Ambivalent effects of highly estimated personal strengths on adaptive functioning and internalizing symptoms in non-clinical autistic females
Ambivalent effects of highly estimated personal strengths on adaptive functioning and internalizing symptoms in non-clinical autistic females
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DOI：
10.1007/s12144-023-04285-x
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发表时间：
2023-03-13
影响因子：
2.8
通讯作者：
Funabiki，Yasuko
中科院分区：
文献类型：
--
作者：
Sejima，Kanako;Uozumi，Ryuji;Funabiki，Yasuko
近年来，人们发现具有自闭症特征的个体，尤其是女性，会使用补偿策略（如隐藏其自闭症特征或补偿性学习）来更好地适应环境。虽然预测这些策略与非临床未确诊的自闭症患者有关，但他们的适应状态及其影响因素在很大程度上仍未被探索，特别是性别的影响。我们利用《成人自我报告》（ASR）和《成人行为检查表》（他人评定）中的个人优势项目，对日本各地接受在线调查的非临床高自闭症特征成人（高，N = 89，在自闭症谱系筛查问卷：ASSQ，自我和/或他人评定中得分19分或更高）的优势进行了探讨。我们将高自闭症特征组与低自闭症特征组（低，N = 408，在线调查中ASSQ自我和其他评分均小于19）和自闭症谱系障碍组（ASD, N = 50，首次就诊）进行比较，并按性别进行比较。在高组中，他人评估的个人优势显著高于自我评估的个人优势，在女性中尤为显著，而在低组中则相反，在低组中则相当。多元回归分析显示，其他人估计的个人优势增加了适应功能，高组女性的内化症状恶化，两者都使用ASR进行评估。因此，非临床自闭症女性似乎具有独特的适应风格。
Recently, individuals with autistic traits, especially female, have been known to use compensatory strategies (e.g. hiding their autistic traits or compensatory learning) for better adaptation. Though these strategies are predicted to be relevant with the non-clinical undiagnosed autistic people, their adaptive status and the factor contributing to it remain largely unexplored, especially the influence of gender. We explored the strengths of non-clinical adults with high autistic traits (high, N = 89, scored 19 or higher on Autism Spectrum Screening Questionnaire: ASSQ, self- and/or other-ratings) who were respondents to an online survey recruited from all over Japan, using items of the personal strengths in the Adult Self Report (ASR) and Adult Behavior Checklist (rating by others). We compared the high group with the low autistic traits group (low, N = 408, less than 19 on both ASSQ self- and other- ratings on the online survey) and the autism spectrum disorder group (ASD, N = 50, initial visit to hospital), as well as by gender. Personal strengths estimated by others were significantly higher than those by self in the high group, especially in females, but were opposite in the ASD group and equivalent in the low group, respectively. Multiple regression analysis revealed that personal strengths estimated by others increased adaptive functioning, with worsening of internalizing symptoms in high group females, both of which were assessed using ASR. Thus, non-clinical autistic females appeared to have unique adaptation styles.