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Psihijatrija danas 2009, vol. 41, br. 1-2, str. 129-140
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jezik rada: srpski
vrsta rada: prikaz slučaja
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Aspergerov sindrom, dijagnostičke dileme - uporedni prikaz dva slučaja
aUniverzitet u Beogradu, Medicinski fakultet, Institut za mentalno zdravlje bInstitut za mentalno zdravlje + Medicinski fakultet, Beograd
e-adresa: o.alexic@gmail.com
SažetakAspergerov sindrom (AS) je po MKB-10 i DSM-IV klasifikacionim sistemima uključen u kategoriju pervazivnih razvojnih poremećaja koje karakteriše izmenjena i/ili oskudna socijalna interakcija i komunikacija, odsustvo maštovitosti i zainteresovanosti za igru, uz ograničene i repetitivne obrasce ponašanja. Tokom protekle decenije došlo je do napretka u istraživanjima biološkog porekla pervazivnih razvojnih poremećaja, ali za sada još ne postoji specifični biološki marker koji bi identifikovao osobe sa ovim poremećajem. Poseban problem predstavlja precizna dijagnostika AS s obzirom na kliničke simptome i probleme u socijalnom funkcionisanju. Kliničari su spremniji da postojeće simptome AS svrstaju u neke češće nozološke entitete kao što su hiperkinetski sindrom sa poremećajem pažnje, ili psihoze u detinjstvu i mladosti. U radu su dati uporedni prikazi dečaka i adolescenta sa AS uz osvrt na pregled kliničkih karakteristika AS sa diskusijom smernica za kliničku procenu, dijagnostiku i implikacije za tretman.
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