Funkcjonowanie dorosłych osób z autyzmem w kontekście różnic międzypłciowych

• Authors: Anna Lenart

Title variants

EN

The Functioning of Adults with Autism in the Context of Gender Differences

Abstracts

EN

Nowadays autism spectrum disorder (ASD) is one of the most frequently diagnosed disordersamong children. First reports concerning autism were focused on children, that is why little isknown about adults with this disorder. Recent years have however provided interesting data on thistopic, also in context of diagnosis in adulthood. The article presents similarities and differencesbetween men and women within diagnostic field, functioning difficulties and adulthood challenges. Studies have shown that there are some differences in core symptoms of ASD depending onsex. Meta-analyses have indicated that gender differences issue especially in context of clinicalmanifestation of symptoms should still be intensely explored in order to improve diagnostic process and as a result achieve more effective support system for those people.

PL

Obecnie zaburzenia ze spektrum autyzmu (ASD) są jednym z częściej diagnozowanych zaburzeń rozwoju u dzieci. Pierwsze jego opisy dotyczyły dzieci, dlatego obszar badań nad dorosłymi z tym zaburzeniem jest słabiej poznany. Ostatnie lata dostarczyły jednak interesujących danych na ten temat. Coraz więcej uwagi poświęca się także osobom, które diagnozę ASD otrzymały w dorosłości. W artykule omówiono różnice oraz podobieństwa międzypłciowe wśród osób z ASD, zwłaszcza dorosłych, w obszarze diagnostycznym, doświadczanych trudności oraz mierzenia się z wymaganiami dorosłości. Badania wskazują na pewne różnice w obrazie klinicznym kobiet i mężczyzn w zakresie osiowych objawów ASD. Metaanalizy pokazują, że kwestia różnic międzypłciowych w obrazie klinicznym ASD jest obszarem, który wymaga dalszych intensywnych badań z uwagi na możliwość przełożenia wyników na praktykę kliniczną chociażby w obszarze usprawnienia procesu diagnozy i efektywniejszego wspierania tych osób.

Keywords

PL

zaburzenia ze spektrum autyzmu; dorosłość; różnice międzypłciowe

EN

autism spectrum disorder; adulthood; sex/gender differences

• Publisher: Uniwersytet Rzeszowski
• Journal: Edukacja-Technika-Informatyka
• Year: 2019
• Volume: 10 Numer specjalny
• Issue: 1
• Pages: 53-59

