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自闭症谱系障碍成人:结局、社会成就和干预措施的综述。

Adults with autism spectrum disorders: a review of outcomes, social attainment, and interventions.

机构信息

National Institute of Education, Nanyang Technological University, Singapore, Singapore.

出版信息

Curr Opin Psychiatry. 2017 Mar;30(2):77-84. doi: 10.1097/YCO.0000000000000306.

Abstract

PURPOSE OF REVIEW

With the increasing incidence of individuals diagnosed with autism spectrum disorders, there is a need to develop programs to support them throughout their lifespan but research in adulthood support is still scarce. This article aims to provide an up-to-date review of the research on the core characteristics of autism spectrum disorder (ASD), social attainments, and efforts to improve their outcomes.

RECENT FINDINGS

The core social communication impairments continue into adulthood among persons with ASD, but the restrictive, repetitive patterns of behavior and activities have received less attention. Adults with ASD experience more behavioral and emotional regulation issues than their peers. In terms of social attainments, adults with ASD have a greater tendency to be overeducated for their jobs and have a lower employment rate. They are also more likely to live with their parents. Interventions make a positive impact upon social communication skills and employment.

SUMMARY

Future research could focus on the repetitive behavior of adults with ASD. Likewise, interventions examining the extent to which repetitive behavior and interests can be managed, as well as the degree to which they can be supported in their community access, living arrangements, as well as family quality of life can be further conducted.

摘要

目的综述

随着自闭症谱系障碍患者人数的不断增加,需要制定方案在其整个生命周期中为他们提供支持,但成人支持方面的研究仍然很少。本文旨在提供自闭症谱系障碍(ASD)核心特征、社交能力方面的最新研究综述,并努力改善其结果。

最近的发现

自闭症患者的核心社交沟通障碍会持续到成年期,但限制性行为和重复性模式的行为和活动受到的关注较少。自闭症成年人比同龄人更易出现行为和情绪调节问题。在社交方面,自闭症患者的工作受教育程度往往过高,就业率较低。他们也更有可能与父母住在一起。干预措施对社交沟通技能和就业有积极影响。

总结

未来的研究可以集中在自闭症成年人的重复行为上。同样,可以进一步开展干预措施研究,以评估重复行为和兴趣在何种程度上可以得到管理,以及在多大程度上可以在他们的社区活动、生活安排以及家庭生活质量方面得到支持。

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