今日文獻雖無直接針對女性自閉症的專題研究,但兩篇論文分別從功能性抽動症與ADHD共病的性別差異中,揭示了女孩神經發展障礙持續被漏診的臨床痛點,呼應女性自閉症「偽裝與延遲診斷」的核心議題。
European child & adolescent psychiatry · Differentiating tics and functional tic-like behaviours in children and young people: personal and family mental health profiles and their clinical implications.
功能性抽動樣行為(FTLB)組中自閉症、焦慮與憂鬱更為顯著,且合併ADHD的案例中有56%是FTLB出現後才被診斷,漏診主要集中在女孩,凸顯女性神經發展障礙延遲診斷的臨床盲區。
Clinical child psychology and psychiatry · Psychiatric Comorbidities in 7-12 Year Old Children Diagnosed With ADHD in South Africa: A Record Review.
南非ADHD兒童共病率極高(95.5%),其中男生合併自閉症譜系障礙的比例顯著高於女生,間接反映女性自閉症在ADHD樣本中可能被低估。
Brain sciences · Neural and Kinematic Characteristics of Reaching in Autistic Children During Movement Observation, Execution, and Synchronization: An fNIRS Study.
自閉症兒童在伸手動作中呈現特定的大腦皮質活化模式與運動學特徵,依賴線上回饋控制來補償前饋控制不足,此補償機制可能為理解女性自閉症「偽裝」策略提供神經生物學基礎。