Exploring the Experience of Seeking an Autism Diagnosis as an Adult.

Matthew de Broize, Kiah Evans, Andrew J O Whitehouse, John Wray, Valsamma Eapen, Anna Urbanowicz
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Abstract

Background: Emerging research suggests that seeking an autism diagnosis as an adult is usually difficult and time-consuming but brings relief once a diagnosis is made. This study explored the experience of the pathway to an autism diagnosis during adulthood for adults living in Australia.

Methods: We conducted a qualitative phenomenological study and interviewed 13 adults who identified as autistic about their pathway to autism diagnosis in their mode of choice. Spoken interviews were transcribed verbatim, and transcripts were analyzed by using a thematic approach.

Results: Data analysis resulted in 6 themes and 20 meaning units that described the experiences of adults seeking an autism diagnosis in Australia. These themes involved two interwoven journeys that spanned before, during, and after the diagnostic process. The personal journey involved feeling different, considering autism, and living as autistic, whereas the clinical journey involved missed opportunities, varied diagnostic experiences, and absent supports.

Conclusions: Given the potential benefits for adults obtaining a formal autism diagnosis and accessing post-diagnostic supports, it is important that health professionals and governments collaborate to reduce access barriers and ensure adequate services are available. The findings from this study informed the development of Australia's national guideline for autism diagnosis.

探索成年后寻求自闭症诊断的经历。
背景:新近的研究表明,成年后寻求自闭症诊断通常既困难又耗时,但一旦确诊,患者便可释然。本研究探讨了生活在澳大利亚的成年人成年后获得自闭症诊断的经历:我们开展了一项定性现象学研究,采访了 13 名被认定为自闭症患者的成年人,了解他们通过自己选择的方式获得自闭症诊断的途径。我们对访谈内容进行了逐字记录,并采用主题方法对记录进行了分析:数据分析得出了 6 个主题和 20 个意义单元,描述了在澳大利亚寻求自闭症诊断的成年人的经历。这些主题涉及两个相互交织的历程,跨越诊断过程之前、期间和之后。个人历程包括感觉自己与众不同、考虑自闭症以及作为自闭症患者生活,而临床历程则包括错失良机、不同的诊断经历以及缺乏支持:鉴于获得正式自闭症诊断和获得诊断后支持对成年人的潜在益处,医疗专业人员和政府合作减少获取障碍并确保提供充足的服务非常重要。这项研究的结果为澳大利亚自闭症诊断国家指南的制定提供了参考。
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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