Dincel Melodi, Karayagmurlu Ali
Department of Child and Adolescent Psychiatry, Midyat State Hospital, Midyat, Mardin, Turkey.
Department of Child and Adolescent Psychiatry, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey.
J Autism Dev Disord. 2024 May 14. doi: 10.1007/s10803-024-06374-7.
Despite exposure to trauma and adverse life events being frequently reported in Autism Spectrum Disorder (ASD), few studies have examined the relationship between these factors and dissociative symptoms in the autistic population. The aim of the study is to investigate symptoms of dissociation in autistic adolescents, and to explore factors that could be associated with dissociative symptoms in ASD. This cross-sectional study involved 59 autistic adolescents between 12 and 18 years old, with the mean age of 14.3 ± 1.8. Dissociation, autism characteristics, childhood traumas, peer bullying, and Post-Traumatic Stress Disorder (PTSD) symptoms were assessed using the Adolescent Dissociative Experiences Scale (ADES), the Childhood Autism Rating Scale (CARS), the Childhood Trauma Questionnaire (CTQ), the Nine-Item Child-Adolescent Bullying Screen (CABS-9), and the Child Posttraumatic Stress Reaction Index (CPTS-RI), respectively. Results from the ADES revealed that 12.5% of the participants scored above the threshold for dissociative disorders. In the linear regression model constructed to evaluate factors associated with dissociative symptoms, an increase in dissociative symptoms was statistically significantly associated with an increase in the total CTQ score (p = 0.002) and age (p = 0.006). The findings of the study indicate that dissociative symptoms may occur in autistic adolescents. It is suggested that dissociative symptoms observed in autistic adolescents may particularly be associated with childhood traumas and increasing age. Further research into dissociative symptoms in ASD is warranted, requiring larger sample sizes, specialized measurement scales, and structured interviews.
尽管在自闭症谱系障碍（ASD）中经常有遭受创伤和不良生活事件的报告，但很少有研究考察这些因素与自闭症患者解离症状之间的关系。本研究的目的是调查自闭症青少年的解离症状，并探索可能与ASD解离症状相关的因素。这项横断面研究纳入了59名年龄在12至18岁之间的自闭症青少年，平均年龄为14.3±1.8岁。分别使用青少年解离体验量表（ADES）、儿童自闭症评定量表（CARS）、儿童创伤问卷（CTQ）、九项儿童青少年欺凌筛查量表（CABS - 9）和儿童创伤后应激反应指数（CPTS - RI）对解离、自闭症特征、童年创伤、同伴欺凌和创伤后应激障碍（PTSD）症状进行评估。ADES的结果显示，12.5%的参与者得分高于解离障碍阈值。在构建的用于评估与解离症状相关因素的线性回归模型中，解离症状的增加在统计学上与CTQ总分的增加（p = 0.002）和年龄的增加（p = 0.006）显著相关。该研究结果表明，自闭症青少年可能会出现解离症状。研究表明，在自闭症青少年中观察到的解离症状可能尤其与童年创伤和年龄增长有关。有必要对ASD中的解离症状进行进一步研究，这需要更大的样本量、专门的测量量表和结构化访谈。
