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自闭症和非自闭症大学生焦虑与抑郁的患病率:简要报告

Prevalence of Anxiety and Depression in Autistic and Non-autistic College Students: A Brief Report.

作者信息

Aragon-Guevara Diego A, Mattson Jennifer M Gillis, Kim Hyejung

机构信息

Department of Psychology, SUNY Binghamton University, Binghamton, NY, USA.

CCPA Department of Teaching, SUNY Binghamton University, Binghamton, NY, USA.

出版信息

J Autism Dev Disord. 2025 May 21. doi: 10.1007/s10803-025-06876-y.

DOI:10.1007/s10803-025-06876-y
PMID:40397048
Abstract

PURPOSE

As more autistic individuals transition into young adulthood, it is crucial to explore factors relevant to success in this period of life, including success in post-secondary education. Mental health challenges have been identified as a significant concern in post-secondary education; however, the majority of research only includes non-autistic students.

METHODS

The current study utilized data from the 2021 National Survey of Student Engagement (NSSE) to compare rates of anxiety and depression, as well as gender differences, in autistic and non-autistic students. The sample included 1399 autistic and 146,220 non-autistic students from 342 universities in the US and Canada.

RESULTS

Autistic students reported significantly higher rates of anxiety (64.5%), and depression (48.2%) compared to their non-autistic peers (9.4% and 7.6%, respectively). Female students reported elevated rates of depression and anxiety compared to male students in both the autistic and non-autistic samples.

CONCLUSION

These findings highlight the elevated mental health challenges faced by autistic students and underscore the need for increased research and support in post-secondary settings. Future research on risk factors for mental health challenges of autistic post-secondary students might elucidate opportunities and timing for support and screening.

摘要

目的

随着越来越多的自闭症患者步入青年期,探索与这一人生阶段成功相关的因素至关重要,其中包括高等教育的成功。心理健康挑战已被确定为高等教育中的一个重大问题;然而,大多数研究仅纳入了非自闭症学生。

方法

本研究利用2021年全国学生参与度调查(NSSE)的数据,比较自闭症学生和非自闭症学生的焦虑和抑郁发生率以及性别差异。样本包括来自美国和加拿大342所大学的1399名自闭症学生和146,220名非自闭症学生。

结果

与非自闭症同龄人相比(分别为9.4%和7.6%),自闭症学生报告的焦虑率(64.5%)和抑郁率(48.2%)显著更高。在自闭症和非自闭症样本中,女生报告的抑郁和焦虑率均高于男生。

结论

这些发现凸显了自闭症学生面临的心理健康挑战加剧,并强调在高等教育环境中需要加强研究和支持。未来对自闭症高等教育学生心理健康挑战风险因素的研究可能会阐明支持和筛查的机会及时机。

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本文引用的文献

1
A Comparison of Autistic and Non-Autistic College Students' Perceived Challenges and Engagement in Self-Advocacy.自闭症和非自闭症大学生在自我倡导方面的感知挑战和参与的比较。
Am J Speech Lang Pathol. 2024 May;33(3):1471-1484. doi: 10.1044/2024_AJSLP-22-00381. Epub 2024 Mar 12.
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Anxiety and Depression in Autistic College Students: The Freshman Survey Results.自闭症大学生的焦虑与抑郁:新生调查结果
Cureus. 2023 Mar 6;15(3):e35820. doi: 10.7759/cureus.35820. eCollection 2023 Mar.
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Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013-2021.
大学生心理健康和不同种族/族裔寻求帮助的趋势:2013-2021 年全国心理健康研究的结果。
J Affect Disord. 2022 Jun 1;306:138-147. doi: 10.1016/j.jad.2022.03.038. Epub 2022 Mar 18.
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Mental health impacts of the COVID-19 pandemic on college students.新冠疫情对大学生心理健康的影响。
J Am Coll Health. 2024 Feb-Mar;72(2):463-468. doi: 10.1080/07448481.2022.2040515. Epub 2022 Mar 17.
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How is autistic identity in adolescence influenced by parental disclosure decisions and perceptions of autism?青少年时期的自闭症身份是如何受到父母披露决策和对自闭症的认知的影响的?
Autism. 2021 Feb;25(2):374-388. doi: 10.1177/1362361320958214. Epub 2020 Sep 24.
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Trends in anxiety among adults in the United States, 2008-2018: Rapid increases among young adults.2008 - 2018年美国成年人焦虑状况趋势:年轻成年人焦虑状况迅速上升。
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The health of college students on the autism spectrum as compared to their neurotypical peers.自闭症谱系大学生的健康状况与神经典型同龄人相比。
Autism. 2021 Apr;25(3):719-730. doi: 10.1177/1362361320926070. Epub 2020 Jun 18.
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Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China.大学生抑郁、焦虑和压力的性别差异:来自中国的纵向研究。
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Principal component regression of academic performance, substance use and sleep quality in relation to risk of anxiety and depression in young adults.青少年学业成绩、物质使用和睡眠质量与焦虑和抑郁风险关系的主成分回归分析
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