Dates

published

2019

Contributors

author

Anna Lenart

References

• Attwood, T., Garnett, M., Ford, L., Bulhak-Paterson, D. (2011). Hearts and Minds Conference: Girls and Women with Asperger’s Syndrome. Victoria, Australia. Girls and women with Asperger’s syndrome.
• Baldwin, S., Costley, D. (2016). The Experiences and Needs of Female Adults with High-Functioning Autism Spectrum Disorder. Autism: The International Journal of Research and Practice, 20(4), 483–495.
• Baron-Cohen, S., Cassidy, S., Auyeung, B., Allison, C., Achoukhi, M., Robertson, S., Lai, M.-C. (2014). Attenuation of Typical Sex Differences in 800 Adults with Autism vs. 3,900 Controls. PLoS ONE, 9(7), 1–10. https://doi.org/10.1371/journal.pone.0102251.
• Brugha, T.S., McManus, S., Bankart, J., Scott, F., Purdon, S., Smith, J., Meltzer, H. (2011). Epidemiology of Autism Spectrum Disorders in Adults in the Community in England. Archives of General Psychiatry, 68(5), 459–466. https://doi.org/10.1001/archgenpsychiatry.2011.38.
• Geurts, H.M., Jansen, M.D. (2012). A Retrospective Chart Study: The Pathway to a Diagnosis for Adults Referred for ASD Assessment. Autism: The International Journal of Research and Practice, 16(3), 299–305.
• Gould, J., Ashton-Smith, J. (2011). Missed Diagnosis or Misdiagnosis? Girls and Women on the Autism Spectrum. Good Autism Practice (GAP), 12(1), 34–41.
• Grove, R., Hoekstra, R.A., Wierda, M., Begeer, S. (2018). Special Interests and Subjective Wellbeing in Autistic Adults. Autism Research, 11(5), 766–775. https://doi.org/10.1002/aur.1931.
• Happé, F.G., Mansour, H., Barrett, P., Brown, T., Abbott, P., Charlton, R.A. (2016). Demographic and Cognitive Profile of Individuals Seeking a Diagnosis of Autism Spectrum Disorder in Adulthood. Journal of Autism and Developmental Disorders, 46(11), 3469–3480.
• Hiller, R.M., Young, R.L., Weber, N. (2016). Sex Differences in Pre-Diagnosis Concerns for Children Later Diagnosed with Autism Spectrum Disorder. Autism: The International Journal of Research and Practice, 20(1), 75–84.
• Jamison, R., Bishop, S.L., Huerta, M., Halladay, A.K. (2017). The Clinician Perspective on Sex Differences in Autism Spectrum Disorders. Autism: The International Journal of Research and Practice, 21(6), 772–784.
• Kirkovski, M., Enticott, P.G., Fitzgerald, P.B. (2013). A Review of the Role of Female Gender in Autism Spectrum Disorders. Journal of Autism and Developmental Disorders, 43(11), 2584–2603.
• Lai, M.-C., Lombardo, M.V., Ruigrok, A.N.V., Chakrabarti, B., Auyeung, B., Szatmari, P., BaronCohen, S. (2017). Quantifying and Exploring Camouflaging in Men and Women with Autism. Autism: The International Journal of Research and Practice, 21(6), 690–702.
• Lai, M.-C., Baron-Cohen, S., Buxbaum, J.D. (2015). Understanding Autism in the Light of Sex/Gender. Molecular Autism, 6(1). https://doi.org/10.1186/s13229-015-0021-4
• Lehnhardt, F.-G., Falter, C.M., Gawronski, A., Pfeiffer, K., Tepest, R., Franklin, J., Vogeley, K. (2016). Sex-Related Cognitive Profile in Autism Spectrum Disorders Diagnosed Late in Life: Implications for the Female Autistic Phenotype. Journal of Autism and Developmental Disorders, 46(1), 139–154.
• Loomes, R., Hull, L., Mandy, W.P.L. (2017). What is the male-to-female ratio in autism spectrum disorder? A Systematic Review and Meta-Analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 56(6), 466–474. https://doi.org/10.1016/j.jaac.2017.03.013.
• Meng-Chuan Lai, Lombardo, M.V., Pasco, G., Ruigrok, A.N.V., Wheelwright, S. J., Sadek, S.A., Baron-Cohen, S. (2011). A Behavioral Comparison of Male and Female Adults with High Functioning Autism Spectrum Conditions. PLoS ONE, 6(6), 1–10. https://doi.org/10.1371/ journal.pone.0020835.
• Moseley, R.L., Hitchiner, R., Kirkby, J.A. (2018). Self-reported Sex Differences in High-functioning Adults with Autism: A Meta-analysis. Molecular Autism, 9, 33. https://doi.org/10.1186/s13229-018-0216-6.
• Ormond, S., Brownlow, C., Garnett, M.S., Rynkiewicz, A., Attwood, T. (2018). Profiling Autism Symptomatology: An Exploration of the Q-ASC Parental Report Scale in Capturing Sex Differences in Autism. Journal of Autism & Developmental Disorders, 48(2), 389–403. https://doi.org/10.1007/s10803-017-3324-9.
• Pisula, E., Kawa, R., Szostakiewicz, Ł., Łucka, I., Kawa, M., Rynkiewicz, A. (2013). Autistic Traits in Male and Female Students and Individuals with High Functioning Autism Spectrum Disorders Measured by the Polish Version of the Autism-Spectrum Quotient. Plos One, 8(9), e75236. https://doi.org/10.1371/journal.pone.0075236.
• Płatos M. (red.) (2016). Ogólnopolski Spis Autyzmu Sytuacja młodzieży i dorosłych z autyzmem w Polsce. Warszawa: Stowarzyszenie Innowacji Społecznych „Mary i Max”.
• Raport (2013). Autyzm – sytuacja dorosłych. Warszawa: Fundacja Synapsis, Instytut Rozwoju Służb Społecznych.
• Robertson, S.M. (2009). Neurodiversity, Quality of Life, and Autistic Adults: Shifting Research and Professional Focuses onto Real-Life Challenges. Disability Studies Quarterly, 30(1).
• Robinson, E.B., Lichtenstein, P., Anckarsäter, H., Happé, F., Ronald, A. (2013). Examining and Interpreting the Female Protective Effect against Autistic Behavior. PNAS Proceedings of the National Academy of Sciences of the United States of America, 110(13), 5258–5262. https://doi.org/10.1073/pnas.1211070110.
• Rynkiewicz, A., Łucka, I. (2018). Autism Spectrum Disorder (ASD) in Girls. Co-occurring Psychopathology. Sex Differences in Clinical Manifestation. Psychiatria Polska, 52(4), 629–639. https://doi.org/10.12740/PP/OnlineFirst/58837.
• Rynkiewicz, A., Łucka, I., Fryze, M. (2012). Wysokofunkcjonujące dziewczęta z autyzmem i zespołem Aspergera – przyczyny rzadkiego diagnozowania, opis przypadków. Psychiatria 2012, 9(2), 43–52.
• Rynkiewicz, A., Schuller, B., Marchi, E., Piana, S., Camurri, A., Lassalle, A., Baron-Cohen, S. (2016). An Investigation of the „Female Camouflage Effect” in Autism Using a Computerized ADOS-2 and a Test of Sex/Gender Differences. Molecular Autism, 7, 10. https://doi.org/10.1186/s13229-016-0073-0.
• Tierney, S., Burns, J., Kilbey, E. (2016). Looking behind the Mask: Social Coping Strategies of Girls on the Autistic Spectrum. Research in Autism Spectrum Disorders, 23, 73–83. https://doi.org/10.1016/j.rasd.2015.11.013.
• Wijngaarden-Cremers, P.J.M., van Eeten, E., Groen, W.B., Van Deurzen, P.A., Oosterling, I.J., Van der Gaag, R.J. (2014). Gender and Age Differences in the Core Triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-Analysis. Journal of Autism and Developmental Disorders, 44(3), 627–635.
• Winter-Messiers, M.A. (2007). From Tarantulas to Toilet Brushes: Understanding the Special Interest Areas of Children and Youth With Asperger Syndrome. Remedial and Special Education, 28(3), 140–152.
• Wise, E., Smith, M., Rabins, P. (2017). Aging and Autism Spectrum Disorder: A Naturalistic, Longitudinal Study of the Comorbidities and Behavioral and Neuropsychiatric Symptoms in Adults with ASD. Journal of Autism & Developmental Disorders, 47(6), 1708–1715. https://doi.org/10.1007/s10803-017-3095-3.
• Woodbury-Smith, M. R., Robinson, J., Wheelwright, S., Baron-Cohen, S. (2005). Screening Adults for Asperger Syndrome Using the AQ: A Preliminary Study of its Diagnostic Validity in Clinical Practice. Journal of Autism and Developmental Disorders, 35(3), 331–335.

Identifiers

DOI

10.15584/eti.2019.5.6

Biblioteka Nauki

2042510