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成人自闭症与胃肠功能紊乱、食物过敏、疼痛和疲劳等合并躯体问题之间的关联

来源:萌宠菠菠乐园 时间:2025-03-16 16:37

成人自闭症与胃肠功能紊乱、食物过敏、疼痛和疲劳等合并躯体问题之间的关联。

IF 5.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

摘要

内容提要:关于本专题的已知信息有哪些?本文补充了哪些内容?这是首批调查普通人群中成年人自闭症与躯体问题之间关系的研究之一。通过对自闭症症状评分进行连续测量,并根据症状严重程度、儿童发病年龄和功能障碍对自闭症(下文称为疑似自闭症)进行分类定义,我们发现成年人的自闭症问题与肠易激综合征、食物过敏、疼痛和疲劳有关。疼痛和疲劳存在性别差异,其中女性自闭症症状评分与疼痛和疲劳的相关性略强于男性。在年龄差异方面,较年轻的成年人与疲劳和食物过敏的关联更为明显。相反,如果老年人符合可能患有自闭症的标准,他们患肠易激综合征或出现疼痛的风险更高。这些干预措施可根据特定自闭症人群的需求量身定制。例如,女性自闭症患者可能会出现疼痛和疲劳,年轻成年人可能会出现食物过敏和疲劳,老年人可能会出现肠易激综合征和疼痛,这些都可以给予额外关注。

本文章由计算机程序翻译,如有差异,请以英文原文为准。

Associations between autistic and comorbid somatic problems of gastrointestinal disorders, food allergy, pain, and fatigue in adults.

Lay abstract: What is already known about the topic?Autistic children frequently often have accompanying physical health problems. However, this has been much less studied in autistic men and women during adulthood.What does this article add?This is one of the first studies to investigate the associations between autistic and somatic problems in adults from the general population. Using a continuous measure of autistic symptom scores and a categorical definition of autism (referred to below as probable autism) which considered symptom severity, childhood age of onset, and functional impairment, we found that autistic problems and irritable bowel syndrome, food allergy, pain, and fatigue were associated in adults. Sex differences were present for pain and fatigue, for which the associations with autistic symptom scores were somewhat stronger in females than males. Regarding age differences, the associations with fatigue and having food allergy were more pronounced in younger adults. Conversely, older individuals had a higher risk of developing irritable bowel syndrome or experiencing pain if they met the criteria for probable autism.Implications for practice, research, or policyThere is a need for providing routine programs of screening, assessment, and treatment of autism-related somatic problems and developing evidence-based interventions for autistic individuals. These could be tailored to the needs of specific autistic populations. For example, autistic females could be given extra attention about the potential presence of pain and fatigue, younger adults about the potential presence of food allergy and fatigue, and older adults concerning the potential presence of irritable bowel syndrome and pain.

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来源期刊

Autism

Autism PSYCHOLOGY, DEVELOPMENTAL-

期刊介绍: Autism is a major, peer-reviewed, international journal, published 8 times a year, publishing research of direct and practical relevance to help improve the quality of life for individuals with autism or autism-related disorders. It is interdisciplinary in nature, focusing on research in many areas, including: intervention; diagnosis; training; education; translational issues related to neuroscience, medical and genetic issues of practical import; psychological processes; evaluation of particular therapies; quality of life; family needs; and epidemiological research. Autism provides a major international forum for peer-reviewed research of direct and practical relevance to improving the quality of life for individuals with autism or autism-related disorders. The journal''s success and popularity reflect the recent worldwide growth in the research and understanding of autistic spectrum disorders, and the consequent impact on the provision of treatment and care. Autism is interdisciplinary in nature, focusing on evaluative research in all areas, including: intervention, diagnosis, training, education, neuroscience, psychological processes, evaluation of particular therapies, quality of life issues, family issues and family services, medical and genetic issues, epidemiological research.

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