PDF(Pubmed)
Abstract：
UNASSIGNED: The medical and social definitions of neurodivergence have become a common topic of discussion in recent years, and the ways that we define, measure and report on conditions within the neurodivergent umbrella are changing. The objective of this study was to analyze differences in mental health symptom presentation at intake and compare treatment outcomes among three groups: clients with an affirming neurodivergent diagnosis, clients without an affirming diagnosis, and neurotypical clients.
UNASSIGNED: Data were collected at intake and discharge. Clients self-reported neurodivergent identity, neurodivergent diagnoses, as well as the severity of depression symptoms, anxiety symptoms and self-harm frequency. One-way multivariate analysis of variance tests were run to assess differences in mental health symptoms at intake and discharge based on neurodivergent identity and corresponding diagnosis. When MANOVAs indicated significant differences, follow-up univariate one-way ANOVAs were conducted for each dependent variable.
UNASSIGNED: Neurodivergent clients reported significantly worse mental health symptoms at intake than neurotypical clients, regardless of diagnosis status. Additionally, clients who identified as neurodivergent but did not report an affirming medical diagnosis reported significantly worse mental health symptoms than those who did report an affirming medical diagnosis. By discharge from IOP treatment, no significant differences were found in symptom change scores between neurodivergent and neurotypical individuals, or neurodivergent individuals with an affirming diagnosis and those without.
UNASSIGNED: These findings highlight the importance of acknowledging client identity as a key component of mental health treatment. The act of validating symptoms and experiences, allowing accommodations when requested, and exploring identity formation regardless of diagnosis, allowed all clients who identified as neurodivergent to benefit from treatment.
UNASSIGNED: Data were collected at intake and discharge. Clients self-reported neurodivergent identity, neurodivergent diagnoses, as well as the severity of depression symptoms, anxiety symptoms and self-harm frequency. One-way multivariate analysis of variance tests were run to assess differences in mental health symptoms at intake and discharge based on neurodivergent identity and corresponding diagnosis. When MANOVAs indicated significant differences, follow-up univariate one-way ANOVAs were conducted for each dependent variable.
UNASSIGNED: Neurodivergent clients reported significantly worse mental health symptoms at intake than neurotypical clients, regardless of diagnosis status. Additionally, clients who identified as neurodivergent but did not report an affirming medical diagnosis reported significantly worse mental health symptoms than those who did report an affirming medical diagnosis. By discharge from IOP treatment, no significant differences were found in symptom change scores between neurodivergent and neurotypical individuals, or neurodivergent individuals with an affirming diagnosis and those without.
UNASSIGNED: These findings highlight the importance of acknowledging client identity as a key component of mental health treatment. The act of validating symptoms and experiences, allowing accommodations when requested, and exploring identity formation regardless of diagnosis, allowed all clients who identified as neurodivergent to benefit from treatment.
摘要：
■近年来，神经分化的医学和社会定义已成为讨论的共同话题，以及我们定义的方式，测量和报告神经发散伞内的状况正在发生变化。这项研究的目的是分析摄入时心理健康症状表现的差异，并比较三组之间的治疗结果：具有肯定的神经分歧诊断的客户，没有确认诊断的客户，和神经典型的客户。
■在摄入和排出时收集数据。客户自我报告的神经分歧身份，神经发散诊断，以及抑郁症状的严重程度，焦虑症状和自我伤害频率。进行了单向多变量方差分析，以根据神经发散的身份和相应的诊断来评估摄入和出院时心理健康症状的差异。当MANOVA显示显著差异时，对每个因变量进行单变量单因素方差分析。
■Neurodivergent患者报告的精神健康症状明显比神经典型患者更差，无论诊断状态如何。此外,被确定为神经发散症但未报告确证医学诊断的患者报告的精神健康症状明显比报告确证医学诊断的患者更糟糕.通过眼压治疗出院，神经发散个体和神经典型个体之间的症状变化评分没有发现显著差异，或有肯定诊断的神经发散个体和没有诊断的个体。
■这些发现强调了承认客户身份作为心理健康治疗的关键组成部分的重要性。验证症状和经验的行为，当要求时允许住宿，探索身份形成，无论诊断如何，允许所有确定为神经发散的患者从治疗中受益。
■在摄入和排出时收集数据。客户自我报告的神经分歧身份，神经发散诊断，以及抑郁症状的严重程度，焦虑症状和自我伤害频率。进行了单向多变量方差分析，以根据神经发散的身份和相应的诊断来评估摄入和出院时心理健康症状的差异。当MANOVA显示显著差异时，对每个因变量进行单变量单因素方差分析。
■Neurodivergent患者报告的精神健康症状明显比神经典型患者更差，无论诊断状态如何。此外,被确定为神经发散症但未报告确证医学诊断的患者报告的精神健康症状明显比报告确证医学诊断的患者更糟糕.通过眼压治疗出院，神经发散个体和神经典型个体之间的症状变化评分没有发现显著差异，或有肯定诊断的神经发散个体和没有诊断的个体。
■这些发现强调了承认客户身份作为心理健康治疗的关键组成部分的重要性。验证症状和经验的行为，当要求时允许住宿，探索身份形成，无论诊断如何，允许所有确定为神经发散的患者从治疗中受益。
