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Examining the transition to adulthood in autism spectrum disorder: examining the perspectives of autistic individuals, caregivers and service providers 检查自闭症谱系障碍的成年过渡:检查自闭症个体,照顾者和服务提供者的观点
IF 1.2 Q3 Medicine Pub Date : 2023-07-25 DOI: 10.1108/aia-11-2022-0055
D. Nicholas, Theresa Jubenville-wood, R. Zulla, Katelyn Lowe, L. Zwaigenbaum
PurposeThe purpose of this study is to examine how the search for transitional services has been characterized as a challenging experience for autistic youth and their families. Transitional services are reported to be inconsistent and do not address the range of needs that autistic individuals have.Design/methodology/approachIn this study, qualitative interviews were conducted with autistic individuals (n = 31), their parents/caregivers (n = 23) and transition-based service providers (n = 10).FindingsFindings invite capacity building across sectors, including working with both the autistic individual and their caregiver, and ensuring targeted services commensurate with individual needs related to autism and ancillary challenges. Implications and recommendations for service and system advancement are offered.Practical implicationsCurrent services were reportedly insufficient in meeting the needs of autistic individuals as they transitioned into adulthood. Service areas needing to be bolstered include daily life, community engagement and employment. Capacity building and enhanced training are required. Information and communication strategies require advancement.Social implicationsA more responsive system is required, which involves support from many societal sectors (e.g. health, mental health, advanced education, social services, industry, housing and justice) over the lifespan. Policy adjustments and organizational mandates need to be reviewed to better consider the needs of transitioning autistic youth and allocate resources accordingly. Partnerships across stakeholder groups are needed.Originality/valueThis study provides details on a known but not well understood issue of transition to adulthood for autistic adults. This study is unique in providing first-hand data from transitioning autistic adults, with corroborating data from families and service providers.
目的本研究的目的是研究如何寻找过渡服务已经被描述为自闭症青少年和他们的家庭具有挑战性的经历。据报道,过渡性服务不一致,没有解决自闭症患者的各种需求。设计/方法/方法在本研究中,对自闭症个体(n = 31)、他们的父母/照顾者(n = 23)和基于过渡的服务提供者(n = 10)进行定性访谈。调查结果需要跨部门的能力建设,包括与自闭症患者及其护理人员合作,并确保有针对性的服务与自闭症和辅助挑战相关的个人需求相称。对服务和系统的发展提供了启示和建议。据报道,目前的服务不足以满足自闭症患者进入成年期的需要。需要加强的服务领域包括日常生活、社区参与和就业。需要进行能力建设和加强培训。信息和传播战略需要进步。社会影响需要一个反应更灵敏的系统,其中涉及许多社会部门(例如卫生、精神卫生、高等教育、社会服务、工业、住房和司法)在整个生命周期中的支持。需要审查政策调整和组织授权,以便更好地考虑过渡中的自闭症青年的需要,并相应地分配资源。需要在利益相关者群体之间建立伙伴关系。原创性/价值本研究提供了一个已知但尚未被很好理解的自闭症成年人向成年过渡问题的细节。这项研究的独特之处在于提供了来自过渡自闭症成年人的第一手数据,以及来自家庭和服务提供者的确凿数据。
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引用次数: 0
The effect of the interaction between autistic traits and psychotic proneness on empathy: a cross-sectional study with a non-clinical sample 自闭症特征和精神病倾向之间的相互作用对移情的影响:一项非临床样本的横断面研究
IF 1.2 Q3 Medicine Pub Date : 2023-06-21 DOI: 10.1108/aia-04-2022-0019
Elif Yildirim
PurposeRecent evidence indicates an improving effect of the co-occurrence of autistic traits and psychotic symptoms on social cognition, but there is no agreement on the effect of the interaction between autistic traits and psychotic proneness on empathy. The aim of this study is to examine the effect of the interaction between autistic traits and positive psychotic experiences on cognitive and affective empathy.Design/methodology/approachThe sample consisted of 420 adults aged between 18 and 60. Assessments were administered anonymously online. Empathic abilities were evaluated by the Interpersonal Reactivity Index (IRI). While Autism Spectrum Quotient (AQ) was applied to measure autistic traits, The Community Assessment of Psychic Experience (CAPE) was used as a measurement of positive psychotic experiences.FindingsA series of regression analyses showed that although AQ and CAPE scores were not correlated with cognitive-IRI, the interaction between these scores predicted cognitive-IRI scores. It was found that the personal distress subscale of IRI was significantly associated with AQ, but this relationship was moderated by CAPE scores.Originality/valueThese findings provide a different perspective on understanding social cognitive impairments in autism, which may have potential clinical implications. Findings also contribute to explaining the individual differences in empathic abilities.
