Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: a Systematic Review.

Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: a Systematic Review.
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DOI:
10.1007/s40489-020-00225-8
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发表时间:
2021
影响因子:
3.8
通讯作者:
Colvert E
Colvert E
中科院分区:
心理学3区
文献类型:
--
作者:
Lockwood Estrin G;Milner V;Spain D;Happé F;Colvert E

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人们越来越认识到,患有自闭症谱系障碍 (ASD) 的妇女和女孩得不到诊断所需的临床标准和流程的服务。这项混合方法系统评价旨在找出 21 岁以下女孩和年轻女性获得 ASD 诊断的主要障碍。确定了六个主题,重点关注感知到的性别症状,即行为问题、社交和沟通能力、语言、关系、额外的诊断/困难以及受限和重复的行为和兴趣。五个主题被确定为(父母)感知的诊断障碍,即补偿行为、父母的担忧、他人的看法、信息/资源的缺乏和临床医生的偏见。本综述强调了加强对女性自闭症谱系障碍(ASD)在整个发展过程中表现的广泛理解和认识的重要性。 PROSPERO 审查和传播中心 (ID 2018 CRD42018087235) 本文的在线版本 (10.1007/s40489-020-00225-8) 包含补充材料,可供授权用户使用。
There is increased recognition that women and girls with autism spectrum disorders (ASD) are underserved by the clinical criteria and processes required to receive a diagnosis. This mixed-methods systematic review aimed to identify key barriers to obtaining an ASD diagnosis in girls and young women under 21 years. Six themes were identified that focused on perceived gendered symptoms, namely behavioural problems, social and communication abilities, language, relationships, additional diagnoses/difficulties and restricted and repetitive behaviours and interests. Five themes were identified as (parental) perceived barriers to diagnosis, namely compensatory behaviours, parental concerns, others’ perceptions, lack of information/resources and clinician bias. This review highlights the importance of enhancing widespread understanding and recognition of ASD presentation in females across development. PROSPERO Centre for Reviews and Dissemination (ID 2018 CRD42018087235) The online version of this article (10.1007/s40489-020-00225-8) contains supplementary material, which is available to authorized users.
DOI: 10.1007/s10803-018-3792-6
发表时间: 2019-03-01
影响因子: 3.9
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