Hayat Aalia A, Meny Areej H, Millman Ruth F, Salahuddin Nabila, Ahuja Ricky, Sami Waqas
Department of Psychiatry, Maternity and Children Hospital, Makkah Al-Mukarramah, SAU.
Department of Occupational Therapy, King Saud Bin Abdulaziz University for Health Sciences, College of Applied Medical Sciences, Jeddah, SAU.
Cureus. 2024 May 28;16(5):e61271. doi: 10.7759/cureus.61271. eCollection 2024 May.
This literature review aims to explore religiosity, faith, and related beliefs in autistic adolescents. The term religiosity was used interchangeably with various related concepts such as faith, spirituality, and religious beliefs, and a broader, multifaceted approach encompassing the cognitive, subjective, social, cultural, and emotional domains of religiosity is analyzed in this population subgroup. In alignment with the neurodiversity paradigm, this review endeavors to adopt an inclusive lens toward autism spectrum conditions, appreciating the spectrum of cognitive and behavioral differences and highlighting the importance of recognizing strengths and challenges alike, reflecting the nuanced discourse surrounding neurodiversity and autism spectrum conditions. However, terms such as "high-functioning autism" and "disorder" were used where needed to reflect the journals included in the review. A systematic search was conducted by accessing academic search engines such as APA PsycInfo, APA PsycArticles, APA PsycTests, and PubMed. Only peer-reviewed articles written in English and performed on human subjects were included using strict inclusion and exclusion criteria. Several recurring themes were identified from the 13 articles selected after review for relevance and quality. The most important finding was the association of different terminologies and features while exploring "religiosity in autism." Thirty-nine key themes were identified, which were grouped into six major themes. These were religious faith, spirituality, and its expression in autistic adolescents; religious behaviors and practices of autistic adolescents; cognition and religion in autistic teens; social and cultural influences on religiosity in autistic young ones; parents' and carers' influence, perspectives, and experiences about faith and spirituality on autistic adolescents; and perceived benefits of faith to autistic teens: parents and adolescent perspectives. Looking at the concept of religiosity and spirituality as a whole, it can be inferred from the available research included in this review that religiosity (cognitive abilities, behaviors, and experiences) in a subset of autistic adolescents (high-functioning autism) might not be significantly subdued as compared to neurotypical adolescents. However, there is not enough research to conclude the same or the opposite for autistic adolescents in general. When found, reserved religiosity could be attributed to a plethora of factors, and decreased mental ability or mentalization, empathy, or imagination did not seem to be the sole or primary predictors or contributors to religiosity. The role of culture, parents, carers, and religious affiliations was significant and might be a stronger contributor to religiosity and its expression than other previously argued predictors like mentalization. Many autistic teens and their carers regard religiosity and spirituality as essential domains in their and their children's lives, want their children to be given opportunities to be a part of religious groups and affiliations, and look forward to government, religious, and healthcare authorities actively supporting them in this domain. The findings call for policymakers, religious leaders, and stakeholders to devise strategies for inclusion and support for autistic adolescents. The possible role of religion as a resource and coping strategy for these children and their families is worth exploring.
本综述旨在探讨自闭症青少年的宗教虔诚度、信仰及相关信念。宗教虔诚度一词与信仰、灵性和宗教信仰等各种相关概念互换使用,并且在这一亚群体中分析了一种更广泛、多层面的方法,该方法涵盖宗教虔诚度的认知、主观、社会、文化和情感领域。与神经多样性范式一致,本综述努力以包容的视角看待自闭症谱系状况,认识到认知和行为差异的范围,并强调同等重视优势和挑战的重要性,反映了围绕神经多样性和自闭症谱系状况的细致入微的论述。然而,在需要时使用了“高功能自闭症”和“障碍”等术语,以反映综述中所纳入的期刊。通过访问学术搜索引擎,如美国心理学会心理学文摘数据库(APA PsycInfo)、美国心理学会心理学全文数据库(APA PsycArticles)、美国心理学会心理测试数据库(APA PsycTests)和医学期刊数据库(PubMed)进行了系统检索。仅纳入了使用严格的纳入和排除标准撰写的、以英文发表且针对人类受试者的同行评审文章。在对13篇经相关性和质量审查后选定的文章中确定了几个反复出现的主题。最重要的发现是在探索“自闭症中的宗教虔诚度”时不同术语和特征之间的关联。确定了39个关键主题,这些主题被归为六个主要主题。它们分别是:宗教信仰、灵性及其在自闭症青少年中的表达;自闭症青少年的宗教行为和实践;自闭症青少年的认知与宗教;社会和文化对自闭症青少年宗教虔诚度的影响;父母和照顾者对自闭症青少年的信仰和灵性的影响、观点及经历;以及自闭症青少年对信仰的感知益处:父母和青少年的观点。从本综述中纳入的现有研究整体来看宗教虔诚度和灵性的概念,可以推断出,一部分自闭症青少年(高功能自闭症)的宗教虔诚度(认知能力、行为和经历)与神经典型青少年相比可能并未显著降低。然而,对于一般自闭症青少年而言,没有足够的研究得出相同或相反的结论。当发现有所保留的宗教虔诚度时,可能归因于众多因素,而心智能力、心理理论、同理心或想象力的下降似乎并非宗教虔诚度的唯一或主要预测因素或促成因素。文化、父母、照顾者和宗教归属的作用显著,并且可能比心理理论等其他先前提出的预测因素对宗教虔诚度及其表达的贡献更大。许多自闭症青少年及其照顾者将宗教虔诚度和灵性视为他们自己以及他们孩子生活中的重要领域,希望他们的孩子有机会参与宗教团体和归属宗教组织,并期待政府、宗教和医疗保健当局在这一领域积极支持他们。这些发现呼吁政策制定者、宗教领袖和利益相关者制定策略,以包容和支持自闭症青少年。宗教作为这些儿童及其家庭的一种资源和应对策略的可能作用值得探索。