目的近期研究表明自闭症特质与精神病症状共存对社会认知有改善作用,但自闭症特质与精神病倾向共存对共情的影响尚不明确。本研究旨在探讨自闭症特质与积极精神病经历的交互作用对认知共情和情感共情的影响。设计/方法/方法样本由420名年龄在18至60岁之间的成年人组成。评估在网上匿名进行。共情能力采用人际反应指数(IRI)评价。自闭症谱系商(AQ)被用来测量自闭症特征,而社区心理体验评估(CAPE)被用来测量积极的精神病体验。一系列的回归分析表明,虽然AQ和CAPE得分与认知iri得分不相关,但它们之间的相互作用预测了认知iri得分。研究发现,IRI的个人痛苦分量表与AQ显著相关,但这种关系被CAPE分数所缓和。这些发现为理解自闭症患者的社会认知障碍提供了一个不同的视角,可能具有潜在的临床意义。研究结果也有助于解释移情能力的个体差异。
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引用次数: 0
The effect of a visual arts and exercise program on communication and social skills of students with autism spectrum disorders 视觉艺术和锻炼项目对自闭症谱系障碍学生沟通和社交技能的影响
IF 1.2 Q3 Medicine Pub Date : 2023-06-21 DOI: 10.1108/aia-05-2022-0031
Alexandra Eleftheria Broupi, D. Kokaridas, Vasileios K Tsimaras, P. Varsamis
PurposeIndividuals with autism spectrum disorders (ASD) present challenges in their social and communication skills such as difficulties in developing interpersonal relationships and verbal and nonverbal communication; repetitive and restricted behaviors concerning resistance to environmental change, stereotyped movements and unusual reactions to sensory stimuli; and significant delays in motor development and performance. The purpose of this study was to investigate the effect of a combined visual arts and exercise program on the communication and social behavior skills of people with ASD.Design/methodology/approachThe research was conducted in a Creative Employment Center of People with Disabilities, and the sample consisted of 18 participants with ASD divided randomly into a control group (CG) (n = 8) and an experiment group (EG) (n = 10). The Social Communication Questionnaire (SCQ) was used prior and after the implementation of the intervention program. EG participants attended an intervention program, whereas CG individuals followed their daily routine activities, and they only completed the SCQ prior and after the program.FindingsEG demonstrated statically significant improvements in communication skills and social behavior, compared to the results of the CG. Furthermore, participants with Asperger’s syndrome showed a higher improvement rate compared to participants with autism, while no statistically significant differences were noticed concerning gender and age of the participants.Originality/valueTo the best of the authors’ knowledge, this is the first paper to investigate the effect of a combined visual arts and adapted physical activity program on the social and communication skills of people with ASD.
