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Understanding pain experiences in individuals with developmental disabilities in Saudi Arabia: A qualitative interview study. 了解沙特阿拉伯发育性残疾患者的疼痛经历:一项定性访谈研究。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-06 DOI: 10.1016/j.ridd.2026.105242
Salman Almughyiri

Research is limited on presenting optimal insights into the pain experiences of individuals with development disabilities (DD). Due to the group's insufficient communication skills, experts find it challenging to accurately assess pain. As a result, individuals with DDs often encounter the consequences of undiagnosed pain. A similar risk tends to increase in certain countries, particularly the Kingdom of Saudi Arabia (KSA), considering the impact of distinct cultural and social characteristics that define pain experiences. This qualitative research, utilizing an exploratory research design and an interpretivist research philosophy, aims to critically examine pain experiences in individuals with DDs in Saudi Arabia. Semi-structured interviews were conducted with 25 healthcare professionals, family caregivers, physiotherapists, and special education teachers. Important themes identified in the current research include diverse pain interpretations, the implications of persistent behavioral changes, challenges in identifying different types of pain, pain management as an ongoing, context-specific process, and systemic and cultural factors that determine pain management in individuals with DDs in KSA. A relevant aspect emerging in the study is associated with comprehending the varied nuances of pain experiences of individuals with DDs.

研究仅限于对发育障碍(DD)患者的疼痛体验提出最佳见解。由于该群体缺乏沟通技巧,专家们发现准确评估疼痛是一项挑战。因此,患有dd的人经常会遇到无法诊断的疼痛的后果。考虑到定义疼痛体验的独特文化和社会特征的影响,在某些国家,特别是沙特阿拉伯王国(KSA),类似的风险趋于增加。本定性研究采用探索性研究设计和解释主义研究哲学,旨在批判性地研究沙特阿拉伯dd患者的疼痛经历。对25名保健专业人员、家庭照顾者、物理治疗师和特殊教育教师进行了半结构化访谈。当前研究确定的重要主题包括不同的疼痛解释,持续行为改变的含义,识别不同类型疼痛的挑战,疼痛管理作为一个持续的,特定情境的过程,以及决定KSA dd患者疼痛管理的系统和文化因素。研究中出现的一个相关方面与理解dd患者疼痛体验的各种细微差别有关。
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引用次数: 0
Game on but pay the price: Hyperfocus, flow, escapism, self-efficacy, and burnout among video gamers with ADHD traits. 游戏,但要付出代价:过度专注,心流,逃避现实,自我效能和倦怠的电子游戏玩家的ADHD特征。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-05 DOI: 10.1016/j.ridd.2026.105241
Anna Pyszkowska, Ari Nowacki, Natalia Dziura

Hyperfocus-an intense, uncontrollable state of attention-has gained attention for its dual adaptive and maladaptive outcomes and its potential role in gaming experience. Although distinguishing hyperfocus from flow during gameplay may be challenging, their predictive factors (e.g., escapism motivation) and consequences (e.g., burnout, self-efficacy) may differentiate the two constructs. However, the distinction between hyperfocus and flow in gaming contexts - particularly regarding their psychological outcomes and statistical predictors - remains insufficiently understood. The aims of this study were to a) establish possible differences in hyperfocus and flow as potential predictors of negative (cognitive, emotional burnout) and positive (self-efficacy) psychological outcomes among adult video gamers with ADHD traits, and b) compare these outcomes between individuals with a formal ADHD diagnosis and with an ADHD self-diagnosis. Data from 310 participants with ADHD traits were analyzed. First, an exploratory correlation analysis was conducted. Then, the relationships between hyperfocus, flow, escapism motivation, self-efficacy, and burnout were compared between persons with a formal ADHD diagnosis (N = 174) and self-diagnosis (N = 136) using the Mann-Whitney test, network analysis, and two PLS-SEM models. Flow and hyperfocus differed in both predictors and outcomes, with flow associated with greater self-efficacy and hyperfocus predicting higher burnout. Group comparisons indicated complex patterns: self-suppression escapism predicted flow only in the self-diagnosis group, while also predicting hyperfocus in both groups. Hyperfocus and flow emerge as qualitatively distinct states with different predictors and consequences. Furthermore, systematic differences between formally diagnosed and self-diagnosed individuals with ADHD traits underscore the necessity of distinguishing these subgroups in research on ADHD-related experiences.

