Depression in independent young adults on the autism spectrum: Demographic characteristics, service use, and barriers
Depression in independent young adults on the autism spectrum: Demographic characteristics, service use, and barriers
复制标题
自闭症谱系独立年轻人的抑郁症：人口特征、服务使用和障碍
DOI：
10.1177/13623613211008276
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发表时间：
2021
期刊：
影响因子：
5.2
通讯作者：
S. Bishop
中科院分区：
文献类型：
--
作者：
Shuting Zheng;Ryan E Adams;J. Taylor;Florencia Pezzimenti;S. Bishop
抑郁症是自闭症谱系成年人的常见问题，但对这一群体中与抑郁症相关的服务接收知之甚少。为了更好地了解抑郁症的诊断和治疗状况，我们收集了西蒙斯基金会为自闭症知识研究提供动力登记处的315名儿童期诊断为自闭症的年轻人的当前抑郁症状，抑郁症诊断和治疗状况的信息。大约三分之二（65.4%）的成年人被诊断患有抑郁症，46.7%的人目前符合抑郁症状测量的抑郁症临床截止值。在目前的抑郁症患者中，大多数（83.0%）有正式的抑郁症诊断。尽管女性（生理性别）目前患抑郁症的可能性并不比男性高，但女性（生理性别）更有可能被诊断为抑郁症。至于抑郁症治疗，58.5%的抑郁症成年人目前正在接受治疗，68%的人以前接受过治疗。药物治疗是最常见的治疗形式，其次是个体治疗。接受抑郁症治疗的可能性在那些有正式抑郁症诊断和教育水平较高的人中更高。成年人报告了获得抑郁症治疗的几个障碍，包括财务和保险问题，获得适当护理的机会，以及专业人员对自闭症抑郁症缺乏了解。抑郁症在自闭症谱系的成年人中很常见，但人们对这些生活在社区中的成年人获得抑郁症诊断和治疗服务的程度知之甚少。为了解决这一差距，我们调查了315名自闭症谱系成年人的抑郁症状，诊断和服务。大约一半的样本在标准抑郁测量中的得分表明他们目前患有抑郁症（n = 147，46.7%）。在目前抑郁的人中，大多数人都接受过专业人士的抑郁症诊断。抑郁的女性比抑郁的男性有抑郁症诊断的可能性高3.5倍。目前患有抑郁症的自闭症患者中，超过一半的人在研究期间接受过抑郁症治疗，而大约三分之二的人以前接受过治疗。那些被诊断为抑郁症的人更有可能接受治疗，而那些受过高中以上教育的人更有可能正在接受治疗。财务和保险问题是成年人在获得抑郁症治疗方面最常见的障碍。
Depression is a common problem for adults on the autism spectrum, but little is known about depression-related service receipt in this group. To understand depression diagnostic and treatment status better, we collected information on current depressive symptoms, depression diagnosis, and treatment status of 315 young adults with a childhood diagnosis of autism from the Simons Foundation Powering Autism Research for Knowledge registry. About two-thirds (65.4%) of the adults had been diagnosed with depression, and 46.7% currently met clinical cut-offs for depression on depressive symptoms measures. Among the currently depressed, the majority (83.0%) had a formal depression diagnosis. Despite being no more likely than males to be currently depressed, females (biological sex) were more likely to have received a depression diagnosis. As for depression treatment, 58.5% of currently depressed adults were currently being treated, and 68% had previously received treatment. Medication was the most common form of treatment, followed by individual therapy. Likelihood of receiving depression treatment was higher among those with a formal depression diagnosis and with higher levels of education. Adults reported several barriers to accessing treatment for depression, including financial and insurance issues, accessibility to appropriate care, and professionals’ lack of understanding about depression in autism. Lay abstract Depression is common among adults on the autism spectrum, but little is known about the extent to which these adults living in the community access diagnostic and treatment services for depression. To address this gap, we surveyed 315 adults on the autism spectrum on depression symptoms, diagnosis, and services. About half of the sample had scores on standard depression measures that suggested they were currently depressed (n = 147, 46.7%). Among the currently depressed, most of them had received a depression diagnosis from a professional. Depressed females were about 3.5 times more likely than depressed males to have a depression diagnosis. More than half of the currently depressed adults on the autism spectrum reported receiving depression treatment at the time of the study, while about two-thirds had previously received treatment. Those with a depression diagnosis were more likely to have received treatment, and those who had some education beyond high school were more likely to be currently receiving treatment. Financial and insurance issues were the most common barriers that adults reported in accessing treatment for depression.
影响因子：
6.6
作者：
KESSLER, RC;MCGONAGLE, KA;NELSON, CB
通讯作者：
NELSON, CB