自闭症谱系障碍(ASD)患者在社交和沟通技能方面存在挑战,如发展人际关系、语言和非语言沟通方面存在困难;与抗拒环境变化、刻板动作和对感官刺激的不寻常反应有关的重复性和限制性行为;以及运动发育和表现的严重延迟。本研究的目的是调查视觉艺术和锻炼相结合的项目对ASD患者沟通和社会行为技能的影响。设计/方法/方法本研究在残疾人创意就业中心进行,样本由18名ASD参与者组成,随机分为对照组(CG) (n = 8)和实验组(EG) (n = 10)。在干预计划实施前后分别使用社会沟通问卷(SCQ)。EG参与者参加了一个干预计划,而CG参与者遵循他们的日常活动,他们只在计划之前和之后完成了SCQ。结果显示,与CG相比,seg在沟通技巧和社交行为方面有了显著的改善。此外,与自闭症患者相比,患有阿斯伯格综合症的参与者表现出更高的改善率,而在参与者的性别和年龄方面没有统计学上的显著差异。原创性/价值据作者所知,这是第一篇研究视觉艺术和适应性体育活动相结合对ASD患者社交和沟通技能影响的论文。
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引用次数: 0
Stress and resilience in British Indian parents with an autistic child: a comparative study with white British and Indian parents 患有自闭症儿童的英属印度父母的压力和恢复力:一项与英国和印度白人父母的比较研究
IF 1.2 Q3 Medicine Pub Date : 2023-06-14 DOI: 10.1108/aia-09-2022-0048
Steven D. Stagg, Fathima Kodakkadan, S. Rajan
PurposeThis study aims to examine the levels of stress and resilience in a sample of British Indian parents bringing up a child with autism.Design/methodology/approachA total of 52 British Indian parents took part in a survey that included measures of stress, resilience, support and child adaptive functioning. Results were compared to a sample of white British (n = 120) and Indian parents (n = 120).FindingsThe British Indian parents recorded higher levels of stress and less perceived social support than their white British counterparts. British Indian parents took longer to register concern about their child’s development and sought a diagnosis at a later age than the white British group. The delay in concern and diagnosis was similar to that found in the India group.Originality/valueThe research suggests that British Indian parents are disadvantaged in social support and mental well-being compared to white British parents and may face similar community pressures to parents bringing up a child in India.
目的本研究旨在检测英国-印度父母抚养自闭症儿童的压力和恢复力水平。设计/方法/方法共有52名英属印度父母参加了一项调查,其中包括压力、韧性、支持和儿童适应功能的测量。结果与英国白人(n=120)和印度裔父母(n=120。英裔印度父母比英国白人父母花更长的时间来表达对孩子发育的担忧,并在更晚的年龄寻求诊断。关注和诊断的延迟与印度组的情况相似。原创性/价值研究表明,与英国白人父母相比,英属印度父母在社会支持和心理健康方面处于不利地位,可能面临与在印度抚养孩子的父母类似的社区压力。
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引用次数: 1
Can the “Current View” show that autistic young people referred to mental health services have more comorbidities and complex needs? “当前观点”是否表明,接受心理健康服务的自闭症年轻人有更多的合并症和复杂的需求?
IF 1.2 Q3 Medicine Pub Date : 2023-06-07 DOI: 10.1108/aia-02-2023-0005
Lisa M. Thompson, E. Wilkinson, Sharleen Nall-Evans, Felix Michelet, M. Lewis, Fiona Pender, S. Jaydeokar
PurposeAutistic young people have health and care needs that may benefit from a multi-agency intervention. The “Current View” tool is routinely used in England to profile the needs of young people referred to mental health services. This study aims to examine associations between comorbidities and complex needs in autistic and non-autistic young people to assess the multifaceted needs of autistic young people.Design/methodology/approachA cohort study was conducted using data from the electronic patient record, comparing autistic and non-autistic young people to see which items in the four “Current View” tool categories were associated with autistic young people.FindingsIssues associated with autistic young people were: “community issues”, “attainment issues” and “deemed child in need” (all p < 0.001). Autistic young people scored significantly more items (p < 0.05) in the categories complexity/contextual/educational factors. Comorbidities associated with autistic young people included anxiety, “behavioural difficulties”, “peer relationship difficulties” and “self-care issues” (all p < 0.001). There was an association with increased comorbidities and complexity factors in autistic young people which suggests increased support from agencies may be beneficial.Originality/valueFew studies have used data in the “Current View” tool to assess young people referred to services. More use could be made of this data for planning and delivering services.
