The Relationship Between Interoception, Alexithymia, Autistic Traits and Eating Pathology in Autistic Adults.

IF 2.8 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2025-02-14 DOI:10.1007/s10803-024-06708-5
Heather Westwood, Will Mandy, Rebecca Brewer
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Abstract

This study investigated the mechanisms underlying disordered eating of autistic adults, by investigating associations between eating disorder (ED) symptoms and autistic traits; autism-specific atypical eating; alexithymia; interoception; and body image in autistic and non-autistic participants. Autistic adults (n = 196) and non-autistic adults (n = 206) completed online self-report measures assessing ED pathology, atypical eating, body image dissatisfaction, interoception, alexithymia, and autistic traits. Structural Equation Modelling tested a theoretical model of the relationships between these variables, and whether these relationships were moderated by autism diagnosis. Autistic adults self-reported higher ED pathology than non-autistic adults. The proposed model and the strength of the relationship between body image and ED pathology did not differ between the autistic and non-autistic groups. Atypical eating (not related to over-evaluation of weight/shape), however, was only associated with ED pathology in the autistic group. Both traditional and additional factors, including eating disturbances not driven by weight/shape concern, appear to contribute to ED pathology in autism.

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自闭症成人内感受、述情障碍、自闭症特征与饮食病理的关系。
本研究通过研究进食障碍(ED)症状与自闭症特征之间的关系,探讨自闭症成人进食障碍的潜在机制;自闭症特有的非典型饮食;述情障碍;interoception;以及自闭症和非自闭症参与者的身体形象。自闭症成人(n = 196)和非自闭症成人(n = 206)完成了在线自我报告测量,评估ED病理、非典型饮食、身体形象不满、内感受、述情障碍和自闭症特征。结构方程模型测试了这些变量之间关系的理论模型,以及这些关系是否受到自闭症诊断的调节。自闭症成年人自我报告的ED病理高于非自闭症成年人。提出的模型和身体形象与ED病理之间的关系强度在自闭症和非自闭症组之间没有差异。然而,非典型饮食(与过度评价体重/体型无关)只与自闭症组的ED病理有关。传统因素和其他因素,包括与体重/体型无关的饮食障碍,似乎都有助于自闭症患者的ED病理。
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
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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