用于评估自闭症和一般人口成年人自我伤害的工具的测量特性
Victoria Newell1, Ellen Townsend1, Caroline Richards2
1School of Psychology, University of Nottingham, University Park, Nottingham NG7 2RD, United Kingdom.
Clinical psychology review
|March 19, 2024
概括
自闭症成年人面临更高的自我伤害风险. 这次审查确定了评估工具,发现很少适合自闭症患者,强调了在自闭症研究和实践中需要更好的测量.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 与普通人群相比,自闭症患者的自我伤害率更高.
- 目前的自我伤害评估工具可能没有得到充分的验证或适应用于自闭症成年人.
- 了解现有工具的测量特性对于在这个人口群体中进行准确评估至关重要.
研究的目的:
- 系统地识别和评估用于自闭症和一般成年人群中的自我伤害评估工具.
- 评估经常使用的自我伤害评估工具的测量特性和偏差风险.
- 为在涉及自闭症个体的研究和临床环境中适当应用这些工具提供建议.
主要方法:
- 在四个主要数据库 (PsycINFO,Embase,MEDLINE,Web of Science) 进行了两阶段的系统审查.
- 确定并评估了八种经常使用的自我伤害评估工具.
- 使用COSMIN检查清单来评估偏差风险,测量属性和证据质量.
主要成果:
- 两个工具,ISAS和QNSSI,显示出足够的内部一致性.
- 该NSSI-AT工具之前经常在自闭症成年人中使用.
- 关于自闭症人口中这些工具的内容有效性和特定测量属性的证据有限.
结论:
- 虽然ISAS,QNSSI和NSSI-AT显示出评估自闭症成年人自我伤害的潜力,但需要进一步验证.
- 对现有的自我伤害评估工具的调整可能是必要的,以提高它们对自闭症患者的有用性.
- 建议加强研究,以完善自闭症自我伤害的概念化和测量.
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