Kildahl Arvid Nikolai, Helverschou Sissel Berge, Bakken Trine Lise, Oddli Hanne Weie
Regional Section Mental Health, Intellectual Disabilities/Autism, Oslo University Hospital, Oslo, Norway.
NevSom Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias, Oslo University Hospital, Oslo, Norway.
J Appl Res Intellect Disabil. 2020 Sep;33(5):1119-1132. doi: 10.1111/jar.12734. Epub 2020 Apr 14.
Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) are at increased risk of potentially traumatic events and may be at increased risk of post-traumatic stress disorder (PTSD). However, knowledge regarding identification of PTSD in this population is limited. The aim of this study was to investigate clinical experience regarding PTSD and trauma assessment in individuals with co-occurring ASD and ID.
Interpretative phenomenological analysis was used to explore experiences of identifying PTSD in this population among 18 mental health clinicians working with ASD and ID.
Informants viewed PTSD in individuals with ASD and ID as equivalent to PTSD in the general population, but with causes and expressions potentially differing. Several factors were described to contribute to challenges in identification.
Trauma may have severe impact in individuals with ASD and ID. Multidimensional, individualized assessment strategies seem necessary to recognize PTSD or trauma-related symptoms in this population.
患有自闭症谱系障碍（ASD）和智力残疾（ID）的个体经历潜在创伤事件的风险增加，患创伤后应激障碍（PTSD）的风险可能也会增加。然而，关于该人群中PTSD识别的知识有限。本研究的目的是调查同时患有ASD和ID的个体中PTSD及创伤评估的临床经验。
采用解释现象学分析方法，对18名从事ASD和ID工作的心理健康临床医生在该人群中识别PTSD的经验进行探索。
受访者认为ASD和ID个体中的PTSD与普通人群中的PTSD相当，但原因和表现可能有所不同。描述了几个导致识别困难的因素。
创伤可能对ASD和ID个体产生严重影响。多维、个性化的评估策略似乎对于识别该人群中的PTSD或创伤相关症状是必要的。
