自闭症的伪装:精神健康困难的原因还是后果?
Wikke J van der Putten1,2, Audrey Jj Mol1, Tulsi A Radhoe2
1Leo Kannerhuis, Autism Outpatient Clinic(Youz/Parnassia Group), Amsterdam, The Netherlands.
概括
伪装 (隐藏自闭症特征) 并没有强烈预测自闭症成年人的心理健康恶化. 较高的初始伪装与难度略有下降相关,而较低的水平略有增加,但因果关系尚不清楚.
科学领域:
- 神经发育障碍 神经发育障碍
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 伪装,自闭症特征的有意识或无意识的掩盖,假设将自闭症与心理健康挑战联系起来.
- 之前对这种关联的研究受限于横截面设计,使关系的方向性不确定.
研究的目的:
- 调查自闭症成年人伪装和心理健康困难之间的纵向关系.
- 为了确定伪装是否预测心理健康困难的变化.
- 评估心理健康困难是否预测伪装行为的变化.
主要方法:
- 一项纵向研究涉及332名自闭症成年人 (年龄3084岁,157名女性).
- 数据采集在两个时间点,大约2年间隔,使用荷兰伪装自闭症特征问卷,症状检查清单-90修订和自闭症谱系系数.
- 预先注册的多层次分析被用来检查预测关系.
主要成果:
- 在初始伪装和时间之间观察到一个小的,统计学上显著的负面相互作用.
- 较高的基线伪装预测随着时间的推移,心理健康困难的轻微减少.
- 较低的基线伪装预测随着时间的推移,心理健康困难的轻微增加.
- 最初的心理健康困难并没有显著预测伪装行为的变化.
结论:
- 该研究没有发现有力的证据表明,伪装直接导致自闭症成年人的心理健康困难增加.
- 这些发现表明,伪装和心理健康之间存在复杂的,可能是双向的,但较弱的关系.
- 需要进一步的纵向研究来确定因果关系,并澄清伪装和自闭症精神健康结果之间的关联的方向性.
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