关键词: Autistic traits Eating disorders Sensory sensitivity Young adults

Mesh : Humans Young Adult Child Adolescent Adult Autistic Disorder Mental Health Ambulatory Care Facilities Anxiety Child Development Disorders, Pervasive

来  源:   DOI:10.1007/s40519-024-01639-7   PDF(Pubmed)

Abstract:
OBJECTIVE: The relationship between autistic traits and eating disturbances has been given considerable attention over the last decades. The rise of a dimensional approach to psychopathology has expanded the way we think about autism, acknowledging that subthreshold autistic manifestations span across the general population and are more pronounced in psychiatric patients. Here we investigated the prevalence of eating disorders and its potential relationship with autistic traits and sensory sensitivity in a group of patients who were referred for the first time to a mental health outpatient clinic, without a formal diagnosis yet.
METHODS: 259 young adults (between 18 and 24 years old) completed: the Eating Attitude Test (EAT-26), the Swedish Eating Assessment for Autism Spectrum Disorders (SWEAA), the Autism Quotient (AQ), the Ritvo Autism Asperger Diagnostic Scale-Revised (RAADS-R), and the Sensory Perception Quotient-Short Form 35 item (SPQ-SF35).
RESULTS: 23.55% of participants scored above the cut-off at the EAT-26, suggesting that they presented a risk for eating disorders and should be assessed by a specialized clinician; associations emerged between hypersensitivity in the touch and vision domain and both the EAT-26 and the SWEAA; the presence of autistic traits was largely associated with eating disturbances.
CONCLUSIONS: This study underlines the significance of the eating domain as a central psychopathological feature in the distress experienced by young adults with general psychiatric symptoms and psychological suffering; it adds evidence to the association between autistic traits and eating disorders and opens to new research questions about the role of subthreshold autistic traits in general psychopathology.
METHODS: Level I: Evidence obtained from experimental studies.
摘要:
目的:在过去的几十年中,自闭症特征与饮食失调之间的关系受到了广泛的关注。精神病理学维度方法的兴起扩大了我们对自闭症的思考方式,承认亚阈值孤独症的表现遍及普通人群,在精神病患者中更为明显。在这里,我们调查了首次转诊至精神卫生门诊的一组患者中饮食失调的患病率及其与自闭症特征和感觉敏感性的潜在关系,还没有正式的诊断.
方法:259名年轻人(18至24岁)完成:饮食态度测试(EAT-26),瑞典自闭症谱系障碍饮食评估(SWEAA),自闭症商(AQ),Ritvo自闭症Asperger诊断量表修订版(RAADS-R),和感官感知商简表35项(SPQ-SF35)。
结果:23.55%的参与者在EAT-26的得分高于临界值,这表明他们存在饮食失调的风险,应由专业临床医生进行评估;触摸和视觉领域的超敏反应与EAT-26和SWEAA之间出现关联;自闭症特征的存在很大程度上与饮食失调有关。
结论:这项研究强调了饮食领域作为具有一般精神症状和心理痛苦的年轻人所经历的痛苦中的主要精神病理学特征的重要性;它为自闭症特征与饮食失调之间的关联增加了证据,并为有关阈值下自闭症特征在一般精神病理学中的作用的新研究问题打开了大门。
方法:一级:从实验研究中获得的证据。
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