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不知不觉中与自闭症相伴:在晚年才获得诊断。

Living with autism without knowing: receiving a diagnosis in later life.

作者信息

Stagg Steven D, Belcher Hannah

机构信息

Department of Psychology, Anglia Ruskin University, Cambridge, United Kingdom.

出版信息

Health Psychol Behav Med. 2019 Nov 6;7(1):348-361. doi: 10.1080/21642850.2019.1684920.

Abstract

Increasingly adults over the age of 50 are receiving a diagnosis of autism spectrum condition. Growing up in a time when autism was poorly recognised, these adults have lived unknowingly with the condition and face readjustment. This paper reports the first study to investigate this population. Nine adults over the age of 50, who had recently been diagnosed with ASC, were interviewed, and thematic analysis was used to analyse the transcripts. Results showed that the participants had received treatment for anxiety and depression. They reported ASC behaviours in their childhood and growing up they felt isolated and alien. Receiving a diagnosis was seen as a positive step and allowed for a reconfiguration of self and an appreciation of individual needs. Given the positive aspects of receiving a late diagnosis, more work is needed to identify older adults with undiagnosed ASC.

摘要

越来越多50岁以上的成年人被诊断患有自闭症谱系障碍。这些成年人成长于一个自闭症认知度很低的时代,他们在不知不觉中患有这种疾病,如今面临重新调整。本文报告了第一项针对这一人群的研究。对9名最近被诊断患有自闭症谱系障碍的50岁以上成年人进行了访谈,并采用主题分析法对访谈记录进行分析。结果显示,参与者曾接受过焦虑和抑郁方面的治疗。他们报告称童年时期有自闭症谱系障碍的行为,在成长过程中感到孤立和格格不入。获得诊断被视为积极的一步,有助于重新认识自我并重视个人需求。鉴于获得延迟诊断的积极方面,需要开展更多工作来识别未被诊断出自闭症谱系障碍的老年人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c02/8114403/45774819c6bd/RHPB_A_1684920_F0001_OC.jpg

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