COVID-19大流行对自闭症谱系障碍患者的影响

Carlla Alessandra Silva Pereira
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摘要

COVID-19于2019年在中国武汉首次发现,以SARS-CoV-2病毒为病原体,在全球迅速传播,成为一场大流行,直接影响了人们的生活。由于流行病的发展,控制手段是社会隔离。由于自闭症谱系障碍患者由于认知障碍而在社会交往中存在困难,人际发展往往随着限制性措施的开始而受到更大的损害。本研究旨在分析自闭症谱系障碍个体在社会隔离期间的日常变化。在PubMed和BVS数据库中进行搜索,使用DECS数据库中的以下描述符:自闭症谱系障碍、covid大流行和焦虑,在搜索字段中使用布尔指示符and。文本的纳入标准为:2017年至2022年期间的英语、葡萄牙语和西班牙语。作为排除标准,不涉及该主题的文章被排除在外。研究表明,随着学校的关闭和向远程教育的迁移,一些学生由于日常生活的改变而出现了社会交往的倒退,并引发了新的精神症状。根据安全协议,认知行为疗法迁移到数字媒介,起初也遭到拒绝,但在控制症状的产生和恶化方面发挥了作用。由于需要保持身体和社交距离,自闭症谱系障碍患者在新冠肺炎大流行后往往在社交方面遇到更大的困难。日常生活的改变会导致焦虑、攻击性和易怒等症状的恶化,并可能恶化父母的心理健康。
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IMPACTS CAUSED BY THE COVID-19 PANDEMIC ON PEOPLE WITH AUTISM SPECTRUM DISORDER
COVID-19, first identified in Wuhan, China in 2019, has the SARS-CoV-2 virus as its etiological agent, spread rapidly around the world, became a pandemic and directly impacted the lives of individuals. Due to the advance of the pandemic the means for control was social isolation. Since individuals with autism spectrum disorder have difficulties in social interaction due to cognitive impairment, interpersonal development tends to be more impaired with the beginning of restrictive measures. This study aims to analyze the changes in the routine of individuals with autism spectrum disorder during social isolation. The search was conducted in the PubMed and BVS databases, using the following descriptors from the DECS database: autism spectrum disorder, covid pandemic and anxiety, using the Boolean indicator AND between words in the search fields. The inclusion criterium for the texts were: English, Portuguese and Spanish languages, from 2017 to 2022. As exclusion criterium, articles that did not address the topic were excluded. The study showed that with the closure of schools and migration to remote education, several students developed a regression in social interaction and triggered new psychiatric symptoms due to the change in routine. In compliance with safety protocols, cognitive-behavioral therapies, migrated to the digital medium and were also rejected at first, but were instrumental in controlling the creation and worsening of symptoms. Due to physical and social distancing requirements, individuals with autism spectrum disorder tend to have greater difficulties with social interaction after the COVID-19 pandemic. The change in routine contributes to the worsening of symptoms such as anxiety, aggressiveness, and irritability and can worsen the mental health of parents.
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