目的自闭症青年有健康和护理需求,多机构干预可能会使他们受益。在英格兰,“当前观点”工具通常用于描述被转介到精神卫生服务机构的年轻人的需求。本研究旨在探讨自闭症与非自闭症青少年共病与复杂需求之间的关系,以评估自闭症青少年的多方面需求。设计/方法/方法使用电子病历数据进行了一项队列研究,比较自闭症和非自闭症的年轻人,看看四个“当前视图”工具类别中的哪些项目与自闭症年轻人有关。与自闭症年轻人相关的问题是:“社区问题”、“成就问题”和“被认为有需要的孩子”(均p < 0.001)。自闭症青少年在复杂性/情境/教育因素三项得分显著高于自闭症青少年(p < 0.05)。与自闭症年轻人相关的合并症包括焦虑、“行为困难”、“同伴关系困难”和“自我照顾问题”(均p < 0.001)。这与自闭症年轻人的合并症和复杂性因素增加有关,这表明来自机构的更多支持可能是有益的。原创性/价值很少有研究使用“当前观点”工具中的数据来评估被转介服务的年轻人。可以更多地利用这些数据来规划和提供服务。
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引用次数: 0
The impact of COVID-19 on parents of autistic children with a particular focus on access to respite care 新冠肺炎对自闭症儿童父母的影响,特别关注获得临时护理的机会
IF 1.2 Q3 Medicine Pub Date : 2023-05-24 DOI: 10.1108/aia-07-2022-0036
E. Cooke, M. Brenner, V. Smith
PurposeThis study aims to explore how the COVID-19 pandemic has impacted parents of autistic children and their families in Ireland.Design/methodology/approachA qualitative thematic analysis methodology was applied using semi-structured interviews. A total of 12 parents (ten mothers, one father and one grandfather speaking on behalf of a mother) of autistic children were asked how the COVID-19 pandemic impacted them and their autistic child with a particular focus on how it has impacted their access to respite care. Interviews were completed remotely from July 2021 to October 2021.FindingsData analysis identified four themes that reflect an adverse pandemic impact. These were: world gone; alone and isolated; constantly fighting for help; and negative and positive impact of COVID-19 on child and family. Two parents reported positive outcomes of the pandemic such as social distance requirements. Five parents (42%) reported an increase in the amount of respite received. Three parents (25%) reported a decrease and four (33%) parents reported no change in their access to respite.Research limitations/implicationsCOVID-19 has turned a spotlight on mental health for politicians, policymakers and the public and provides an opportunity to make mental health a higher public health priority for autistic children and their families.Originality/valueThis study highlights the need for access to respite for autistic children and for respite services to be responsive to the ongoing needs, in particular, the mental health needs of autistic children and their family, particularly in a crisis situation.
目的本研究旨在探讨新冠肺炎大流行如何影响爱尔兰自闭症儿童的父母及其家庭。设计/方法论/方法采用半结构化访谈的定性主题分析方法。共有12名自闭症儿童的父母(10名母亲、1名父亲和1名祖父代表母亲发言)被问及新冠肺炎疫情对他们和他们的自闭症儿童产生了怎样的影响,特别关注它对他们获得临时护理的影响。访谈于2021年7月至2021年10月远程完成。FindingsData分析确定了四个主题,反映了疫情的不利影响。这些是:世界消失了;单独和孤立;不断地寻求帮助;新冠肺炎对儿童和家庭的负面和正面影响。两位家长报告了疫情的积极结果,如社交距离要求。五位家长(42%)报告说,获得的喘息时间有所增加。三名家长(25%)报告减少,四名家长(33%)报告他们获得喘息的机会没有变化。研究局限性/影响新冠肺炎使政治家、政策制定者和公众关注心理健康,并为自闭症儿童及其家人提供了将心理健康作为更高公共卫生优先事项的机会。独创性/价值这项研究强调了自闭症儿童获得喘息机会的必要性,以及喘息服务对持续需求的响应,特别是自闭症儿童及其家人的心理健康需求,特别是在危机情况下。
