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通过爱尔兰共和国的市内无家可归者服务对自闭症谱系障碍进行筛查。

Screening for Autism Spectrum Condition Through Inner City Homeless Services in the Republic of Ireland.

机构信息

School of Nursing, Psychotherapy and Community Health, Dublin City University, Glasnevin, Dublin 9, Ireland.

Buckinghamshire Older People's Psychological Services, Oxford Health NHS Foundation Trust, Whiteleaf Centre, Bierton Road, Aylesbury, HP20 1EG, UK.

出版信息

J Autism Dev Disord. 2023 Oct;53(10):3987-3998. doi: 10.1007/s10803-022-05669-x. Epub 2022 Aug 10.

DOI:10.1007/s10803-022-05669-x
PMID:35948814
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9365201/
Abstract

Homeless service users were screened for autism spectrum disorder through one of Ireland's leading not for profit service providers. Keyworkers acted as proxy informants; their caseloads were screened using the DSM-5-Autistic Traits in the Homeless Interview (DATHI). Client current and historical health and behaviour data was collated. A representative sample of 106 eligible keyworkers caseloads were screened, identifying 3% "present" and 9% "possibly present" for autistic traits with the DATHI. These findings suggest a high estimate of autism prevalence and support emerging evidence that, people with autism are overrepresented in the homeless population, compared to housed populations. Autism may be a risk factor for entry into homelessness and a challenge to exiting homeless and engaging with relevant services.

摘要

无家可归者服务使用者通过爱尔兰领先的非营利服务提供商之一接受自闭症谱系障碍筛查。主要工作人员充当代理报告人;他们的工作量使用《精神障碍诊断与统计手册》第五版-无家可归者自闭症特征访谈(DATHI)进行筛查。收集了客户当前和历史上的健康和行为数据。对 106 名符合条件的主要工作人员的工作量进行了代表性抽样筛查,发现 DATHI 有 3%“存在”和 9%“可能存在”自闭症特征。这些发现表明自闭症的患病率很高,并支持了新出现的证据,即与有住房的人群相比,自闭症人群在无家可归者中过度代表。自闭症可能是进入无家可归的一个风险因素,也是无家可归和参与相关服务的一个挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/e455935b7942/10803_2022_5669_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/d6e087a2fa03/10803_2022_5669_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/aeaa1baf0726/10803_2022_5669_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/e455935b7942/10803_2022_5669_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/d6e087a2fa03/10803_2022_5669_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/aeaa1baf0726/10803_2022_5669_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad5f/10499675/e455935b7942/10803_2022_5669_Fig3_HTML.jpg

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本文引用的文献

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Autism. 2020 May;24(4):899-918. doi: 10.1177/1362361320910963.
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Prevalence of comorbid psychiatric disorders among people with autism spectrum disorder: An umbrella review of systematic reviews and meta-analyses.自闭症谱系障碍患者共患精神障碍的患病率:系统评价和荟萃分析的伞式综述。
Psychiatry Res. 2020 May;287:112922. doi: 10.1016/j.psychres.2020.112922. Epub 2020 Mar 18.
3
Autism Spectrum Disorder Symptoms and Bullying Victimization Among Children with Autism in the United States.
自闭症谱系障碍症状与美国自闭症儿童受欺凌之间的关系
J Autism Dev Disord. 2020 Feb;50(2):560-571. doi: 10.1007/s10803-019-04282-9.
4
The prevalence of autistic traits in a homeless population.自闭症特质在 homeless population 中的流行率。
Autism. 2019 Apr;23(3):665-676. doi: 10.1177/1362361318768484. Epub 2018 Apr 10.
5
PTSD and autism spectrum disorder: Co-morbidity, gaps in research, and potential shared mechanisms.创伤后应激障碍与自闭症谱系障碍:共病、研究空白及潜在的共同机制。
Psychol Trauma. 2018 May;10(3):290-299. doi: 10.1037/tra0000298. Epub 2017 Jul 20.
6
End-of-life care for homeless people: A qualitative analysis exploring the challenges to access and provision of palliative care.无家可归者的临终关怀:探索获得姑息治疗和提供姑息治疗的挑战的定性分析。
Palliat Med. 2018 Jan;32(1):36-45. doi: 10.1177/0269216317717101. Epub 2017 Jul 3.
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Autism spectrum disorder: outcomes in adulthood.自闭症谱系障碍:成年后的结果。
Curr Opin Psychiatry. 2017 Mar;30(2):69-76. doi: 10.1097/YCO.0000000000000308.
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Increased Risk for Substance Use-Related Problems in Autism Spectrum Disorders: A Population-Based Cohort Study.自闭症谱系障碍中物质使用相关问题的风险增加:一项基于人群的队列研究。
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Epidemiology of autism in adults across age groups and ability levels.成人自闭症在不同年龄组和能力水平下的流行病学。
Br J Psychiatry. 2016 Dec;209(6):498-503. doi: 10.1192/bjp.bp.115.174649. Epub 2016 Jul 7.
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