自闭症和避免/限制性食物摄入障碍 (ARFID) 的同时发生:基于流行率的元分析
Michelle Sader1,2, Annabel Weston3, Kyle Buchan2,3
1School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.
The International journal of eating disorders
|January 6, 2025
概括
自闭症和避免/限制性食物摄入障碍 (ARFID) 经常同时发生. 这项元分析发现,ARFID患者中有16.27%患有自闭症,而自闭症患者中有11.41%患有自闭症,这表明对这两种情况进行临床查.
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
- 精神病学是一个精神病学.
背景情况:
- 避免性/限制性食物摄入障碍 (ARFID) 的特点是避免和限制食物.
- 焦虑症和自闭症谱系障碍 (ASD) 具有共同的特征,并且经常在彼此的群体中过度代表.
- 了解并发症对于有效的临床管理至关重要.
研究的目的:
- 为了调查ARFID个体中自闭症的患病率.
- 为了确定ARFID在自闭症患者中的患病率.
- 通过元分析量化ARFID和自闭症之间的共同发生.
主要方法:
- 在SCOPUS,MEDLINE和科学网络上进行系统的文献搜索.
- 包括研究的正式诊断或临床值会议参与者自闭症和/或ARFID.
- 使用基于比例的值和95%的置信区间 (CI) 来计算患病率.
主要成果:
- 对21项涉及7442名参与者 (1708名ARFID,5734名自闭症患者) 的研究进行分析.
- 在ARFID人群中,自闭症的患病率为16.27% (95% CI:8.64%-28.53%).
- 在自闭症患者中,ARFID的患病率为11.41% (95% CI:2.89%-35.76%).
- 性别和种族是异质性的重要来源.
结论:
- 证实了自闭症和ARFID之间显著的同时发生率.
- 在临床环境中建议在自闭症患者中查ARFID,反之亦然.
- 需要进一步研究跨ARFID个人资料,性别和种族的共同发生.
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