过度专注——一种强烈的、不可控的注意力状态——因其双重适应和不适应结果及其在游戏体验中的潜在作用而受到关注。尽管在游戏过程中区分超专注和心流可能具有挑战性,但它们的预测因素(如逃避动机)和结果(如倦怠、自我效能感)可能会区分这两种结构。然而,在游戏环境中,过度专注和心流之间的区别——特别是关于他们的心理结果和统计预测——仍然没有得到充分的理解。本研究的目的是:a)在具有ADHD特征的成年电子游戏玩家中,确定过度专注和心流作为消极(认知、情绪倦怠)和积极(自我效能)心理结果的潜在预测因素的可能差异;b)比较正式诊断为ADHD的个体和自我诊断为ADHD的个体之间的这些结果。研究人员分析了310名ADHD患者的数据。首先,进行探索性相关分析。然后,采用Mann-Whitney检验、网络分析和两种PLS-SEM模型比较正式诊断为ADHD (N = 174)和自我诊断为ADHD (N = 136)的患者的超专注、心流、逃避动机、自我效能感和倦怠之间的关系。心流和过度专注在预测因素和结果上都不同,心流与更高的自我效能感相关,而过度专注预测更高的倦怠。组间比较显示出复杂的模式:自我抑制逃避只在自我诊断组预测心流,而在两组中也预测超聚焦。高度专注和心流是两种截然不同的状态,具有不同的预测因素和结果。此外,正式诊断和自我诊断的ADHD个体特征之间的系统差异强调了在ADHD相关经历研究中区分这些亚群的必要性。
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引用次数: 0
Employment barriers for people with disabilities in Saudi Arabia 沙特阿拉伯残疾人的就业障碍
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-03 DOI: 10.1016/j.ridd.2026.105231
Ali N. Alasmari, Hussain A. Almalky
People with disabilities (PWDs) encounter numerous barriers that hinder their access to employment. This study examined perceived barriers related to (a) human resource (HR) practices and legislation, (b) employers’ and employees’ perceptions, and (c) workplace accommodations in Saudi Arabia. The study also investigated whether perceived barriers differed according to institutional characteristics, including employment sector, institutional age, public versus private status, current employment of PWDs, and Mowaamah certification status. Data were collected through a survey completed by employers and HR professionals (n = 86) across various regions of Saudi Arabia. The findings indicated that the most significant barriers were limited knowledge regarding how to provide appropriate assistance and resources to PWDs, as well as a shortage of PWDs applying for available positions. Conversely, the least significant barrier was the perception that PWDs cause disruptions in the workplace. Group comparisons revealed that perceived barriers were higher in newer institutions than in older ones, higher in institutions that did not currently employ PWDs, and lower in institutions that had obtained Mowaamah certification. These findings highlight the need for increased awareness of employment barriers facing PWDs. The study also identifies directions for future research, including the use of qualitative and mixed-methods approaches to further understand and address barriers to employing PWDs in Saudi Arabia.
残疾人士在就业方面遇到许多障碍。本研究调查了沙特阿拉伯与以下方面相关的感知障碍:(a)人力资源(HR)实践和立法,(b)雇主和雇员的看法,以及(c)工作场所住宿。该研究还调查了感知障碍是否因机构特征而异,包括就业部门、机构年龄、公共与私营状况、残疾人士的当前就业情况以及Mowaamah认证状况。数据是通过一项由沙特阿拉伯不同地区的雇主和人力资源专业人士(n = 86)完成的调查收集的。调查结果显示,最大的障碍是对如何向残疾人士提供适当的援助和资源的认识有限,以及残疾人士申请职位的人数不足。相反,最不重要的障碍是人们认为残疾人士会在工作场所造成干扰。分组比较显示,新机构的感知障碍高于老机构,目前不雇用残疾人士的机构的感知障碍更高,而获得Mowaamah认证的机构的感知障碍更低。这些调查结果突出表明,需要提高对残疾人士面临的就业障碍的认识。该研究还确定了未来研究的方向,包括使用定性和混合方法来进一步了解和解决在沙特阿拉伯雇用残疾人的障碍。
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引用次数: 0
Camp-based entertainment rehabilitation for young people with down syndrome in Saudi Arabia. 沙特阿拉伯唐氏综合症青少年营地娱乐康复。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-03 DOI: 10.1016/j.ridd.2025.105205
Dania Bint Abdullah Bin Saud Bin Abdulaziz Al Saud

Background: Down syndrome (DS) is associated with lifelong challenges across cognitive, physical, and social domains that can impact quality of life (QoL). Despite research evidence supporting the benefits of recreational and entertainment-based rehabilitation, such programmes remain underdeveloped in the Middle East. This study examined cultural appropriateness, and impact of a camp-based entertainment rehabilitation programme for young people with DS in Saudi Arabia.

