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年轻成年男性和女性在自闭症特征、感觉处理及心理健康方面总体表达相似,但表现各异。

Similar overall expression, but different profiles, of autistic traits, sensory processing, and mental health between young adult males and females.

作者信息

Cardon Garrett, McQuarrie Miranda, Calton Savanah, Gabrielsen Terisa P

机构信息

Brigham Young University, Provo, UT.

出版信息

Res Autism Spectr Disord. 2023 Nov;109. doi: 10.1016/j.rasd.2023.102263. Epub 2023 Oct 27.

Abstract

Recent trends suggest that autism is more common in females than traditionally held. Additionally, some argue that females express autistic traits differently than males. Dimensional views of autism could shed light on these issues, especially with regards to understudied behavioral areas, such as sensory processing. We examined autistic traits, sensory processing, anxiety, and related behaviors in a large sample of neurotypical young adult males and females ( = 1,122; 556 female; ages 19-26). Participants completed an online survey containing questionnaires related to the above. Between groups statistical analyses, as well as within groups correlations and mediation analyses containing these constructs were then computed. We also carried out a cluster analysis to establish groups with behavioral similarities and estimate within-cluster male/female ratios. Results showed modest differences in the overall expression of autistic traits and sensory processing, if any, between males and females. Conversely, more detailed examination of survey subtests and mediation analyses revealed differing profiles between these groups. Cluster analysis uncovered a group comprised of both males (69.8%) and females (30.2%) who exhibited elevated degrees of autism-related behaviors, suggesting a higher proportion of females than would be predicted by traditional ratios. Taken together, these findings suggest that males and females may not differ as much as previously thought in their general levels of autistic traits or sensory processing, but may present with distinct profiles of such behaviors. These novel results add to our understanding of autistic traits in females and have the potential to positively influence diagnostic and support practices.

摘要

最近的趋势表明,自闭症在女性中比传统认知更为常见。此外,一些人认为女性表现出自闭症特征的方式与男性不同。自闭症的维度观点可能有助于阐明这些问题,特别是在诸如感觉处理等研究较少的行为领域方面。我们在大量典型神经发育正常的年轻成年男性和女性样本(N = 1122;556名女性;年龄19 - 26岁)中研究了自闭症特征、感觉处理、焦虑及相关行为。参与者完成了一项包含上述相关问卷的在线调查。然后进行了组间统计分析,以及包含这些构念的组内相关性和中介分析。我们还进行了聚类分析,以建立具有行为相似性的组,并估计聚类内的男性/女性比例。结果显示,男性和女性在自闭症特征和感觉处理的总体表达上存在适度差异(若有差异的话)。相反,对调查子测试和中介分析的更详细检查揭示了这些组之间不同的特征。聚类分析发现了一个由男性(69.8%)和女性(30.2%)组成的组,他们表现出较高程度的自闭症相关行为,这表明女性的比例高于传统比例所预测的。综上所述,这些发现表明,男性和女性在自闭症特征或感觉处理的总体水平上可能没有之前认为的那么大差异,但可能呈现出不同的此类行为特征。这些新结果增进了我们对女性自闭症特征的理解,并有可能对诊断和支持实践产生积极影响。

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