今日文獻聚焦女性自閉症的偽裝與補償策略(特別是測量差異與身份重建)、神經生物學關聯(PTEN突變)以及多樣化生活經驗(戀愛、睡眠、行為共病),顯示臨床評估需多維度、性別敏感的工具與支援。
Autism research : official journal of the International Society for Autism Research · Measurement-Dependent Sex-Based Differences in Autistic Traits: Comparing Self-Report, Informant-Report, and Clinician Observation in Adults With Autism Spectrum Disorder.
發現臨床評估(ADOS-2)對女性自閉症特質的敏感度較低,儘管自評與他人報告無顯著性別差異,凸顯診斷工具在女性身上可能低估特質,需調整評估方式以避免漏診。
Autism : the international journal of research and practice · Surviving to Thriving: A Grounded Theory of Post-Diagnostic Identity Reconstruction in Midlife and Older Autistic Adults.
揭示中老年女性自閉症者在獲得診斷後經歷「生存」(自我責怪)至「茁壯」(自我同情、身份整合)的過程,強調身份焦點支持的重要性。
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · Recognizing genetic association between Lhermitte-Duclos Disease and Autism Spectrum Disorder in PTEN-related patients: a case report and literature comprehension.
報告一對母(PTEN突變伴萊米特-杜克洛病)與女兒(自閉症)共享相同致病PTEN變異,強調在自閉症兒童中應警覺PTEN相關腫瘤症候群的遺傳風險。
Journal of autism and developmental disorders · Online Dating as a Middleman: Autistic Young Adults' Pursuit of Romantic Connection.
質性訪談顯示自閉症年輕成人雖透過線上約會尋求連結,但需耗費大量精力在掩飾、訊息解讀與情緒管理,成功率低且伴隨脆弱感。
Autism research : official journal of the International Society for Autism Research · Sleep and Awake Bruxism in Children With Autism Spectrum Disorder: Associations With Sleep Indicators and Caregiver Mental Health.
自閉症兒童睡眠時磨牙較常見,照護多為女性且憂鬱焦慮顯著升高,但磨牙與睡眠問題的關聯在多重比較校正後不顯著。
Journal of autism and developmental disorders
在FXS兒童中,注意問題與焦慮為最常見且較為輕微的行為共病,超過六成有多重共病,提醒需整合行為與情緒評估。
L'Encephale
指出成人自閉症診斷延遲的主要原因包括醫療可及性不足、臨床醫師認知不足及偽裝行為,建議加強醫師教育與降低系統門檻。