患有限制性饮食紊乱症的自闭症女性的临床特征。

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2024-07-26 DOI:10.1192/bjo.2024.65
Janina Brede, Charli Babb, Catherine R G Jones, Lucy Serpell, Laura Hull, James Adamson, Hannah Baker, John R E Fox, Will Mandy
{"title":"患有限制性饮食紊乱症的自闭症女性的临床特征。","authors":"Janina Brede, Charli Babb, Catherine R G Jones, Lucy Serpell, Laura Hull, James Adamson, Hannah Baker, John R E Fox, Will Mandy","doi":"10.1192/bjo.2024.65","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Autistic women are at high risk of developing restrictive eating disorders (REDs), such as anorexia nervosa.</p><p><strong>Aims: </strong>This study provides an overview of the clinical characteristics of autistic women with REDs to (i) enhance understanding of increased risk, and (ii) support the identification of autistic women in eating disorder services.</p><p><strong>Method: </strong>We compared self-reported autistic and disordered eating characteristics of: autistic participants with REDs (Autism + REDs; <i>n</i> = 57); autistic participants without REDs (Autism; <i>n</i> = 69); and women with REDs who are not autistic (REDs; <i>n</i> = 80). We also included a group of women with high autistic traits (HATs) and REDs, but no formal autism diagnosis (HATs + REDs; <i>n</i> = 38).</p><p><strong>Results: </strong>Autism + REDs participants scored similarly to Autism participants in terms of autistic characteristics and to REDs participants in terms of experiencing traditional disordered eating symptoms. Autism + REDs participants were distinguished from both groups by having more restricted and repetitive behaviours and autism-specific eating behaviours related to sensory processing, flexibility and social differences. HATs + REDs participants showed a similar pattern of scores to Autism + REDs participants, and both also presented with high levels of co-occurring mental health difficulties, particularly social anxiety.</p><p><strong>Conclusion: </strong>The presentation of autistic women with REDs is complex, including both traditional disordered eating symptoms and autism-related needs, as well as high levels of co-occurring mental health difficulties. In eating disorder services, the REDs presentation of autistic women and those with HATs should be formulated with reference to autism-specific eating behaviours and co-occurring difficulties. Treatment adaptations should be offered to accommodate autistic characteristics and related needs.</p>","PeriodicalId":9038,"journal":{"name":"BJPsych Open","volume":null,"pages":null},"PeriodicalIF":3.9000,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The clinical characteristics of autistic women with restrictive eating disorders.\",\"authors\":\"Janina Brede, Charli Babb, Catherine R G Jones, Lucy Serpell, Laura Hull, James Adamson, Hannah Baker, John R E Fox, Will Mandy\",\"doi\":\"10.1192/bjo.2024.65\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Autistic women are at high risk of developing restrictive eating disorders (REDs), such as anorexia nervosa.</p><p><strong>Aims: </strong>This study provides an overview of the clinical characteristics of autistic women with REDs to (i) enhance understanding of increased risk, and (ii) support the identification of autistic women in eating disorder services.</p><p><strong>Method: </strong>We compared self-reported autistic and disordered eating characteristics of: autistic participants with REDs (Autism + REDs; <i>n</i> = 57); autistic participants without REDs (Autism; <i>n</i> = 69); and women with REDs who are not autistic (REDs; <i>n</i> = 80). We also included a group of women with high autistic traits (HATs) and REDs, but no formal autism diagnosis (HATs + REDs; <i>n</i> = 38).</p><p><strong>Results: </strong>Autism + REDs participants scored similarly to Autism participants in terms of autistic characteristics and to REDs participants in terms of experiencing traditional disordered eating symptoms. Autism + REDs participants were distinguished from both groups by having more restricted and repetitive behaviours and autism-specific eating behaviours related to sensory processing, flexibility and social differences. HATs + REDs participants showed a similar pattern of scores to Autism + REDs participants, and both also presented with high levels of co-occurring mental health difficulties, particularly social anxiety.</p><p><strong>Conclusion: </strong>The presentation of autistic women with REDs is complex, including both traditional disordered eating symptoms and autism-related needs, as well as high levels of co-occurring mental health difficulties. In eating disorder services, the REDs presentation of autistic women and those with HATs should be formulated with reference to autism-specific eating behaviours and co-occurring difficulties. Treatment adaptations should be offered to accommodate autistic characteristics and related needs.</p>\",\"PeriodicalId\":9038,\"journal\":{\"name\":\"BJPsych Open\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2024-07-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BJPsych Open\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1192/bjo.2024.65\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BJPsych Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1192/bjo.2024.65","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

背景:目的:本研究概述了患有限制性进食障碍(REDs)的自闭症女性的临床特征,以(i)加深对增加的风险的理解,(ii)支持饮食失调服务机构识别自闭症女性:我们比较了以下人群的自闭症和饮食失调特征:有 REDs 的自闭症参与者(自闭症 + REDs;n = 57);无 REDs 的自闭症参与者(自闭症;n = 69);以及有 REDs 但无自闭症的女性(REDs;n = 80)。我们还纳入了一组具有高度自闭症特征(HATs)和 REDs,但未被正式诊断为自闭症的女性(HATs + REDs;n = 38):自闭症+REDs参与者在自闭症特征方面的得分与自闭症参与者相似,而在传统饮食紊乱症状方面的得分与REDs参与者相似。自闭症 + REDs 参与者与自闭症和 REDs 参与者的区别在于,自闭症 + REDs 参与者有更多限制性和重复性行为,以及与感觉处理、灵活性和社交差异有关的自闭症特定饮食行为。HATs + REDs 参与者的得分模式与自闭症 + REDs 参与者相似,两者都同时存在严重的心理健康问题,尤其是社交焦虑:患有 REDs 的自闭症女性表现复杂,既有传统的饮食失调症状,也有与自闭症相关的需求,同时还伴有严重的并发心理健康问题。在饮食失调服务中,自闭症妇女和患有 HATs 的自闭症妇女的 REDs 表现应参考自闭症特有的饮食行为和并发症。应根据自闭症的特征和相关需求调整治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The clinical characteristics of autistic women with restrictive eating disorders.

Background: Autistic women are at high risk of developing restrictive eating disorders (REDs), such as anorexia nervosa.

Aims: This study provides an overview of the clinical characteristics of autistic women with REDs to (i) enhance understanding of increased risk, and (ii) support the identification of autistic women in eating disorder services.

Method: We compared self-reported autistic and disordered eating characteristics of: autistic participants with REDs (Autism + REDs; n = 57); autistic participants without REDs (Autism; n = 69); and women with REDs who are not autistic (REDs; n = 80). We also included a group of women with high autistic traits (HATs) and REDs, but no formal autism diagnosis (HATs + REDs; n = 38).

Results: Autism + REDs participants scored similarly to Autism participants in terms of autistic characteristics and to REDs participants in terms of experiencing traditional disordered eating symptoms. Autism + REDs participants were distinguished from both groups by having more restricted and repetitive behaviours and autism-specific eating behaviours related to sensory processing, flexibility and social differences. HATs + REDs participants showed a similar pattern of scores to Autism + REDs participants, and both also presented with high levels of co-occurring mental health difficulties, particularly social anxiety.

Conclusion: The presentation of autistic women with REDs is complex, including both traditional disordered eating symptoms and autism-related needs, as well as high levels of co-occurring mental health difficulties. In eating disorder services, the REDs presentation of autistic women and those with HATs should be formulated with reference to autism-specific eating behaviours and co-occurring difficulties. Treatment adaptations should be offered to accommodate autistic characteristics and related needs.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信