Psychological, Behavioural and Biological Factors Associated with Gastrointestinal Symptoms in Autistic Adults and Adults with Autistic Traits

Autor/inn/en	Warreman, E. B.; Nooteboom, L. A.; Terry, M. B.; Hoek, H. W.; Leenen, P. J. M.; van Rossum, E. F. C.; Ramlal, D.; Vermeiren, R. R. J. M.; Ester, W. A.
Titel	Psychological, Behavioural and Biological Factors Associated with Gastrointestinal Symptoms in Autistic Adults and Adults with Autistic Traits
Quelle	In: Autism: The International Journal of Research and Practice, 27 (2023) 7, S.2173-2186 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Warreman, E. B.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/13623613231155324
Schlagwörter	Symptoms (Individual Disorders); Human Body; Physical Health; Mental Health; Adults; Autism Spectrum Disorders; Mental Disorders; Stress Variables; Comorbidity; At Risk Persons; Psychosomatic Disorders; Foreign Countries; Health Behavior; Individual Characteristics; Body Composition; Netherlands + Suchen Sie Ihr Suchwort? Psychiatrische Symptomatik; Menschlicher Körper; Gesundheitszustand; Psychohygiene; Autism; Autismus; Mental illness; Geisteskrankheit; Risikogruppe; Disease of psychosomatic origin; Psychosomatische Krankheit; Ausland; Health behaviour; Gesundheitsverhalten; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Niederlande
Abstract	Gastrointestinal symptoms and their relation to physical and mental aspects in adults with an autism spectrum disorder (ASD) are poorly understood, despite their high prevalence. Therefore, the aim of this study is to examine psychological, behavioural and biological factors associated with gastrointestinal symptoms in adults with ASD (traits). We included 31,185 adults from the Lifelines Study. Using multivariable logistic regression, we analysed the association between gastrointestinal symptoms and psychological, behavioural (questionnaire-assessed) and physically measured biological factors in adults with ASD (n = 309), without ASD (n = 30,876), and in the quartiles with highest (n = 7783) and lowest (n = 7783) Autism Spectrum Quotient-10 sum scores. In the ASD-group, gastrointestinal symptoms were associated with psychiatric comorbidity (odds ratio: 2.71, 95% confidence interval: 1.51-4.85), more stress (odds ratio: 1.15, 95% confidence interval: 1.06-1.26), and worse perceived health (odds ratio: 2.32, 95% confidence interval: 1.62-3.34). In the quartile with the highest Autism Spectrum Quotient-10 sum scores, gastrointestinal symptoms were also associated with these psychological factors, and with less physical activity (odds ratio: 0.95, 95% confidence interval: 0.92-0.98). Our study demonstrates that not only adults with ASD but also adults with autistic traits are at increased risk for gastrointestinal symptoms, which is associated with psychological and behavioural factors. This suggests that an integrated psychosomatic approach of gastrointestinal symptoms in adults with ASD (traits) is needed. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01