患有自闭症谱系障碍或没有自闭症谱系障碍的智力发育障碍的成年人的饮食和养障碍
M O Bertelli1, F Paletti2,3, M Piva Merli1,4
1CREA - Research and Clinical Center, San Sebastiano Foundation, Misericordia di Firenze, Florence, Italy.
Journal of intellectual disability research : JIDR
|November 7, 2024
概括
营养和饮食障碍 (FEED) 在智力障碍 (ID/IDD) 的成年人中很普遍,特别是那些同时出现自闭症谱系障碍 (ASD) 的成年人. 这些条件与问题行为 (PBs) 有关,突出了需要量身定制的评估.
科学领域:
- 精神病学是一个精神病学.
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
背景情况:
- 调查智力障碍 (ID/IDD) 的成年人中食和饮食障碍 (FEED) 的流行情况.
- 检查自闭症谱系障碍 (ASD) 和问题行为 (PBs) 对FEEDs的影响.
- 解决在ID/IDD人口中对FEEDs理解的差距.
研究的目的:
- 确定成年人ID/IDD的诊断FEED和可观察症状的患病率.
- 探索FEEDs,ASD和问题行为 (PBs) 之间的关联.
- 为此脆弱群体提供临床评估和未来研究的信息.
主要方法:
- 在住所设施中对206名ID/IDD成年人的横截面观察研究.
- 使用了结构化面试和诊断手册 - 智力障碍标准用于FEEDs评估.
- 在59.2%的样本和问题行为 (PBs) 中评估了同时发生的ASD.
主要成果:
- 发病率:神经性厌食症为4.3%,神经性食欲 (BN) 为6.7%,暴饮暴食障碍 (BED) 为22.8%.
- 与单独的ID/IDD相比,在ID/IDD和同时发生的ASD患者中观察到更高的FEED患病率.
- 问题行为 (PBs) 在ASD参与者中较高,与FEED症状相关,特别是BN和BED.
结论:
- 突出了FEED在成年人中具有ID/IDD的显著流行,特别是那些有ASD的人.
- 强调FEEDs,ASD和问题行为 (PBs) 之间的关联.
- 建议将这些发现纳入精神病学评估和对有沟通和认知障碍的人的未来研究.
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