自闭症成年人的心理健康护理使用:使用序列分析识别纵向模式
Iris Selten1, Tim Ziermans1, Iris Rapoport1
1University of Amsterdam, The Netherlands.
Autism : the international journal of research and practice
|December 18, 2024
概括
了解自闭症成年人的干预使用是改善心理健康护理的关键. 这项研究确定了四种不同的治疗,咨询和药物使用模式,突出了各种需求,并为支持策略提供了信息.
科学领域:
- 神经发育障碍 神经发育障碍
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 自闭症成年人经常经历共同发生的心理健康状况,影响福祉和增加服务利用率.
- 对于自闭症成年人来说,有效的心理健康护理需要更深入地了解他们的现实世界干预模式.
- 目前的临床指南建议治疗,咨询和药物作为主要干预措施.
研究的目的:
- 调查自闭症成年人之间干预轨迹的个体差异.
- 在这个人群中检查治疗,咨询和药物使用的纵向模式.
- 根据随着时间的推移对干预措施的利用情况,确定不同的子组.
主要方法:
- 从445名自闭症成年人 (年龄在18-87岁) 自我报告的干预使用的纵向分析,跨越5-7年 (2015-2021年).
- 用序列分析和层次聚类来确定干预使用模式.
- 敏感性分析和基于组的多变量轨迹建模被用于验证.
主要成果:
- 确定了四个不同的干预轨迹集群:干预最少,主要是咨询,主要是药物和混合使用.
- "混合使用"集群包括更高比例的女性和患有并发精神疾病的个人.
- 在不同个体使用的干预措施的类型,组合和持续时间中观察到显著的变化.
结论:
- 许多自闭症成年人参与心理健康干预,但使用模式高度可变.
- 定制干预方法是复杂的,强调了需要可访问的,多学科的护理.
- 进一步的研究应该集中在对自闭症女性和那些患有并发症的女性的干预措施的有效性上.
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