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自闭症个体家庭环境评估:现有工具的文献综述

Assessment of home environment for autistic individuals: a literature review of the existing tools.

作者信息

Ruiz-Rodrigo Alicia, Lemay Miranda, Savaria Ariane, Louis-Delsoin Cindy, Morales Ernesto

机构信息

Department of Rehabilitation Faculty of Medicine, Université Laval, Quebec City, Quebec, G1v 0a6, Canada.

Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, Quebec, G1m 2s8, Canada.

出版信息

Int J Dev Disabil. 2023 Apr 24;71(1):18-29. doi: 10.1080/20473869.2023.2202010. eCollection 2025.

Abstract

BACKGROUND

Autism Spectrum Disorder is a neurodevelopmental disorder, and its prevalence is estimated at 1% worldwide. The home environment can influence activities and roles for autistic individuals, however there are limited assessments that focus on the home environment for this population.

PURPOSE

To identify existing assessment tools of home environment for autistic individuals in the literature.

METHODS

We explored five databases. Initial search on databases was made in 2019 and updated in 2022. Documents selection was made in two phases: 1) title and abstract screening, 2) full-text reading of selected publications. The included studies were analyzed.

RESULTS

We identified seven home environment-related assessment tools that can be used with the autistic population. Most of the tools included few items related to the non-human environment and do not include specific elements of the environment (e.g.: details about sensory stimuli or assessment of the layout). Six of them are design for children or youths and only one out seven is specific to autistic people.

CONCLUSIONS

The identified tools do not allow for a detailed assessment of the non-human environment of autistic individuals only the identification of environment-related difficulties. More research and the development of new tools are needed to improve it.

摘要

背景

自闭症谱系障碍是一种神经发育障碍,全球患病率估计为1%。家庭环境会影响自闭症患者的活动和角色,然而,针对这一人群对家庭环境进行评估的研究有限。

目的

在文献中识别现有的针对自闭症患者家庭环境的评估工具。

方法

我们检索了五个数据库。2019年对数据库进行了初步检索,并于2022年更新。文献筛选分两个阶段进行:1)标题和摘要筛选,2)对选定出版物进行全文阅读。对纳入的研究进行分析。

结果

我们识别出七种可用于自闭症人群的与家庭环境相关的评估工具。大多数工具中与非人类环境相关的项目较少,且未包含环境的具体要素(例如:关于感官刺激的细节或布局评估)。其中六种是为儿童或青少年设计的,七种中只有一种是专门针对自闭症患者的。

结论

所识别的工具无法对自闭症患者的非人类环境进行详细评估,仅能识别与环境相关的困难。需要更多的研究和开发新工具来加以改进。

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Global prevalence of autism: A systematic review update.全球自闭症患病率:系统综述更新。
Autism Res. 2022 May;15(5):778-790. doi: 10.1002/aur.2696. Epub 2022 Mar 3.

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