{"title":"The impact of COVID-19 on parents of autistic children with a particular focus on access to respite care","authors":"E. Cooke, M. Brenner, V. Smith","doi":"10.1108/aia-07-2022-0036","DOIUrl":"https://doi.org/10.1108/aia-07-2022-0036","url":null,"abstract":"\u0000Purpose\u0000This study aims to explore how the COVID-19 pandemic has impacted parents of autistic children and their families in Ireland.\u0000\u0000\u0000Design/methodology/approach\u0000A qualitative thematic analysis methodology was applied using semi-structured interviews. A total of 12 parents (ten mothers, one father and one grandfather speaking on behalf of a mother) of autistic children were asked how the COVID-19 pandemic impacted them and their autistic child with a particular focus on how it has impacted their access to respite care. Interviews were completed remotely from July 2021 to October 2021.\u0000\u0000\u0000Findings\u0000Data analysis identified four themes that reflect an adverse pandemic impact. These were: world gone; alone and isolated; constantly fighting for help; and negative and positive impact of COVID-19 on child and family. Two parents reported positive outcomes of the pandemic such as social distance requirements. Five parents (42%) reported an increase in the amount of respite received. Three parents (25%) reported a decrease and four (33%) parents reported no change in their access to respite.\u0000\u0000\u0000Research limitations/implications\u0000COVID-19 has turned a spotlight on mental health for politicians, policymakers and the public and provides an opportunity to make mental health a higher public health priority for autistic children and their families.\u0000\u0000\u0000Originality/value\u0000This study highlights the need for access to respite for autistic children and for respite services to be responsive to the ongoing needs, in particular, the mental health needs of autistic children and their family, particularly in a crisis situation.\u0000","PeriodicalId":43640,"journal":{"name":"Advances in Autism","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45124193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring intervention strategies to enhance face recognition abilities in adolescents with autism spectrum disorder: assessing the impact of verbalization and Navon tasks 探索提高自闭症谱系障碍青少年人脸识别能力的干预策略:评估言语化和Navon任务的影响
IF 1.2 Q3 Medicine Pub Date : 2023-05-22 DOI: 10.1108/aia-03-2022-0011
Minje Kim, Kyong-Mee Chung, Eunsun Chung
PurposeThe purpose of this study is to examine the effectiveness of two intervention strategies – identifying the global letter of Navon letters and verbally describing a face – in improving face recognition abilities of adolescents with autism spectrum disorder (ASD).Design/methodology/approachA total of 15 adolescents with ASD and 15 typically developing (TD) adolescents participated in this study, which consisted of three experimental conditions: verbalization, Navon and control. Participants were presented with a target face for a short period of time, then completed a task specific to the condition in a counterbalanced order, followed by a face recognition task.FindingsThe results of this study showed no significant interaction effects between groups and conditions, either in accuracy or reaction time. However, TD adolescents performed better than ASD adolescents in terms of accuracy. In addition, the verbalization condition resulted in better performance with slower response times compared to the control condition.Originality/valueThese findings suggest that verbalization may be a useful strategy to enhance face recognition abilities in ASD and TD individuals.
