{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:14:21Z","timestamp":1789661661306,"version":"4.0.1"},"reference-count":28,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p> Fragestellung: Neuere Untersuchungen belegen eine h\u00f6here Pr\u00e4valenz f\u00fcr autistische St\u00f6rungen als die ersten epidemiologischen Untersuchungen erwarten lie\u00dfen. In dieser Untersuchung wird \u00fcberpr\u00fcft, wie h\u00e4ufig eine Intelligenzminderung sowie komorbide psychiatrische St\u00f6rungen in einer klinischen Stichprobe von Patienten mit tief greifenden Entwicklungsst\u00f6rungen anzutreffen sind. Methodik: Die Stichprobe besteht aus 601 Patienten mit einer tief greifenden Entwicklungsst\u00f6rung. F\u00fcr alle Patienten wurde das Intelligenzniveau bestimmt. Auf Achse I wurden bis zu zwei weitere Diagnosen kodiert sowie behandlungsrelevante Symptome erfasst (Ess- und Schlafst\u00f6rungen, autoaggressives Verhalten), auf den Achsen V und VI die psychosozialen Belastungsfaktoren und das Gesamtniveau der psychosozialen Anpassung. Ergebnisse: Bei 26 % der Patienten lag das Intelligenzniveau im Normbereich (N = 158). 54 % aller Patienten (N = 325) hatten eine, 19 % (N = 110) zwei weitere psychiatrische Diagnosen. Die h\u00e4ufigsten Diagnosen waren externalisierende St\u00f6rungen (N = 221). Internalisierende (N = 96) und sonstige St\u00f6rungen (N = 114) kamen nur halb so oft vor. Autoaggressives Verhalten lag vor allem bei schweren Intelligenzminderungen vor. Es gab einen signifikanten Zusammenhang zwischen dem Auftreten von (auto-)aggressivem Verhalten und dem Ausma\u00df der psychosozialen Anpassung. Schlussfolgerungen: Patienten mit tief greifenden Entwicklungsst\u00f6rungen zeigen eine Vielzahl komorbider Symptome. Das Vorliegen externalisierender St\u00f6rungen beeintr\u00e4chtigt die psychosoziale Anpassung. <\/jats:p>","DOI":"10.1024\/1422-4917\/a000045","type":"journal-article","created":{"date-parts":[[2010,7,9]],"date-time":"2010-07-09T03:10:18Z","timestamp":1278645018000},"page":"257-266","source":"Crossref","is-referenced-by-count":16,"title":["Begleitsymptomatik bei tief greifenden Entwicklungsst\u00f6rungen"],"prefix":"10.1024","volume":"38","author":[{"given":"Michele A.","family":"Noterdaeme","sequence":"first","affiliation":[{"name":"Josefinum, Augsburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Wriedt","sequence":"additional","affiliation":[{"name":"Heckscher Klinikum, M\u00fcnchen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511543821.007"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2788.2003.00507.x"},{"key":"c3","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-200006000-00007"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.5.1155"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1159\/000085844"},{"key":"c6","volume-title":"Testbatterie f\u00fcr Geistig Behinderte (TBGB)","author":"Bondy R.","year":"1969"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.24.3093"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-002-0297-8"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ridd.2006.02.003"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1999.355403.x"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1023\/A:1025054610557"},{"key":"c12","volume":"11","author":"Gadow K.","year":"2008","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1023\/B:JADD.0000037415.21458.93"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.1998.tb01647.x"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1023\/B:JADD.0000029554.46570.68"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1159\/000100007"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2006.16.737"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-006-0123-0"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1023\/A:1005592401947"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1007\/BF02172145"},{"key":"c21","volume-title":"Multiaxiales Klassifikationsschema","author":"Remschmidt H.","year":"2001"},{"key":"c22","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162299000122"},{"key":"c23","volume-title":"Snijders-Oomen Non-verbaler Intelligenztest","author":"Snijders J.","year":"1997"},{"key":"c24","volume-title":"HAWIE-R: Hamburg-Wechsler Intelligenztest f\u00fcr Erwachsene","author":"Tewes U.","year":"1984"},{"key":"c25","volume-title":"HAWIK-III Hamburg-Wechsler-Intelligenztest f\u00fcr Kinder","author":"Tewes U.","year":"1999"},{"key":"c26","doi-asserted-by":"publisher","DOI":"10.1089\/cap.2005.15.477"},{"key":"c27","doi-asserted-by":"publisher","DOI":"10.4324\/9780203359396"},{"key":"c28","volume-title":"Internationale Klassifikation psychischer St\u00f6rungen","author":"World Health Organization","year":"1991"}],"container-title":["Zeitschrift f\u00fcr Kinder- und Jugendpsychiatrie und Psychotherapie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1422-4917\/a000045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T12:05:48Z","timestamp":1652011548000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1422-4917\/a000045"}},"subtitle":["I. 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