自闭症成年人子组的临床相关性:稳定性和预测价值
Tulsi A Radhoe1, Joost A Agelink van Rentergem1, Carolien Torenvliet1
1Dutch Autism & ADHD Research Center (d'Arc), Brain & Cognition, Department of Psychology, University of Amsterdam, Amsterdam, WS, Netherlands.
概括
这项研究证实了自闭症成年人的两个不同的子组,随着时间的推移具有稳定的特征. 这些子组预测临床结果,支持成人自闭症的定制支持.
科学领域:
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
- 纵向研究是指长度研究.
背景情况:
- 成年期的自闭症有着多样化的需求,挑战个性化支持.
- 之前的研究发现了两个子组:"低抓地力" (较低的掌握,更高的困难) 和"高抓地力" (更高的掌握,更低的困难).
研究的目的:
- 评估之前识别的自闭症子组的纵向稳定性.
- 确定这些子组对随时间推移的临床结果的预测价值.
主要方法:
- 在两个独立样本中对14个自我报告措施进行了社区检测分析.
- 在2年和5年随访期间进行长度评估.
- 分析子组数量,个人资料和成员稳定性,以及对认知,心理和生活质量结果的预测有效性.
主要成果:
- 自闭症和非自闭症成年人形成了不同的子组.
- 这两个自闭症子组在随访时始终被复制.
- 小组资料显示,2年后的相似性>50%,5年后的相似性为21%.
- 高分组成员稳定性:≥76%在2年和≥57%在5年.
- 小组成员预测了长达5年的临床结果.
结论:
- 确定的自闭症子组显示出显著的稳定性和预测有效性,特别是在2年期间.
- 这些发现支持对自闭症成年人量身定制干预的分组的临床实用性.
- 对临床应用的进一步研究可以增强对自闭症衰老的支持和理解.
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