Methods: This study was implemented with 11 participants (aged 17-23 years) attending an 11-day residential camp in Al-Baha. The adapted Quality-of-Life Questionnaire for Persons with DS was administered at baseline (T1), post-intervention (T2), and 8-week follow-up (T3). Qualitative data was also captured to gain understanding about participant and parent lived experiences.

Results: Significant improvements were observed across all QoL domains between T1 and T2 with gains maintained at T3. Qualitative findings revealed enhanced independence, self-confidence, social engagement, and parental relief. Participants expressed joy and belonging, while parents reported reduced stress and increased optimism.

Conclusions: Findings from this study demonstrate that entertainment-based rehabilitation can be effective in enhancing QoL among young people with DS within a culturally grounded Saudi context. This pilot study highlights the potential of leisure-focused rehabilitation to promote inclusion, family well-being, and social participation, aligning with Saudi Vision 2030's Quality of Life goals.

背景:唐氏综合症(DS)与认知、身体和社会领域的终身挑战相关,这些挑战会影响生活质量(QoL)。尽管研究证据支持娱乐和以娱乐为基础的康复的好处,但这类方案在中东仍然不发达。本研究考察了沙特阿拉伯以营地为基础的娱乐康复项目对青少年退行性残疾的文化适宜性和影响。方法:11名参与者(17-23岁)在Al-Baha参加了为期11天的住宿营。在基线(T1)、干预后(T2)和8周随访(T3)对退行性痴呆患者的生活质量问卷进行了调整。定性数据也被捕获,以了解参与者和父母的生活经历。结果:在T1和T2之间观察到所有QoL领域的显着改善,并在T3保持增益。定性研究结果显示,他们的独立性、自信心、社会参与度和父母的安慰度都有所提高。参与者表达了喜悦和归属感,而父母则表示压力减轻了,乐观情绪增加了。结论:本研究的结果表明,在沙特文化背景下,以娱乐为基础的康复可以有效地提高患有退行性残疾的年轻人的生活质量。这项试点研究强调了以休闲为重点的康复在促进包容、家庭福祉和社会参与方面的潜力,符合沙特2030年生活质量愿景的目标。
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引用次数: 0
Validation of the Arabic version of the Self-Determination Screening Scale: A Multitrait–Multimethod analysis 阿拉伯语版自我决定筛选量表的验证:多特质-多方法分析。
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105228
G.H. Alnahdi , A. Alwadei , S. Schwab
There is a scarcity of validated scales designed to assess self-determination among students with disabilities. This study evaluates the Self-Determination Screening Scale for Adolescents with Disabilities (SDSS-AR) within the Arab context and applies Multitrait–Multimethod analysis to assess its validity for different informant versions (students, families, and teachers), with a total sample size of 508 covering all three versions. The results support convergent and discriminant validity and establish SDSS-AR as a reliable measure. By offering insights from various perspectives, this study validates a culturally adapted tool that significantly contributes to empowering Arab students with disabilities to successfully achieve societal integration. Moreover, this study highlights the important role played by culturally relevant, multidimensional assessment tools in enhancing educational and psychological practices.
目前缺乏有效的量表来评估残疾学生的自我决定。本研究评估了阿拉伯背景下的残疾青少年自我决定筛选量表(SDSS-AR),并应用多特征-多方法分析来评估其对不同信息版本(学生,家庭和教师)的有效性,总样本量为508,涵盖了所有三个版本。结果支持收敛效度和判别效度,并建立了SDSS-AR作为一种可靠的测量方法。通过从不同角度提供见解,本研究验证了一种文化适应工具,该工具显著有助于赋予阿拉伯残疾学生成功实现社会融合的能力。此外,本研究强调了文化相关的多维评估工具在加强教育和心理实践中的重要作用。
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引用次数: 0
Associations between receptive and expressive vocabulary and early literacy in young students with intellectual disabilities using AAC 使用AAC的年轻智障学生的接受性和表达性词汇与早期读写能力的关系
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105239
Line Britt Ulriksen , Marthe Bilet-Mossige , Kenneth Larsen , Anders Nordahl-Hansen

Purpose

This study examined the associations between receptive and expressive vocabulary and early literacy skills (i.e., phonological awareness and letter-sound knowledge) among 39 students aged 6–14 years with intellectual disabilities, autism, and/or Down syndrome who use augmentative and alternative communication (AAC). Receptive and expressive vocabulary are identified as a key risk factor for developing reading skills in students with intellectual disabilities who use AAC.

