Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review

Autor/inn/en	Kildahl, Arvid Nikolai; Bakken, Trine Lise; Iversen, Trine Elisabeth; Helverschou, Sissel Berge
Titel	Identification of Post-Traumatic Stress Disorder in Individuals with Autism Spectrum Disorder and Intellectual Disability: A Systematic Review
Quelle	In: Journal of Mental Health Research in Intellectual Disabilities, 12 (2019) 1-2, S.1-25 (25 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Kildahl, Arvid Nikolai)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1931-5864
DOI	10.1080/19315864.2019.1595233
Schlagwörter	Identification; Posttraumatic Stress Disorder; Symptoms (Individual Disorders); Autism; Pervasive Developmental Disorders; Intellectual Disability; Case Studies; Guidelines; Behavior Patterns; Risk; Evaluation Criteria; Evaluation Methods + Suchen Sie Ihr Suchwort? Identifikation; Identifizierung; Psychiatrische Symptomatik; Autismus; Intellect; Disability; Disabilities; Verstand; Behinderung; Case study; Fallstudie; Case Study; Richtlinien; Risiko
Abstract	Introduction: autism spectrum disorder (ASD) and intellectual disability (ID) seem to influence the risk of and vulnerability to exposure to trauma and adverse events. While assessment of a psychiatric disorder in ASD and ID generally is challenging, identification of post-traumatic stress disorder (PTSD) seems particularly so, and knowledge does not seem easily accessible. Methods: This article provides a systematic review of studies describing trauma reactions in individuals with both ASD and ID, including studies involving any single case with the combination of ASD, ID, and PTSD. To systematically explore PTSD symptom presentation in the group, all reported symptoms from studies were assigned by DSM-5 criteria. Results: Eighteen studies met the inclusion criteria, eight group studies and 10 case studies. Assessment methodology in studies varied, as did the format of symptom report. DSM-5 criteria provided a useful framework for integrating findings across studies, indicating that PTSD may be identified in individuals with ASD and ID. However, symptoms involving alterations in arousal and negative alterations in thought and behavior seem more easily identified than symptoms of reexperiencing and avoidance. Conclusions: There is an urgent need to identify behavioral equivalents to PTSD symptoms in this group, making it possible to identify warning signs of trauma and abuse even if such incidents are not known to family or professional carers. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01