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自闭症女性如何感知自己的身体并照顾自己的健康?关注月经周期和妇科保健。

How autistic women are aware of their body and take care of their health? Focus on menstruation cycles and gynecological care.

机构信息

Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, Rome, Italy.

"Parthenope" University of Naples, Naples, Italy; 3Adult Autism Centre, Mental Health Department, Local Health Unit ASL Città di Torino, Turin Italy.

出版信息

Clin Ter. 2024 May-Jun;175(3):168-175. doi: 10.7417/CT.2024.5058.

Abstract

OBJECTIVE

The combination of femininity and inequality is an increasingly studied in the field of social medicine, even more if the girls or women in question experience conditions of disability or neurodivergence. The onset of menstruation, menarche, constitutes a significant and transformative event in women's lives comprising a true and proper watershed in mental and reproductive health and sexual welfare. The onset of menstruation has a profound effect not just for girls but, in the case of disabled girls, for the whole family. In this scoping review, we have researched the literature in studies which consider the issue of menstruation and autism. The works in scientific literature have been selected which, in the last 5 years, investigated the issue of menstrua-tion for autistic girls and/or women.

RESULTS

Selected studies, although few in number, have all equally evidenced the total lack of in-depth understanding of this theme, notwithstanding the fact that females, girls and women with autism would benefit from specialized services if these existed. Families, girls and women involved, moreover, although not experiencing menstruation per se in a negative light, note a deterioration in their condition particularly in respect of sensorial perception and the intensification of anxious depressive instances. This work highlights the need to deepen the aspects concerning the period in autistic girls/women, up to now the question appears to have been little studied, investigated in an uneven way. We propose a social medical program to improve sexual-affective knowledge and body awareness in autistic people.

摘要

目的

在社会医学领域,女性气质与不平等的结合越来越受到研究关注,尤其是当所讨论的女孩或妇女处于残疾或神经多样性状态时。月经初潮是女性生活中一个重要且具有变革性的事件,是心理健康和生殖健康以及性福利的真正分水岭。月经初潮不仅对女孩,而且对残疾女孩的整个家庭都有深远的影响。在本次范围界定综述中,我们研究了考虑月经和自闭症问题的文献。选择了在过去 5 年中调查自闭症女孩和/或妇女月经问题的科学文献中的研究。

结果

尽管数量很少,但所选研究都同样表明,尽管自闭症女性、女孩和妇女如果有专门的服务,她们将从中受益,但对这一主题的深入理解完全缺乏。此外,参与其中的家庭、女孩和妇女虽然本身没有以负面的眼光看待月经,但她们注意到自己的状况恶化,特别是在感官感知方面,以及焦虑抑郁情况的加剧。这项工作强调了需要深化关于自闭症女孩/妇女经期的问题,迄今为止,这个问题似乎很少被研究,而且研究方式也不均衡。我们提出了一个社会医疗方案,以提高自闭症患者的性情感知识和身体意识。

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