Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research; Department of Women's and Children's Health, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Child and Adolescent Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Autism. 2024 Jul;28(7):1622-1637. doi: 10.1177/13623613231217409. Epub 2023 Dec 30.
Autistic children and teenagers are, on average, absent from school more than their peers. The aim of this review was to provide an overview of the research on absence from school in autistic learners in primary and secondary school, to help guide future research. We sifted through 4632 reports and found 42 studies with a focus on school absence and autism. We looked at how, when, and where the studies were conducted. We also summarized the results and outlined how absence was measured in the studies. Absence from school may lead to problems later in life, like incomplete education and unemployment. It is therefore important to know how common this problem is among autistic learners, what the reasons may be, and what type of support they need. The studies were from high-income countries and were mainly published in the last 10 years. Studies based on school registers from the United States and the United Kingdom clearly showed that children and teenagers with autism had higher risk of school absence than those without autism. Absence was often linked to problems with mental health or additional neurodevelopmental conditions. Several studies also showed that absence in autistic children and adolescents was related to problems in school, like bullying or lack of knowledge about autism. Support programs were only evaluated in a few studies with a small number of study participants. We conclude that more research is needed to better understand why autistic learners are absent and what they need to thrive in school.
自闭症儿童和青少年平均比同龄人缺课更多。本综述旨在概述自闭症学习者在小学和中学缺课的研究,以帮助指导未来的研究。我们筛选了 4632 份报告,发现了 42 项专注于自闭症学生缺课的研究。我们研究了研究的进行方式、时间和地点。我们还总结了结果,并概述了研究中如何衡量缺课情况。缺课可能会导致以后生活中的问题,例如教育不完整和失业。因此,了解自闭症学习者中这种问题的普遍程度、原因以及他们需要什么样的支持非常重要。这些研究来自高收入国家,主要发表在过去 10 年。基于美国和英国学校登记册的研究清楚地表明,自闭症儿童和青少年缺课的风险高于没有自闭症的儿童和青少年。缺课通常与心理健康问题或其他神经发育状况有关。几项研究还表明,自闭症儿童和青少年的缺课与学校的问题有关,例如欺凌或缺乏对自闭症的了解。支持计划仅在少数研究参与者的少数研究中进行了评估。我们的结论是,需要进行更多的研究,以更好地了解为什么自闭症学习者会缺课以及他们在学校中需要什么才能茁壮成长。