Prevalence and Risk-Markers of Self-Harm in Autistic Children and Adults.
Prevalence and Risk-Markers of Self-Harm in Autistic Children and Adults.
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DOI：
10.1007/s10803-019-04260-1
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发表时间：
2020-10
影响因子：
3.9
通讯作者：
Richards C
中科院分区：
文献类型：
--
作者：
Licence L;Oliver C;Moss J;Richards C
据称，自残在自闭症患者中很常见，但研究不足，特别是在年轻样本和无智力障碍的样本中。本研究旨在描述适应性功能不受影响的自闭症患者中自我伤害的患病率、概况和相关性。 自闭症参与者的父母 (n = 83) 完成了有关自残的存在/情况、人口特征、自闭症严重程度、诊断年龄、情感、活动水平和重复行为的调查问卷。 24.10%的参与者有过自残行为。自残与冲动、过度活动、负面情绪、强迫行为和坚持千篇一律的水平显着升高有关。情绪低落和过度活跃/冲动预示着自残的存在，该模型正确分类了 82.9% 的病例。研究结果强调了行为抑制受损和情绪低落在自闭症自残的病因机制中所起的作用。
Self-harm is purportedly common in autistic individuals, but under-researched, particularly in younger samples and those without intellectual disability. This study aimed to describe prevalence, profile and correlates of self-harm in autistic individuals without impairments in adaptive functioning. Parents of autistic participants (n = 83) completed questionnaires regarding the presence/topography of self-harm, demographic characteristics, autism severity, age of diagnosis, affect, activity levels and repetitive behaviour. 24.10% of participants engaged in self-harm. Self‐harm was associated with significantly higher levels of impulsivity, over-activity, negative affect, compulsive behaviour and insistence on sameness. Low mood and overactivity/impulsivity predicted the presence of self-harm, with the model correctly classifying 82.9% of cases. Findings highlight a role for impaired behavioural inhibition and low mood in the aetiological mechanisms underpinning self-harm in autism.
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