Methods

Spearman’s correlation analyses and generalized linear models were conducted throughout this non-experimental investigation to examine the association between receptive and expressive vocabulary, phonological awareness (sound blending and initial sound recognition), and letter-sound knowledge.

Results

Findings revealed a significant correlation between expressive vocabulary (i.e., words children can use in speech) and both letter-sound knowledge and sound blending, contrary to prior research. Additionally, students’ receptive and expressive vocabulary showed no correlation with their early literacy skills. Binomial Generalized Linear Models (mixed-effects models) highlighted the importance of receptive vocabulary in early literacy development. Furthermore, looking at the differences within the sample, students with autism and intellectual disability requiring AAC had a higher negative probability of maximum scores in early literacy skills.

Conclusions

These findings deepen understanding of how the correlations between receptive and expressive vocabulary relate to early literacy skills. This may contribute to more targeted interventions and provide implications for practitioners and their teaching within receptive and expressive vocabulary and early literacy components, which will benefit this population in further reading development.
目的研究39名6-14岁智力障碍、自闭症和/或唐氏综合症学生的接受性和表达性词汇与早期读写能力(即语音意识和字母-声音知识)之间的关系,这些学生使用辅助和替代沟通(AAC)。接受性和表达性词汇被认为是使用AAC的智障学生发展阅读技能的关键风险因素。方法采用spearman相关分析和广义线性模型研究接受性词汇和表达性词汇、语音意识(混音和初始语音识别)和字母语音知识之间的关系。结果研究发现,表达性词汇(即儿童在讲话中可以使用的词汇)与字母-声音知识和声音混合之间存在显著相关性,这与先前的研究相反。此外,学生的接受性和表达性词汇与他们的早期读写能力没有相关性。二项广义线性模型(混合效应模型)强调了接受性词汇在早期读写能力发展中的重要性。此外,观察样本内的差异,需要AAC的自闭症和智力残疾学生在早期读写技能上获得最高分的负概率更高。这些发现加深了对接受性词汇和表达性词汇与早期读写能力之间关系的理解。这可能有助于更有针对性的干预,并为实践者及其在接受性和表达性词汇和早期识字成分方面的教学提供启示,这将有利于这一人群的进一步阅读发展。
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引用次数: 0
Preliminary psychometric evaluation of the Greek little developmental coordination disorder questionnaire (LDCDQ-GR) 希腊小发育协调障碍问卷(LDCDQ-GR)的初步心理测量评价
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105236
Tania Kalaitzi , Pavlos Kitixis , Dimitrios Zafeiriou , Ioannis Poulis , George Paras

Background

Developmental Coordination Disorder (DCD) is a multifactorial motor disorder that significantly impacts a child’s activities of daily living and academic skills. Identifying signs of DCD early is essential to enable timely support and reduce the risk of long-term difficulties.

Aims

This cross-sectional study aimed to further investigate the psychometric properties of the Greek version of the Little Developmental Coordination Disorder Questionnaire (LDCDQ) by carrying out appropriate analyses in a convenience sample of 3- to 5- year old children in Greece.

Methods

A total of 362 preschool children aged 3–5 years old from 39 municipal kindergartens in Thessaloniki, Greece participated in this study. Parents filled out the Greek LDCDQ. Internal consistency of the LDCDQ-GR was determined by Cronbach’s alpha. Construct validity was investigated using factor analysis

Results

Internal consistency of the LDCDQ-GR was 0.88. Factor analysis resulted in three factors (Locomotor, Fine motor and General Coordination skills). No effects of age (H(2) = 3.93, p = 0.14, η2 = 0.005) and gender (H(1) = 2.75, p = 0.09, η2 = 0.005) were depicted for the LDCDQ-GR final score.

