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[自闭症谱系障碍青少年和青年自我伤害行为的差异:基于性别的研究方法]

[Differences in self-harm among adolescents and young adults with autism spectrum disorder: a gender-based approach].

作者信息

Massaguer-Bardaji B, Grau-Touriño A, Gómez-Hinojosa T

机构信息

Universitat Ramon Llull, Barcelona, España.

Clariane Spain, Madrid, España.

出版信息

Rev Neurol. 2024 Jul 16;79(2):35-40. doi: 10.33588/rn.7902.2024047.

Abstract

INTRODUCTION

Self-harm in children and young people with autism spectrum disorder (ASD) poses risks to their physical well-being, negatively impacts their quality of life and that of their families, and presents challenges to their integration into school and social environments. This study aimed to investigate possible differences in terms of gender between adolescents and young adults with autism admitted to the neurodevelopmental unit of ITA Argentona due to non-suicidal self-harming behaviour.

PATIENTS AND METHODS

A sample of 50 patients with ASD, whose ages ranged from 14 to 27 years, who were treated in the ITA Argentona neurodevelopmental unit. The methodology adopted consisted of a non-causal correlational cross-sectional study, for which the Autism Diagnostic Observation Schedule, second edition, and the Autism Diagnostic Interview-Revised were administered, as well as the Inventory of Statements About Self-injury.

RESULTS

The results obtained revealed significant and positive correlations between sex and certain types of self-harm (burning, pulling hair and carving) and the motivations or functions that the participants report for engaging in non-suicidal self-harm.

CONCLUSIONS

Although the study concluded that there is no substantially greater likelihood of one sex in particular engaging non-suicidal self-harm, significant differences were identified in terms of the specific types of self-harm, and the motivations or functions associated with these non-suicidal self-harming behaviours.

摘要

引言

患有自闭症谱系障碍(ASD)的儿童和青少年的自我伤害行为对他们的身体健康构成风险,对他们及其家庭的生活质量产生负面影响,并给他们融入学校和社会环境带来挑战。本研究旨在调查因非自杀性自我伤害行为而入住ITA阿金托纳神经发育科的自闭症青少年和青年在性别方面可能存在的差异。

患者与方法

选取了50名年龄在14至27岁之间、在ITA阿金托纳神经发育科接受治疗的ASD患者作为样本。所采用的方法包括一项非因果相关性横断面研究,为此实施了第二版《自闭症诊断观察量表》、《自闭症诊断访谈修订版》以及《自我伤害陈述量表》。

结果

所得结果显示,性别与某些类型的自我伤害行为(灼烧、拔头发和刻划)以及参与者报告的非自杀性自我伤害行为的动机或功能之间存在显著的正相关。

结论

尽管该研究得出结论,没有哪一种性别的人参与非自杀性自我伤害行为的可能性显著更高,但在自我伤害的具体类型以及与这些非自杀性自我伤害行为相关的动机或功能方面发现了显著差异。

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Risk for Premature Mortality and Intentional Self-harm in Autism Spectrum Disorders.自闭症谱系障碍的过早死亡风险和故意自伤。
J Autism Dev Disord. 2021 Sep;51(9):3098-3108. doi: 10.1007/s10803-020-04768-x. Epub 2020 Nov 2.

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