Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research.
Associations between co-occurring conditions and age of autism diagnosis: Implications for mental health training and adult autism research.
复制标题
DOI：
10.1002/aur.2808
复制
发表时间：
2022-11
期刊：
影响因子：
4.7
通讯作者：
Bal, Vanessa H.
中科院分区：
文献类型：
--
作者：
Jadav, Nikita;Bal, Vanessa H.
成人自闭症研究越来越多地由后来诊断的成年人组成，但对这些成年人与早期诊断的成年人相比知之甚少。本研究检查了自闭症成年人认可的医疗和精神状况，并记录了儿童期与成年期被诊断为ASD的人之间的差异，以及出生时的年龄组和性别差异。4，657名法律上独立的成年人（年龄18 - 85岁，M = 33.4岁）完成了Simons Powering Autism Research Knowledge（SPARK）研究的医学问卷调查。卡方分析、t检验和logistic回归用于比较年龄组、出生性别和儿童期（21岁之前）与成年期（21岁或之后）诊断的成年人之间的医疗和精神状况。被专业人士诊断的疾病总数很高，样本中平均报告了1.69（SD = 2.01）种医学或发育疾病和2.98（SD = 2.29）种精神疾病。女性更有可能患有精神疾病（OR = 1.68）。成年诊断的成年人更可能认可精神疾病（OR = 2.71），并报告更多的终身精神病诊断（M = 3.15，SD = 2.23）比他们的童年诊断的同行（M = 2.81，SD = 2.33）。这些发现强调了研究的必要性，以更好地理解和治疗自闭症成人中共同发生的精神疾病，并报告和考虑成人自闭症样本的诊断年龄。此外，研究结果表明，精神卫生专业人员必须接受自闭症培训，以促进准确的鉴别诊断和公平获得精神卫生保健的自闭症成年人共同发生的精神疾病。在一个独立的自闭症成年人的大样本中，那些在21岁之后被诊断为ASD的人比那些在21岁之前被诊断为ASD的人有更多的精神病诊断。这突出了在研究中考虑ASD诊断年龄的重要性，并强调了在更广泛的心理健康领域进行自闭症培训的必要性。
Adult autism studies are increasingly comprised of later-diagnosed adults, yet little is known about how these adults compare to those diagnosed earlier in life. The present study examines medical and psychiatric conditions endorsed by autistic adults and documents differences between those diagnosed with ASD in childhood vs. adulthood, as well as across age groups and sex at birth. 4,657 legally independent adults (ages 18-85, M=33.4 years) with professional ASD diagnoses who completed a medical questionnaire were drawn from the Simons Powering Autism Research Knowledge (SPARK) study. Chi square analyses, t-tests, and logistic regressions were used to compare medical and psychiatric conditions between age groups, sex at birth and adults diagnosed in childhood (before age 21) vs. adulthood (at or after 21 years). Overall number of conditions endorsed as being diagnosed by a professional was high, with an average of 1.69 (SD=2.01) medical or developmental and 2.98 (SD=2.29) psychiatric conditions reported across the sample. Females were more likely to endorse psychiatric conditions (OR=1.68). Adult-diagnosed adults were more likely to endorse psychiatric conditions (OR=2.71) and reported more lifetime psychiatric diagnoses (M=3.15, SD=2.23) than their childhood-diagnosed counterparts (M=2.81, SD=2.33). These findings underscore the need for research to better understand and treat co-occurring psychiatric conditions in autistic adults and report and consider the age of diagnosis in adult autism samples. Moreover, results suggest it is imperative that mental health professionals receive autism training to promote accurate differential diagnosis and equitable access to mental health care for autistic adults with co-occurring psychiatric conditions. In a large sample of independent autistic adults, those diagnosed with ASD after 21 years of age indicated having more psychiatric diagnoses than those diagnosed before 21 years of age. This highlights the importance of considering age of ASD diagnosis in research and underscores a need for autism training in the broader mental health field.
登录
查看更多内容
DOI：
10.1177/1362361320945540
发表时间：
2021-01
期刊：
Autism : the international journal of research and practice
影响因子：
--
作者：
Hosozawa M;Sacker A;Cable N
通讯作者：
Cable N
影响因子：
6.7
作者：
Rodgaard, Eya-Mist;Jensen, Kristian;Miskowiak, Kamilla Woznica;Mottron, Laurent
通讯作者：
Mottron, Laurent
影响因子：
3.9
作者：
Gillespie-Lynch K;Sepeta L;Wang Y;Marshall S;Gomez L;Sigman M;Hutman T
通讯作者：
Hutman T
影响因子：
5.2
作者：
Russell, Ailsa J.;Murphy, Clodagh M.;Murphy, Declan G. M.
通讯作者：
Murphy, Declan G. M.
影响因子：
4.7
作者：
Huang, Yunhe;Arnold, Samuel R. C.;Trollor, Julian N.
通讯作者：
Trollor, Julian N.