Conclusion

LDCDQ-GR appears to be a reliable and well-structured questionnaire for identifying preschool-aged (3–5 years old) children in Greece who may be at risk for DCD.
发展协调障碍(DCD)是一种多因素的运动障碍,严重影响儿童的日常生活活动和学习技能。及早发现DCD的迹象对于及时提供支助和减少长期困难的风险至关重要。目的本横断面研究旨在通过对希腊3- 5岁儿童的方便样本进行适当的分析,进一步探讨希腊版小发育协调障碍问卷(LDCDQ)的心理测量特性。方法对希腊塞萨洛尼基市39所市立幼儿园362名3-5岁学龄前儿童进行研究。家长们填写了希腊LDCDQ表格。采用Cronbach’s alpha测定LDCDQ-GR的内部一致性。结果LDCDQ-GR的内部一致性为0.88。因子分析得出三个因素(运动、精细运动和一般协调技能)。年龄(H(2) = 3.93,p = 0.14,η2 = 0.005)和性别(H(1) = 2.75,p = 0.09,η2 = 0.005)对LDCDQ-GR最终评分没有影响。结论ldcdq - gr似乎是一份可靠且结构良好的问卷,用于识别希腊可能存在DCD风险的学龄前(3-5岁)儿童。
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引用次数: 0
Sleep in children with spinal muscular atrophy and their caregivers: Exploring sleep problems and the need for care 脊髓性肌萎缩症儿童及其护理人员的睡眠:探索睡眠问题和护理需求
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105238
Ilse Margot van Rijssen , Sanne Rodenburg , Mattijs Alsem , Raquel Hulst , Jan Willem Gorter , Irene Oude Lansink , Ludo van der Pol , Esther Veldhoen , Olaf Verschuren
Sleep-disordered breathing in children with spinal muscular atrophy (SMA) is well recognized, yet little is known about everyday, non-respiratory sleep problems and their impact on caregivers. The purpose of this study is to describe the caregiver-reported frequency and type of sleep problems in children with spinal muscular atrophy (SMA) and to evaluate the sleep satisfaction of their child and their own sleep. Furthermore, we assessed the relationship between child and caregiver sleep. Finally, we compared sleep outcomes of children with SMA to that of typically developing (TD) children and their caregivers. Fifty-one children with SMA (age range: 0–16), 287 TD children (age range: 0–16) and their caregivers participated in this cross-sectional, exploratory observational questionnaire study. Night-time waking, snoring, pain or discomfort and daytime fatigue were more common in children with SMA. Caregivers of children with SMA were less satisfied about their child’s and own sleep, and more often reported feeling sleep deprived. We recommend regular assessment of sleep in children with SMA and their families in pediatric healthcare practice.
脊髓性肌萎缩症(SMA)儿童的睡眠呼吸障碍是公认的,但对日常非呼吸性睡眠问题及其对护理人员的影响知之甚少。本研究的目的是描述照顾者报告的脊髓性肌萎缩症(SMA)儿童睡眠问题的频率和类型,并评估他们的孩子和自己的睡眠满意度。此外,我们评估了儿童和照顾者睡眠之间的关系。最后,我们将SMA儿童的睡眠结果与正常发育(TD)儿童及其照顾者的睡眠结果进行了比较。51名SMA儿童(年龄范围:0-16岁)、287名TD儿童(年龄范围:0-16岁)及其照顾者参与了本横断面探索性观察性问卷研究。夜间醒来、打鼾、疼痛或不适以及白天疲劳在SMA儿童中更为常见。患有SMA的儿童的看护人对他们的孩子和自己的睡眠都不太满意,而且更经常报告感到睡眠不足。我们建议在儿科保健实践中定期评估SMA儿童及其家庭的睡眠。
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引用次数: 0
The relationship between social media use and adolescent inattention and impulsivity: A systematic review 社交媒体使用与青少年注意力不集中和冲动之间的关系:一项系统综述
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105237
Rosa Angela Fabio , Giulia Picciotto

Objective

This systematic review aims to evaluate the association between social media use (SMU) and ADHD-related outcomes—primarily inattention and impulsivity—among adolescents aged 10–19 years.

Methods

A systematic literature search was conducted across PsycINFO, Scopus, PubMed, Cochrane Library, and Embase in June 2025. Search terms included: ("social media" OR "social network" OR "social networking site" OR Instagram OR TikTok OR Facebook) AND (adolescen* OR teen* OR youth) AND (ADHD OR "attention deficit" OR inattention OR impulsivit* OR hyperactiv*). Eligible studies included both general population samples and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD). Filters were applied to include articles published in English between 2015 and 2025. Although a formal risk of bias assessment was not conducted, study characteristics and methodological variability were qualitatively evaluated.

