在患有自闭症谱系障碍和没有自闭症的青少年中,在紧急精神病学评估期间进行创伤诊断
Alexandra Junewicz1,2, Sakshi Dhir1,2, Fei Guo1
1NYU Grossman School of Medicine, USA.
Autism : the international journal of research and practice
|September 6, 2024
概括
自闭症青少年经历创伤,但不太可能接受创伤诊断. 这表明,自闭症青少年可能错过了创伤症状,特别是那些有沟通挑战的人.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 创伤研究 创伤研究
背景情况:
- 自闭症青少年面临更高的虐待和创伤风险.
- 在自闭症青少年中识别创伤症状,特别是那些口头沟通有限的青少年,带来了重大挑战.
- 现有的诊断实践可能无法充分捕捉这一群体的创伤经历.
研究的目的:
- 为了比较自闭症青少年与非自闭症青少年在儿科精神病紧急情况中的创伤相关诊断率.
- 调查自闭症青少年创伤诊断中的潜在差异.
- 突出需要在自闭症患者中改进创伤评估.
主要方法:
- 一项比较性研究分析了专门的儿科精神病医疗急诊室的诊断数据.
- 与自闭症谱系障碍 (ASD) 患有青少年和没有ASD的青少年之间的创伤相关诊断的比较.
- 患者记录的回顾性分析.
主要成果:
- 与非自闭症同龄人相比,患有自闭症谱系障碍 (ASD) 的年轻人接受创伤相关诊断的可能性要低42%.
- 这种差异仍然存在,尽管有证据表明,自闭症青少年的创伤事件暴露率相似或更高.
- 这些发现表明,在紧急精神病学评估中,自闭症青少年可能对创伤的诊断不足.
结论:
- 自闭症青少年在紧急精神卫生机构中似乎被诊断为患有创伤相关疾病.
- 需要专门的创伤查和诊断工具,以适应自闭症青年的独特需求.
- 解决这种诊断差距对于确保创伤自闭症患者获得适当的心理健康支持至关重要.
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