自闭症谱系障碍与性别焦虑/不一致。系统文献回顾和荟萃分析。
Autism Spectrum Disorder and Gender Dysphoria/Incongruence. A systematic Literature Review and Meta-Analysis.
机构信息
School of Psychology, University of Kent, Keynes College, CT2 7NP, Canterbury, Kent, United Kingdom.
出版信息
J Autism Dev Disord. 2023 Aug;53(8):3103-3117. doi: 10.1007/s10803-022-05517-y. Epub 2022 May 20.
The suggested overlap between autism spectrum disorder (ASD) and gender dysphoria/incongruence (GD/GI) has been much disputed. This review showed a relationship between ASD traits and GD feelings in the general population and a high prevalence of GD/GI in ASD. Our meta-analyses revealed that the pooled estimate of the prevalence of ASD diagnoses in GD/GI people was 11% (p < .001) and the overall effect size of the difference in ASD traits between GD/GI and control people was significant (g = 0.67, p < .001). Heterogeneity was high in both meta-analyses. We demonstrated that the chances that there is not a link between ASD and GD/GI are negligible, yet the size of it needs further investigation.
自闭症谱系障碍（ASD）和性别焦虑/不一致（GD/GI）之间的重叠建议一直存在争议。本综述表明，一般人群中 ASD 特征与 GD 感觉之间存在关系，ASD 中 GD/GI 的患病率很高。我们的荟萃分析显示，GD/GI 人群中 ASD 诊断的患病率为 11%（p<0.001），GD/GI 人群与对照组人群之间 ASD 特征的总体差异效应量显著（g=0.67，p<0.001）。这两项荟萃分析的异质性都很高。我们证明了 ASD 和 GD/GI 之间没有联系的可能性可以忽略不计，但需要进一步调查其大小。
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