Results

Twenty-five studies met the inclusion criteria and were synthesized. Across both clinical and non-clinical samples, most studies reported a significant association between problematic social media use and ADHD-related traits or symptoms, particularly inattention. Evidence for associations with impulsivity was also observed, whereas findings related to hyperactivity were less consistent and less frequently examined. However, considerable heterogeneity in study design, measurement tools, and operationalization of SMU limited direct comparability and synthesis.

Conclusion

Problematic social media use appears to be associated with increased inattention- and impulsivity-related outcomes in adolescents. While current evidence suggests a meaningful link, the predominance of cross-sectional designs limits conclusions about directionality. Future research should adopt longitudinal and experimental approaches, employ standardized and conceptually precise measures of social media use, and clarify the role of specific ADHD dimensions.
目的本系统综述旨在评估10-19岁青少年社交媒体使用(SMU)与adhd相关结果(主要是注意力不集中和冲动)之间的关系。方法于2025年6月对PsycINFO、Scopus、PubMed、Cochrane Library和Embase进行系统文献检索。搜索词包括:(“社交媒体”或“社交网络”或“社交网站”或Instagram或TikTok或Facebook)和(青少年*或青少年*或青年)和(ADHD或“注意力缺陷”或注意力不集中或冲动*或多动*)。符合条件的研究包括一般人群样本和诊断为注意力缺陷/多动障碍(ADHD)的青少年。过滤器用于包括2015年至2025年期间发表的英文文章。虽然没有进行正式的偏倚风险评估,但对研究特征和方法变异性进行了定性评估。结果25项研究符合纳入标准。在临床和非临床样本中,大多数研究都报告了有问题的社交媒体使用与adhd相关特征或症状(尤其是注意力不集中)之间的显著关联。与冲动相关的证据也被观察到,而与多动相关的发现则不太一致,也不太经常被检查。然而,在研究设计、测量工具和SMU操作上的相当大的异质性限制了直接的可比性和综合。结论:有问题的社交媒体使用似乎与青少年注意力不集中和冲动相关的结果增加有关。虽然目前的证据表明存在有意义的联系,但横截面设计的优势限制了关于方向性的结论。未来的研究应该采用纵向和实验的方法,采用标准化和概念上精确的社交媒体使用测量方法,并明确特定ADHD维度的作用。
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引用次数: 0
Navigating healthcare among Canadians with ASD during transitions to adulthood: How does it look like from the perspectives of stakeholders? 从利益相关者的角度看,加拿大ASD患者在成年期的医疗保健导航是怎样的?
IF 2.6 2区 医学 Q1 EDUCATION, SPECIAL Pub Date : 2026-02-01 DOI: 10.1016/j.ridd.2026.105222
Parisa Ghanouni, Paige Kavanaugh

Introduction

The transition to adulthood presents specific challenges for individuals with autism spectrum disorder (ASD) and their parents, particularly in navigating healthcare systems and adapting routines. Despite the importance of this transition, effectively navigating the healthcare system remains difficult and there is limited information specifically on healthcare navigation. This study aims to address this gap by exploring the experiences of stakeholders to gain a comprehensive understanding and identify crucial components for successfully navigating healthcare systems.

Methods

In-depth interviews were conducted with 20 participants, including 6 youth with ASD, 10 parents of youth with ASD, and 4 service providers from Canadian provinces. The interviews were analyzed thematically to extract meaningful insights.

Results

Thematic analysis revealed three main themes essential to navigating the healthcare system: (a) information sharing, emphasizing the significance of accessible and comprehensive information exchange regarding healthcare resources; (b) community-based programs, underscoring the role of community resources and support networks in facilitating healthcare access and transition; and (c) healthcare coordination, highlighting the necessity of tailored and ongoing support mechanisms to assist individuals with ASD during the transition process.

Conclusion

This study contributes to the existing literature on the transition to adulthood for individuals with ASD by identifying key factors influencing healthcare system navigation. Recognizing and addressing these factors are vital due to their profound impact on youth and their families. The findings highlight the importance of accessing navigational services to facilitate a successful transition of healthcare systems and can inform the development of navigational support interventions.

