학술논문

Interventions to Address Health Outcomes among Autistic Adults: A Systematic Review
Document Type
Journal Articles
Information Analyses
Source
Autism: The International Journal of Research and Practice. Aug 2020 24(6):1345-1359.
Subject
Intervention
Physical Health
Mental Health
Adults
Autism
Pervasive Developmental Disorders
Evidence Based Practice
Cognitive Restructuring
Behavior Modification
Metacognition
Quality of Life
Anxiety
Depression (Psychology)
Behavior Problems
Language
English
ISSN
1362-3613
Abstract
Research has shown that autistic adults have poor health outcomes. We conducted a systematic review to identify existing interventions to address health outcomes for autistic adults and to determine whether these interventions address the priorities of the autistic community. We searched PubMed for articles that included an intervention, a primary health outcome measured at the individual (not system) level, and a sample population of at least 50% autistic adults. Studies were excluded if they were not peer-reviewed, had a focus on caregivers, were expert opinions on specific interventions, untested protocols, or interventions without a primary health outcome. Out of the 778 articles reviewed, 19 were found to meet the stated criteria. Based on the evidence gathered, two were considered emerging evidence-based approaches: cognitive behavioral approaches and mindfulness. The remaining interventions included in the review did not have sufficient evidence to support current use with this population. The majority of the studies included samples of young autistic adults, primarily male, without an intellectual disability. Anxiety, quality of life, depression, and behavioral issues were among the health outcomes measured in the final included articles. More research on preferred interventions with prioritized health outcomes of the autistic adult population is needed.