de Broize Matthew, Evans Kiah, Whitehouse Andrew J O, Wray John, Eapen Valsamma, Urbanowicz Anna
Queensland Centre for Intellectual and Developmental Disability, MRI-UQ, The University of Queensland The University of Queensland, South Brisbane, Australia.
Cooperative Research Centre for Living with Autism (Autism CRC), The University of Queensland, Long Pocket Precinct, Indooroopilly, Australia.
Autism Adulthood. 2022 Jun 1;4(2):130-140. doi: 10.1089/aut.2021.0028. Epub 2022 Jun 9.
Emerging research suggests that seeking an autism diagnosis as an adult is usually difficult and time-consuming but brings relief once a diagnosis is made. This study explored the experience of the pathway to an autism diagnosis during adulthood for adults living in Australia.
We conducted a qualitative phenomenological study and interviewed 13 adults who identified as autistic about their pathway to autism diagnosis in their mode of choice. Spoken interviews were transcribed verbatim, and transcripts were analyzed by using a thematic approach.
Data analysis resulted in 6 themes and 20 meaning units that described the experiences of adults seeking an autism diagnosis in Australia. These themes involved two interwoven journeys that spanned before, during, and after the diagnostic process. The personal journey involved feeling different, considering autism, and living as autistic, whereas the clinical journey involved missed opportunities, varied diagnostic experiences, and absent supports.
Given the potential benefits for adults obtaining a formal autism diagnosis and accessing post-diagnostic supports, it is important that health professionals and governments collaborate to reduce access barriers and ensure adequate services are available. The findings from this study informed the development of Australia's national guideline for autism diagnosis.
新出现的研究表明,成年人寻求自闭症诊断通常困难且耗时,但一旦确诊,会带来解脱感。本研究探讨了澳大利亚成年人在成年期获得自闭症诊断过程中的经历。
我们进行了一项质性现象学研究,采访了13名自我认定为自闭症患者的成年人,了解他们选择的自闭症诊断途径。口语访谈逐字转录,并用主题分析法对转录文本进行分析。
数据分析得出6个主题和20个意义单元,描述了澳大利亚成年人寻求自闭症诊断的经历。这些主题涉及两个相互交织的过程,贯穿诊断过程的前、中、后。个人过程包括感觉与众不同、考虑自闭症以及以自闭症患者身份生活,而临床过程包括错过的机会、不同的诊断经历和缺乏支持。
鉴于成年人获得正式自闭症诊断并获得诊断后支持可能带来的益处,卫生专业人员和政府合作以减少获取障碍并确保提供足够的服务非常重要。本研究结果为澳大利亚自闭症诊断国家指南的制定提供了参考。