Contribution to the literature

  • There is limited information about how individuals with ASD navigate healthcare services as they transition to adulthood.
  • This study explored experiences of individuals with ASD, their parents and service providers during transition to adulthood.
  • This project highlights how best we can support individuals with autism during navigating healthcare services.
对于自闭症谱系障碍(ASD)患者及其父母来说,向成年的过渡提出了具体的挑战,特别是在导航医疗系统和适应日常生活方面。尽管这种转变很重要,但有效地导航医疗保健系统仍然很困难,而且关于医疗保健导航的具体信息有限。本研究旨在通过探索利益相关者的经验来解决这一差距,以获得全面的理解并确定成功导航医疗保健系统的关键组成部分。方法对20名参与者进行深度访谈,其中包括6名青少年ASD患者、10名青少年ASD患者的父母和4名来自加拿大各省的服务提供者。对访谈进行了主题分析,以提取有意义的见解。结果主题分析揭示了医疗系统导航的三个基本主题:(a)信息共享,强调医疗资源可及性和全面性信息交换的重要性;(b)以社区为基础的方案,强调社区资源和支持网络在促进获得医疗保健和过渡方面的作用;(c)卫生保健协调,强调在过渡过程中需要有针对性和持续的支持机制来帮助自闭症患者。结论本研究通过确定影响医疗保健系统导航的关键因素,对ASD个体向成年过渡的现有文献有所贡献。认识和处理这些因素至关重要,因为它们对青年及其家庭产生深远影响。研究结果强调了获取导航服务对促进医疗保健系统成功转型的重要性,并可以为导航支持干预措施的发展提供信息。对文献的贡献•关于ASD患者如何在过渡到成年期时导航医疗保健服务的信息有限。•本研究探讨了自闭症患者、他们的父母和服务提供者在过渡到成年期间的经历。•该项目突出了我们如何在医疗保健服务中为自闭症患者提供最好的支持。
{"title":"Navigating healthcare among Canadians with ASD during transitions to adulthood: How does it look like from the perspectives of stakeholders?","authors":"Parisa Ghanouni,&nbsp;Paige Kavanaugh","doi":"10.1016/j.ridd.2026.105222","DOIUrl":"10.1016/j.ridd.2026.105222","url":null,"abstract":"<div><h3>Introduction</h3><div>The transition to adulthood presents specific challenges for individuals with autism spectrum disorder (ASD) and their parents, particularly in navigating healthcare systems and adapting routines. Despite the importance of this transition, effectively navigating the healthcare system remains difficult and there is limited information specifically on healthcare navigation. This study aims to address this gap by exploring the experiences of stakeholders to gain a comprehensive understanding and identify crucial components for successfully navigating healthcare systems.</div></div><div><h3>Methods</h3><div>In-depth interviews were conducted with 20 participants, including 6 youth with ASD, 10 parents of youth with ASD, and 4 service providers from Canadian provinces. The interviews were analyzed thematically to extract meaningful insights.</div></div><div><h3>Results</h3><div>Thematic analysis revealed three main themes essential to navigating the healthcare system: (a) information sharing, emphasizing the significance of accessible and comprehensive information exchange regarding healthcare resources; (b) community-based programs, underscoring the role of community resources and support networks in facilitating healthcare access and transition; and (c) healthcare coordination, highlighting the necessity of tailored and ongoing support mechanisms to assist individuals with ASD during the transition process.</div></div><div><h3>Conclusion</h3><div>This study contributes to the existing literature on the transition to adulthood for individuals with ASD by identifying key factors influencing healthcare system navigation. Recognizing and addressing these factors are vital due to their profound impact on youth and their families. The findings highlight the importance of accessing navigational services to facilitate a successful transition of healthcare systems and can inform the development of navigational support interventions.</div></div><div><h3>Contribution to the literature</h3><div><ul><li><span>•</span><span><div>There is limited information about how individuals with ASD navigate healthcare services as they transition to adulthood.</div></span></li></ul><ul><li><span>•</span><span><div>This study explored experiences of individuals with ASD, their parents and service providers during transition to adulthood.</div></span></li></ul></div><div><ul><li><span>•</span><span><div>This project highlights how best we can support individuals with autism during navigating healthcare services.</div></span></li></ul></div></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":"169 ","pages":"Article 105222"},"PeriodicalIF":2.6,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Research in Developmental Disabilities
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