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Camouflaging und Masking k\u00f6nnen im klinischen Hochrisikostadium dazu beitragen, dass eine zugrundeliegende ASD unerkannt bleibt. Der vorliegende Fall verdeutlicht die langj\u00e4hrige klinische Anamnese eines Patienten, dessen autistische Kernsymptomatik \u00fcber Jahre hinweg als therapieresistente Negativsymptomatik einer Schizophrenie klassifiziert wurde. Erst durch eine laufende klinische Beobachtung im station\u00e4ren Setting konnte eine ASD mittels Goldstandardverfahren gesichert werden. Der Fall beschreibt die Notwendigkeit, ASD als wesentliche Differenzialdiagnose in der Fr\u00fcherkennung bei psychotischer Erstmanifestation zu ber\u00fccksichtigen. Eine erh\u00f6hte Sensibilisierung f\u00fcr autistische Ph\u00e4nomenologie k\u00f6nnte dazu beitragen fr\u00fchzeitig ad\u00e4quate Unterst\u00fctzung einzuleiten und den Betroffenen die Entwicklung eines koh\u00e4renten Erkl\u00e4rungsmodells ihres Erlebens zu erm\u00f6glichen.<\/jats:p>","DOI":"10.1007\/s40211-026-00595-1","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:40:26Z","timestamp":1790070026000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vom Psychoserisiko zur Autismus-Spektrum-St\u00f6rung: differenzialdiagnostische Abgrenzung anhand eines Fallberichts","From clinical high risk for psychosis to autism spectrum disorder: navigating the challenges of differential diagnosis\u2014A case report"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2020-7906","authenticated-orcid":false,"given":"Paula","family":"Hoppstock","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Foerster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Schauer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximus","family":"Berger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niklas","family":"Fiebig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilufar","family":"Mossaheb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Baumgartner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Friedrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,22]]},"reference":[{"issue":"3","key":"595_CR1","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1002\/aur.2659","volume":"15","author":"A Jutla","year":"2022","unstructured":"Jutla\u00a0A, Foss-Feig\u00a0J, Veenstra-VanderWeele\u00a0J. 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