Investigating the Presence of Autistic Traits and Prevalence of Autism Spectrum Disorder Symptoms in Anorexia Nervosa: A Systematic Review and Meta-Analysis.

IF 4.7 2区医学 Q1 NUTRITION & DIETETICS International Journal of Eating Disorders Pub Date : 2024-11-12 DOI:10.1002/eat.24307

Ipek Inal-Kaleli, Nurhak Dogan, Sezen Kose, Emre Bora

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Abstract

Objective: The present meta-analysis aims to assess whether individuals with anorexia nervosa (AN) demonstrate elevated autistic traits, to explore potential associations between autistic traits and eating disorder symptoms; as well as to estimate the prevalence of a positive screen for autism spectrum disorder (ASD) assessed via Autism Diagnostic Observation Schedule (ADOS), in AN.

Method: A systematic literature search was conducted in PsycINFO, MEDLINE, and Web of Science in August 2023 and later updated in April 2024 to identify relevant studies. Twenty-two studies with 1172 AN patients and 2747 healthy controls (HCs) met the inclusion criteria.

Results: There was a significant difference between AN and HC groups in autistic traits (g = 0.88, CI = 0.65-1.12), and a significant but modest correlation was found between autistic traits and severity of eating disorder symptoms (r = 0.28, CI = 0.11-0.44). Proportion meta-analysis indicated that 29% (CI = 0.19-0.38) of children and adults scored above the cut-off for ASD.

Discussion: The current findings suggest that AN frequently overlaps with both autistic traits and autistic symptomatology. Therefore, it is essential to evaluate autism and autistic traits in individuals with AN to tailor individualized treatment plans.

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调查神经性厌食症中自闭症特征的存在和自闭症谱系障碍症状的发生率：系统回顾与元分析》。

研究目的本荟萃分析旨在评估神经性厌食症（AN）患者是否表现出较高的自闭症特质，探讨自闭症特质与进食障碍症状之间的潜在关联；以及估计通过自闭症诊断观察表（ADOS）评估的自闭症谱系障碍（ASD）阳性筛查在AN患者中的患病率：于 2023 年 8 月在 PsycINFO、MEDLINE 和 Web of Science 中进行了系统性文献检索，并于 2024 年 4 月进行了更新，以确定相关研究。共有22项研究符合纳入标准，涉及1172名AN患者和2747名健康对照者（HCs）：自闭症患者和健康对照组在自闭症特质方面存在明显差异（g = 0.88，CI = 0.65-1.12），自闭症特质与进食障碍症状严重程度之间存在显著但适度的相关性（r = 0.28，CI = 0.11-0.44）。比例荟萃分析表明，29%（CI = 0.19-0.38）的儿童和成人的得分高于自闭症的临界值：讨论：目前的研究结果表明，自闭症常常与自闭症特征和自闭症症状重叠。因此，有必要对自闭症患者的自闭症和自闭症特征进行评估，以制定个性化的治疗方案。

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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来源期刊

International Journal of Eating Disorders 医学-精神病学

CiteScore

10.00

自引率

12.70%

发文量

204

审稿时长

4-8 weeks

期刊介绍： Articles featured in the journal describe state-of-the-art scientific research on theory, methodology, etiology, clinical practice, and policy related to eating disorders, as well as contributions that facilitate scholarly critique and discussion of science and practice in the field. Theoretical and empirical work on obesity or healthy eating falls within the journal’s scope inasmuch as it facilitates the advancement of efforts to describe and understand, prevent, or treat eating disorders. IJED welcomes submissions from all regions of the world and representing all levels of inquiry (including basic science, clinical trials, implementation research, and dissemination studies), and across a full range of scientific methods, disciplines, and approaches.