严重自我伤害的精神病医院住院患者的自闭症查 - 极端挑战研究项目的结果
Arvid Nikolai Kildahl1,2, Tuva Langjord3,4, Geir Pedersen5
1Norwegian Advisory Unit on Mental Health in Intellectual Disabilities, Division of Mental Health and Addiction, Oslo University Hospital, Norway.
Nordic journal of psychiatry
|May 4, 2025
概括
未被诊断的自闭症在严重自我伤害的成年女性中很常见,导致心理健康风险增加. 在这些患者中,早期查自闭症对于有效治疗和改善结果至关重要.
科学领域:
- 神经发育障碍 神经发育障碍
- 心理健康研究 心理健康研究
- 临床心理学 临床心理学
背景情况:
- 成年女性未被诊断的自闭症是一个重大问题,在严重自伤的案件中经常被忽视.
- 自闭症经常被误诊为边缘性人格障碍在严重自伤的个体中.
- 迟诊断自闭症可能会对心理健康产生负面影响,增加自我伤害和自杀行为风险.
研究的目的:
- 调查成年住院患者严重自伤的诊断和查阳性自闭症的患病率.
- 在这个人群中确定与自闭症查得分相关的临床相关性.
主要方法:
- 在12家医院进行了一项横截面研究.
- 招募了42名成年住院患者 (40名女性),因自我伤害而经常或长期入院.
- 使用Ritvo自闭症和阿斯伯格诊断尺度修订 (RAADS-R) 进行自闭症查.
主要成果:
- 四名参与者被诊断为自闭症.
- 使用RAADS-R进行自闭症查的比例显著更高,即使有严格的截止值.
- 较高的RAADS-R得分与增加的焦虑,抑郁,创伤症状以及人格,人际关系,情绪调节和alexithymia的功能差异相关.
结论:
- 在严重自我伤害的患者中,对自闭症的积极查至关重要.
- 无法识别自闭症可能会导致心理健康系统内的有害相互作用.
- 解决未被诊断的自闭症对于改善患者护理和缓解长期困难至关重要.
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