目的本研究的目的是检验两种干预策略——识别Navon字母的全球字母和口头描述人脸——在提高自闭症谱系障碍(ASD)青少年的人脸识别能力方面的有效性本研究包括三个实验条件:言语化、Navon和对照。参与者在短时间内被呈现一张目标人脸,然后以平衡的顺序完成特定于该条件的任务,然后是人脸识别任务。结果这项研究的结果表明,无论是在准确性还是反应时间上,组和条件之间都没有显著的相互作用影响。然而,就准确性而言,TD青少年的表现要好于ASD青少年。此外,与控制条件相比,言语化条件具有更好的性能,响应时间较慢。原创性/价值这些发现表明,言语化可能是提高ASD和TD个体人脸识别能力的有用策略。
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引用次数: 0
Exploration of caregiver experience for children with ASD: an in-depth perspective 探究ASD儿童的照顾者体验:深度视角
IF 1.2 Q3 Medicine Pub Date : 2023-05-22 DOI: 10.1108/aia-09-2022-0044
Neha Gupta, Manya Khanna, R. Garg, Vedantika Sethi, Shivangi Khattar, Purva Tekkar, Shwetha Maria, Muskan Gupta, Akash Saxena, Parul Gupta, Sara Ann Schuchert
PurposeThis study aims to examine the psycho-emotional and social experiences of caregivers of children with autism spectrum disorder. Various facets of the caregiving experience are explored, including the feelings and thoughts of the parents/caregivers, such as the resilience experienced in their journey, how they coped with the challenges and also their positive experiences.Design/methodology/approachIn this study, these aspects of the caregiving experience are broadly probed using semi-structured interviews subjected to narrative analysis. Lastly, there is a focus on the role of therapist-led intervention, specifically, the Eye to I© intervention model and its contributions to the parent/caregiver experience.FindingsFindings from this study indicate that parents benefit from interventions that bridge gaps in skills and interpersonal communication which parents/caregivers feel they encounter in their day-to-day activities. Additionally, support groups for parents and caregivers could further address these issues.Originality/valueThis exploration reveals insights about the roles of societal structures and the caregiving journey.
目的探讨自闭症谱系障碍儿童照顾者的心理情绪和社会体验。本课程探讨了照顾经验的各个方面,包括父母/照顾者的感受和想法,例如他们在旅途中所经历的韧性,他们如何应对挑战以及他们的积极经历。设计/方法/方法在本研究中,使用半结构化访谈进行叙事分析,广泛探讨了护理经验的这些方面。最后,重点关注治疗师主导的干预的作用,特别是眼到我©干预模式及其对父母/照顾者体验的贡献。研究结果本研究的结果表明,父母可以从干预措施中受益,这些干预措施可以弥补父母/照顾者在日常活动中遇到的技能和人际沟通方面的差距。此外,父母和照顾者的支持小组可以进一步解决这些问题。原创性/价值这一探索揭示了社会结构和看护过程的作用。
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引用次数: 0
Autism and social media: a systematic review of the user experience 自闭症与社交媒体:对用户体验的系统回顾
IF 1.2 Q3 Medicine Pub Date : 2023-05-17 DOI: 10.1108/aia-01-2023-0001
Nicholas Andrew Hudson, Jake M. Linnane, Kelly Rayner-Smith
PurposeSocial media use in autistic people has been identified as a potential avenue for less pressured social contact. Given shifts towards online socialisation, this study aims to systematically review the available literature on how autistic people experience and use social media.Design/methodology/approachA systematic review was carried out using the preferred reporting items for systematic reviews and meta-analyses system, with relevant literature reviewed and synthesised using a narrative approach. Inclusion criteria included adults and/or adolescents as the sole sample, a focus on autism and social media use as the sole/main topic.FindingsA total of 1,278 research studies were initially identified; following screening, 15 papers were reviewed. Studies demonstrated some support for the positive role social media can play and presented its use as a smart adaptation for the challenges of neurotypical socialising. For autistic people, social media may provide a balance between meeting the need to be connected to people without the pressure of managing aspects, such as tone of voice or body language.Research limitations/implicationsMost studies were questionnaire-based with substantial threats to validity. Samples were self-selecting, with autism status not always confirmed. Individual studies used a broad approach to the definition of social media, including online gaming and other online activities, precluding firm conclusions being made.Practical implicationsThere may be a Goldilocks “just right” level of social media contact that could maximise connectedness to others without impacting negatively on mental health, offline relationships and activities of daily living.Originality/valueThis paper presents a novel account of research from case studies and larger scale questionnaire studies.
