在自闭症中经历人际暴力的结果:混合方法系统审查和元分析
Kassandrah Cooke1, Kathryn Ridgway1, Laura Pecora1
1Deakin University, VIC, Australia.
Trauma, violence & abuse
|August 9, 2025
概括
人际暴力严重伤害自闭症患者,恶化心理健康,增加自杀念头. 非男性自闭症患者因这种暴力而面临更高的风险和终身困难.
科学领域:
- 神经发育障碍 神经发育障碍
- 社会心理学 社会心理学
- 公共卫生 公共卫生
背景情况:
- 自闭症患者在不成比例的高率上经历了人际暴力.
- 交叉性和少数群体压力理论对于理解边缘化群体,包括自闭症患者的独特脆弱性至关重要.
- 以前的研究还没有完全综合人际暴力对终身健康和发展的影响,特别是对自闭症患者的影响.
研究的目的:
- 系统地审查和对自闭症个体经历的人际暴力的结果进行元分析.
- 调查自闭症患者之间的人际暴力结果的性别相关差异.
- 为在自闭症个体与暴力经历的背景下应用少数压力和交叉性理论提供证据.
主要方法:
- 对影响自闭症个体的人际暴力 (身体,性,心理) 的混合方法,同行评审研究进行了系统的数据库搜索.
- 一项随机效应的元分析汇集了9项研究的数据 (3,647名自闭症参与者,年龄为1至80岁) 来评估暴力和心理健康结果之间的关联.
- 一个叙事综合分析了57项研究 (37,418名参与者) 以探索与非自闭症对照相比更广泛的健康,发育和功能结果.
主要成果:
- 人际暴力与自闭症患者的心理健康恶化有显著的关联,特别是内化症状 (d=0.66) 和自杀想法/行为 (d=0.63).
- 在57项研究中,暴力与自闭症患者从童年开始的不良健康,发育和功能结果相关,包括心理健康和行为问题.
- 女性和性别少数群体报告说,与暴力有关的内部和人际关系困难更大,从童年开始,持续到成年.
结论:
- 人际暴力对自闭症患者有深刻的,终身的负面影响,这强调了少数族裔压力和交叉性的相关性.
- 自闭症患者,特别是女性和性别多元的人,从小就表现出对虐待的高度易感性.
- 社会条件可能会导致自闭症个体以社会可取性,表面适应性和分离来应对虐待,从而使支持和干预复杂化.
相关概念视频
Autism Spectrum Disorder
338
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
338
Modeling in Therapy
145
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
145
Post-traumatic Stress Disorder
114
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
114
Bullying
8.5K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.5K
Social Anxiety Disorder
78
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
78


