今日文獻聚焦於女性自閉症與ADHD的共病特徵及青春期發育異常的影響,特別強調社會偽裝、情緒失調與生物節律紊亂等隱性表現,凸显女性自閉症在臨床中被忽視的複雜表型與需多維度評估的必要性。
European archives of psychiatry and clinical neuroscience · Autism spectrum traits in adults with attention-deficit/hyperactivity disorder (ADHD): a hidden multifaceted phenotype marked by affective comorbidity, emotional dysregulation, and chronobiological disturbances.
發現ADHD成人中約22%具自閉症特質,顯著與女性性別、較晚就診年齡、較高情感與焦慮共病率、嚴重情緒失調及夕型節律相關,提醒臨床需關注此群體的隱性自閉症表現。
Research on child and adolescent psychopathology · Off-Time Puberty in Autism Spectrum Disorder and ADHD: A Scoping Review of Pubertal Timing, Social Cognition, and Psychopathological Risk.
指出異常青春期發育(過早或遲緩)在自閉症與ADHD中常見,透過需求-能力不匹配加劇、社會負荷下的偽裝行為以及身心發育不同步三種機制,增加精神病理風險,但缺乏直接證明理論心智調節此關係的研究。