目的自闭症患者使用社交媒体已被确定为减少压力的社交接触的潜在途径。鉴于向在线社交的转变,本研究旨在系统地回顾有关自闭症患者如何体验和使用社交媒体的现有文献。设计/方法/方法使用系统综述和荟萃分析系统的首选报告项目进行系统综述,并使用叙述方法对相关文献进行综述和综合。纳入标准包括成年人和/或青少年作为唯一样本,关注自闭症和社交媒体使用作为唯一/主要主题。发现最初共确定了1278项研究;筛选后,对15篇论文进行了综述。研究表明,社交媒体可以发挥积极作用,并将其作为应对神经正常社交挑战的一种聪明的适应手段。对于自闭症患者来说,社交媒体可以在满足与人联系的需求与管理方面(如语调或肢体语言)的压力之间提供平衡。研究局限性/含义大多数研究都是以问卷为基础的,有效性受到严重威胁。样本是自我选择的,自闭症状态并不总是得到证实。个别研究对社交媒体的定义采用了广泛的方法,包括在线游戏和其他在线活动,排除了得出确切结论的可能性。实际含义可能有一个“恰到好处”的社交媒体接触水平,可以最大限度地提高与他人的联系,而不会对心理健康、线下关系和日常生活活动产生负面影响。原创性/价值本文从案例研究和大规模问卷调查两个方面对研究进行了新颖的描述。
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引用次数: 1
Remote autism assessments – lessons learned from the Covid-19 pandemic: a service evaluation 远程自闭症评估——从Covid-19大流行中吸取的教训:一项服务评估
IF 1.2 Q3 Medicine Pub Date : 2023-05-16 DOI: 10.1108/aia-08-2022-0043
John E. Hartley, J. Purrington, Gemma Hartley
PurposeThe COVID-19 pandemic has resulted in health services adapting the delivery of routine assessments, with many operating remotely. This paper aims to explore the lived experiences of individuals undertaking remote autism assessments during the COVID-19 pandemic.Design/methodology/approachA mixed-methods service evaluation was completed in an adult autism and neurodevelopmental service based in the north of England. A total of 24 participants, who had undergone remote autism assessments between March 2020 and July 2020, completed a questionnaire about their experiences. Thematic analysis was performed, and additional quantitative data were analysed descriptively to allow contextual information to be included.FindingsThe evaluation identified three main themes. The first, practical and sensory issues of remote assessment, indicated that internet connectivity problems were common and sometimes impeded a successful assessment. Additionally, participants identified some elements of the videocall impacted their sensory sensitivities. The second theme, emotional responses to remote assessment, demonstrated relief and exhaustion to be common following sessions. The ability to complete assessments from a safe space were favoured by most. The final theme, pros and cons of different assessment methods, highlighted the preference for video assessments above telephone and in person sessions.Originality/valueThis study provides an original contribution to the literature by gathering autistic adults’ perspectives on remote autism assessments. The findings suggest that video assessments were the most preferable, over face-to-face and then telephone. Services should offer video and face-to-face assessments while keeping telephone assessments to a minimum.
目的新冠肺炎大流行导致卫生服务部门调整了常规评估的提供,其中许多是远程操作的。本文旨在探索新冠肺炎大流行期间进行远程自闭症评估的个人的生活经历。设计/方法/方法在英格兰北部的一家成人自闭症和神经发育服务机构完成了混合方法服务评估。共有24名参与者在2020年3月至2020年7月期间接受了远程自闭症评估,他们完成了一份关于自己经历的问卷调查。进行了专题分析,并对额外的定量数据进行了描述性分析,以纳入上下文信息。评价确定了三个主要主题。第一,远程评估的实际和感官问题表明,互联网连接问题很常见,有时会阻碍评估的成功。此外,参与者发现视频通话中的一些因素影响了他们的感官敏感性。第二个主题,对远程评估的情绪反应,表明在会议之后,缓解和疲惫是常见的。在安全空间完成评估的能力受到大多数人的青睐。最后一个主题,不同评估方法的利弊,强调了在电话和面对面会议之外,更倾向于视频评估。独创性/价值这项研究通过收集自闭症成年人对远程自闭症评估的观点,为文献提供了独创性贡献。研究结果表明,视频评估比面对面和电话评估更可取。服务应提供视频和面对面的评估,同时尽量减少电话评估。
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引用次数: 0
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Advances in Autism
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