Risks Associated With Undiagnosed ADHD and/or Autism: A Mixed-Method Systematic Review.
Risks Associated With Undiagnosed ADHD and/or Autism: A Mixed-Method Systematic Review.
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DOI：
10.1177/10870547231176862
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发表时间：
2023-10
影响因子：
3
通讯作者：
Cassidy, Sarah
中科院分区：
文献类型：
--
作者：
French, Blandine;Daley, David;Groom, Madeleine;Cassidy, Sarah
两种最普遍的神经发育障碍-注意缺陷多动障碍（ADHD）和自闭症（ASD）-（ASD/ADHD）强烈影响个体的功能。当个体未被诊断时，这种情况会恶化，并且经常观察到诸如增加的抑郁症，抑郁症或药物滥用等风险。本系统综述综合了与晚期/未诊断的ASD/ADHD相关的风险。检索了4个数据库（Medline、Scopus、PsychInfor和Embase）。已发表的研究探索未诊断的ASD/ADHD的影响也包括在内。排除标准包括，缺乏诊断状态，研究不仅仅是ASD或ADHD，灰色文献和研究不是英语。通过叙述性综合对调查结果进行了总结。共确定了17项研究，14项关于ADHD，3项关于ASD。叙述性综合确定了三个主题：（1）健康，（2）犯罪行为，（3）日常影响。这些风险强调了对心理健康和社会交往的重大影响，药物滥用，事故和犯罪行为的风险较高，以及收入和教育水平较低。研究结果表明，未诊断的ASD/ADHD与影响个人，家庭和更广泛社会的许多风险和负面结果有关。ASD的研究数量有限，这些研究结果的推广是一个限制-研究和实践的影响进行了讨论，强调筛选的重要性，并承认ASD/ADHD的可能性，在许多设置，如精神科和法医。
The two most prevalent neurodevelopmental disorders—Attention Deficit Hyperactivity Disorder (ADHD) and Autism (ASD)—(ASD/ADHD) strongly impact individuals’ functions. This is worsened when individuals are undiagnosed and risks such as increased imprisonments, depression or drug misuse are often observed. This systematic review synthesizes the risks associated with late/undiagnosed ASD/ADHD. Four databases were searched (Medline, Scopus, PsychInfor, and Embase). Published studies exploring the impact of undiagnosed ASD/ADHD were included. Exclusion criteria included, lack of diagnosis status, studies not solely on ASD or ADHD, gray literature and studies not in English. The findings were summarize through a narrative synthesis. Seventeen studies were identified, 14 on ADHD and three on ASD. The narrative synthesis identified three main themes: (1) Health, (2) Offending behavior, and (3) Day-to-day impact. The risks highlighted a significant impact on mental wellbeing and social interactions, higher risks of substance abuse, accidents and offending behavior as well as lower levels of income and education. The findings suggest that undiagnosed ASD/ADHD is linked to many risks and negative outcomes affecting individuals, their families, and the wider society. The restricted number of studies on ASD are a limitation to the generalization of these findings Implications for research and practice are discussed, highlighting the importance of screening and acknowledging the possibility of ASD/ADHD in many settings such as psychiatric and forensic.
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影响因子：
3.6
作者：
Chronis-Tuscano, Andrea;Raggi, Veronica L.;Clarke, Tana L.;Rooney, Mary E.;Diaz, Yamalis;Pian, Jessica
通讯作者：
Pian, Jessica
DOI：
10.1089/aut.2020.0071
发表时间：
2021-12-01
期刊：
Autism in adulthood : challenges and management
影响因子：
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作者：
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通讯作者：
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作者：
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通讯作者：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
Swindle, Ralph W.