Alehagen Lovisa, Bölte Sven, Black Melissa H
Karolinska Institutet and Region Stockholm, Sweden.
Stockholm Health Care Services, Region Stockholm, Sweden.
Autism. 2025 Feb;29(2):310-328. doi: 10.1177/13623613241272044. Epub 2024 Aug 25.
The International Classification of Functioning, Disability, and Health (ICF) is a framework designed by the World Health Organization (WHO) to help different sectors, such as healthcare, social services, education, and policy, understand how people with health-related issues function (do the things they want to and need to do) in their daily lives. This framework has also been used to guide clinical practice and research in autism and attention-deficit hyperactivity disorder (ADHD). To make it more practical, shorter versions of the ICF called Core Sets have been developed. We wanted to explore how the ICF and the ICF Core Sets have been used in research relating to autism and ADHD. We looked at the research that had been previously published on this topic by conducting a systematic search and review. Seventy-eight studies meeting our criteria were included in our review. Results show that the ICF has been applied in many ways across various contexts. However, most of the research has focused on autism, mainly involving children. The review highlights that although the ICF was used in some studies, the underlying philosophies of the framework were not always followed. The medical perspective still influenced the way research was done and interpreted. Nevertheless, using the ICF in the right way can help shift research on neurodevelopmental conditions like autism and ADHD toward a more holistic approach, moving away from solely focusing on medical aspects.
《国际功能、残疾和健康分类》(ICF)是世界卫生组织(WHO)设计的一个框架,旨在帮助医疗保健、社会服务、教育和政策等不同部门了解有健康相关问题的人在日常生活中的功能状况(做他们想要和需要做的事情)。该框架也被用于指导自闭症和注意力缺陷多动障碍(ADHD)的临床实践和研究。为了使其更具实用性,已开发出名为核心集的ICF简短版本。我们想探究ICF及其核心集在与自闭症和ADHD相关的研究中是如何被使用的。我们通过进行系统的检索和综述,查看了此前发表的关于该主题的研究。我们的综述纳入了78项符合我们标准的研究。结果表明,ICF已在各种背景下以多种方式得到应用。然而,大多数研究都集中在自闭症上,主要涉及儿童。该综述强调,尽管在一些研究中使用了ICF,但该框架的基本理念并非总是得到遵循。医学视角仍然影响着研究的开展和解释方式。尽管如此,正确使用ICF有助于将自闭症和ADHD等神经发育疾病的研究转向更全面的方法,摆脱仅关注医学方面的局限。