A Qualitative Study of Autistic Adults' Quality of Life During the COVID-19 Pandemic and Lockdowns.

Gavin R Stewart, Marguerite Leoni, Rebecca A Charlton, Hannah R Pickard, Francesca Happé
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Abstract

Background: Autistic people experience higher rates of most mental health conditions and report more difficulties with change than nonautistic people. As such, the periods of national stay-at-home orders (known in the United Kingdom as a "lockdown") endured since the beginning of the COVID-19 (coronavirus disease 2019) pandemic in March 2020 may have been particularly challenging for autistic people.

Aim: This study explored autistic adults' experience of quality of life and well-being during the start of the COVID-19 pandemic (specifically March to August 2020) using open-text responses from an online survey.

Methods: In total, 79 autistic adults from the United Kingdom (aged 21-75 years) took part. Participants completed an online survey, including open-text questions on how various factors influencing quality of life, such as social interactions, general health, well-being, and sensory experiences, were impacted by the COVID-19 pandemic and the first set of national lockdowns that occurred between March and August 2020.

Results: Thematic analysis created four key themes, each illustrated by several subthemes. These four themes explore (1) health, (2) social changes, (3) support provisions, and (4) adopting new routines. Many participants discussed the impact that the COVID-19 pandemic and the first set of national lockdowns had on their health and expressed concerns regarding the transition out of periods of lockdown, including readjusting to new rules, going back to in-person interactions, and reacclimatizing to high-stimulation sensory environments. However, several participants reported positive experiences of the periods of lockdown, such as reduced commuting, more control over sensory environments, and more time to pursue personal interests and self-care.

Conclusions: These findings highlight the importance of giving autistic individuals the support they need to transition back to "normality" as COVID-19 becomes endemic.

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关于 COVID-19 大流行和封锁期间自闭症成人生活质量的定性研究。
背景:与非自闭症患者相比,自闭症患者患有大多数精神疾病的比例较高,并且在面对变化时会遇到更多困难。因此,自 2020 年 3 月 COVID-19(冠状病毒病,2019 年)大流行开始以来,自闭症患者所经历的全国性呆在家中的命令(在英国被称为 "封锁")时期可能尤其具有挑战性。目的:本研究使用在线调查的开放文本回复,探讨了自闭症成年人在 COVID-19 大流行开始期间(特别是 2020 年 3 月至 8 月)的生活质量和幸福感体验:共有 79 名来自英国的成年自闭症患者(21-75 岁)参与了调查。参与者完成了一项在线调查,其中包括一些开放文本问题,内容涉及影响生活质量的各种因素,如社会交往、一般健康、幸福感和感官体验,是如何受到 COVID-19 大流行以及 2020 年 3 月至 8 月期间发生的第一轮全国封锁的影响的:结果:专题分析产生了四个关键主题,每个主题又有几个次主题。这四个主题分别探讨了 (1) 健康、(2) 社会变化、(3) 提供支持和 (4) 采取新的常规措施。许多参与者讨论了 COVID-19 大流行病和第一轮全国性封锁对他们健康的影响,并对从封锁期 过渡的问题表示担忧,包括重新适应新规则、回到人际交往以及重新适应高刺激的感官环 境。不过,也有几位参与者表示封锁期带来了积极的体验,例如减少了通勤时间,对感官环境有了更多的控制,以及有更多的时间追求个人兴趣和自我保健:这些研究结果强调了随着 COVID-19 的流行,为自闭症患者提供所需的支持以帮助他们回归 "正常 "生活的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Community Member Views on Autism Intervention: Effects of Closeness to Autistic People with Intellectual Disabilities And Nonspeaking Autistic People. Call for Papers: Autism and Aging: A Lifespan Approach: Deadline for Manuscript Submission: January 15, 2024. A Qualitative Study of Autistic Adults' Quality of Life During the COVID-19 Pandemic and Lockdowns. Autistic People and Moving Home: A Systematic Review. Early-Career Autism Researchers Are Shifting Their Research Directions: Tragedy or Opportunity?
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