A Meta-analysis of Outcome Studies of Autistic Adults: Quantifying Effect Size, Quality, and Meta-regression.

A Meta-analysis of Outcome Studies of Autistic Adults: Quantifying Effect Size, Quality, and Meta-regression.
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成人孤独症结局研究的荟萃分析:量化效应大小、质量和荟萃回归。

DOI:
10.1007/s10803-020-04763-2
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发表时间:
2021-09
影响因子:
3.9
通讯作者:
Happé F
Happé F
中科院分区:
心理学3区
文献类型:
--
作者:
Mason D;Capp SJ;Stewart GR;Kempton MJ;Glaser K;Howlin P;Happé F

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纵向研究通常报告了大多数自闭症患者(约50 -60%)成年后的不良结局。有几个因素可以预测结果(如智商),但结果仍然是混合的。本文介绍了一个更新的荟萃分析自闭症的结果研究,并扩展了以前的研究结果与额外的分析(包括元回归)。共筛选了4088条记录,18项研究,涉及1199人,被纳入定量分析。估计的百分比表明,20.0%的参与者被评为具有良好的结果,26.6%的结果是公平的,49.3%的结果是差的。荟萃回归分析表明,较低的智商在成年期是预测不良的结果,其他荟萃回归模型没有生存的多重比较校正。总的来说,自闭症患者的结果平均很差,较高的智商似乎可以防止结果不好。目前的结构的结果的局限性进行了讨论。本文的在线版本(10.1007/s10803-020-04763-2)包含补充材料,可供授权用户使用。
Longitudinal studies have generally reported poor outcomes in adulthood for the majority of individuals (c.50–60%) with autism. Several factors putatively predict outcome (e.g. IQ), but findings remain mixed. This paper presents an updated meta-analysis of autism outcome studies and extends previous findings with additional analyses (including meta-regression). A total of 4088 records was screened and 18 studies, involving 1199 individuals, were included in the quantitative analysis. Estimated percentages indicated that 20.0% of participants were rated as having a good outcome, 26.6% a fair outcome, and 49.3% a poor outcome. Meta-regression indicated that lower IQ in adulthood was predictive of poor outcome; other meta-regression models did not survive correction for multiple comparisons. Overall, outcomes for autistic people are on average poor, and higher IQ appears to be protective against having a poor outcome. The limitations of current constructs of outcome are discussed. The online version of this article (10.1007/s10803-020-04763-2) contains supplementary material, which is available to authorized users.
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