to optimize and ensure earlier diagnosis and identify gastrointestinal problems, thus establishing individualized treatment and avoiding future limitations.O transtorno do espectro autista (TEA) é um distúrbio do neurodesenvolvimento definido por déficits sociais, deficiências de linguagem e comportamentos repetitivos com interesses restritos. Os distúrbios gastrointestinais são comuns em crianças com TEA, e os estudos sugerem que essas alterações podem interferir na patogênese e no prognóstico desses indivíduos. Os sintomas mais comuns são diarreia crônica, constipação, desconforto abdominal, refluxo gastroesofágico e intolerância alimentar. As disfunções gastrointestinais podem se manifestar apenas por alterações comportamentais e, assim, interferir no funcionamento do indivíduo, podendo também afetar o relacionamento familiar, sendo determinantes da qualidade vida esses indivíduos. Essas alterações podem se apresentar na forma de auto e heteroagressão, bem como de perturbação do sono ou irritabilidade. Em razão da dificuldade de interação social e da alteração na fala dos indivíduos com TEA, algumas vezes os distúrbios gastrointestinais não são reconhecidos pela equipe assistente, e as alterações comportamentais são exclusivamente atribuídas ao TEA, o que leva ao insucesso do tratamento. Os psicofármacos utilizados para tratamento das alterações comportamentais em portadores de TEA, como a risperidona, também podem contribuir para a mudança do padrão de alimentação dessas crianças e para as alterações gastrointestinais. É importante um acompanhamento multidisciplinar, a fim de otimizar e assegurar o diagnóstico mais precoce e identificar os problemas gastrointestinais, estabelecendo-se, assim, um tratamento individualizado que evite limitações futuras.Associação Brasileira de Psiquiatria2019-12-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-ReviewedRevisado por ParesAvaliado Pelos Paresapplication/pdfhttps://revistardp.org.br/revista/article/view/4610.25118/2763-9037.2019.v9.46Debates in Psychiatry; Vol. 9 No. 4 (2019); 34-42Debates em Psiquiatria; Vol. 9 Núm. 4 (2019); 34-42Debates em Psiquiatria; v. 9 n. 4 (2019); 34-422763-90372236-918Xreponame:Debates em Psiquiatria (Online)instname:Associação Brasileira de Psiquiatria (ABP)instacron:ABPporhttps://revistardp.org.br/revista/article/view/46/33https://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessVilela, Débora Araújo MendesNascimento, Higor BermudesPalma, Sônia Maria Motta2022-06-09T20:16:21Zoai:ojs.emnuvens.com.br:article/46Revistahttps://revistardp.org.br/revista/oaiPUBhttps://revistardp.org.br/revista/oairdp@abp.org.br2763-90372236-918Xopendoar:2022-06-09T20:16:21Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP)false |
dc.title.none.fl_str_mv |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities Disfunção gastrointestinal no transtorno do espectro autista e suas possíveis condutas terapêuticas |
title |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
spellingShingle |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities Vilela, Débora Araújo Mendes Distúrbios gastrointestinais transtorno do espectro autista dieta Gastrointestinal disorders autism spectrum disorder diet |
title_short |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
title_full |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
title_fullStr |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
title_full_unstemmed |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
title_sort |
Gastrointestinal dysfunction in autistic spectrum disorder and therapeutic possibilities |
author |
Vilela, Débora Araújo Mendes |
author_facet |
Vilela, Débora Araújo Mendes Nascimento, Higor Bermudes Palma, Sônia Maria Motta |
author_role |
author |
author2 |
Nascimento, Higor Bermudes Palma, Sônia Maria Motta |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Vilela, Débora Araújo Mendes Nascimento, Higor Bermudes Palma, Sônia Maria Motta |
dc.subject.por.fl_str_mv |
Distúrbios gastrointestinais transtorno do espectro autista dieta Gastrointestinal disorders autism spectrum disorder diet |
topic |
Distúrbios gastrointestinais transtorno do espectro autista dieta Gastrointestinal disorders autism spectrum disorder diet |
description |
Autistic spectrum disorder (ASD) is a neurodevelopmental disorder defined by social deficits, language impairments, and repetitive behaviors with restricted interests. Gastrointestinal disorders are common in children with ASD, and studies have suggested that these changes may interfere with pathogenesis and prognosis in these individuals. The most common symptoms are chronic diarrhea, constipation, abdominal discomfort, gastroesophageal reflux and food intolerance. Gastrointestinal dysfunctions may manifest only by behavioral changes and thus interfere with the functioning of the individual, and may also affect the family relationship, being determinants of quality of life in these individuals. These changes may manifest as self- and hetero-aggression, as well as sleep disturbance or irritability. Due to the social interaction difficulties and speech alterations observed in individuals with ASD, in some cases gastrointestinal disorders are not recognized by the medical team, and behavioral changes are exclusively attributed to ASD, leading to treatment failure. Psychopharmaceuticals used to treat behavioral changes in ASD patients, such as risperidone, may also contribute to altering these children’s dietary patterns and gastrointestinal problems. Multidisciplinary followup is important in order to optimize and ensure earlier diagnosis and identify gastrointestinal problems, thus establishing individualized treatment and avoiding future limitations. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-12-27 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-Reviewed Revisado por Pares Avaliado Pelos Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistardp.org.br/revista/article/view/46 10.25118/2763-9037.2019.v9.46 |
url |
https://revistardp.org.br/revista/article/view/46 |
identifier_str_mv |
10.25118/2763-9037.2019.v9.46 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistardp.org.br/revista/article/view/46/33 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
publisher.none.fl_str_mv |
Associação Brasileira de Psiquiatria |
dc.source.none.fl_str_mv |
Debates in Psychiatry; Vol. 9 No. 4 (2019); 34-42 Debates em Psiquiatria; Vol. 9 Núm. 4 (2019); 34-42 Debates em Psiquiatria; v. 9 n. 4 (2019); 34-42 2763-9037 2236-918X reponame:Debates em Psiquiatria (Online) instname:Associação Brasileira de Psiquiatria (ABP) instacron:ABP |
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Associação Brasileira de Psiquiatria (ABP) |
instacron_str |
ABP |
institution |
ABP |
reponame_str |
Debates em Psiquiatria (Online) |
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Debates em Psiquiatria (Online) |
repository.name.fl_str_mv |
Debates em Psiquiatria (Online) - Associação Brasileira de Psiquiatria (ABP) |
repository.mail.fl_str_mv |
rdp@abp.org.br |
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1796798367357992960 |