Sharp William G
Department of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Children's Healthcare of Atlanta, Atlanta, GA, USA.
Int J Eat Disord. 2025 Jan;58(1):168-170. doi: 10.1002/eat.24316. Epub 2024 Oct 28.
Two recent systematic reviews provide important insights into the current state of the eating disorder literature regarding autistic traits, ASD prevalence, and experience with accessing treatment, with a specific focus on anorexia nervosa (AN). The extant literature provides converging evidence for elevated autistic traits in individuals with AN, while evidence for increased prevalence of ASD in AN is less robust. Presence of autistic traits or a formal ASD diagnosis both appear to elevate the potential for a more complicated experience during eating disorder treatment. Together, this work provides compelling justification to expand the breadth of inquiry regarding eating disorders and ASD, with a specific call for increased methodological rigor when designing and conducting future research. My commentary calls for specific steps to advance our understanding of ASD and eating disorders.
最近的两项系统评价为饮食失调文献中有关自闭症特征、自闭症谱系障碍（ASD）患病率以及获得治疗的经历的现状提供了重要见解，特别关注神经性厌食症（AN）。现有文献为AN患者中自闭症特征升高提供了趋同证据，而AN中ASD患病率增加的证据则不那么确凿。自闭症特征的存在或正式的ASD诊断似乎都会增加饮食失调治疗期间经历更复杂情况的可能性。总之，这项工作为扩大对饮食失调和ASD的研究范围提供了有力的理由，特别呼吁在设计和开展未来研究时提高方法的严谨性。我的评论呼吁采取具体措施来增进我们对ASD和饮食失调的理解。
