ABSTRACT

Introduction

Individuals with autism spectrum disorder (ASD) and intellectual disability (ID) seem to be at increased risk for post-traumatic stress disorder (PTSD), but knowledge is sparse regarding its identification in this population. Previous research indicates that certain symptoms of PTSD may be more easily recognized, and that identifying reexperiencing and avoidance is particularly challenging.

Methods

Interpretative phenomenological analysis was used to explore 18 experienced clinicians’ perceptions of PTSD symptom expression in ASD and ID through individual, qualitative interviews.

Results

Informants provided examples from all symptom groups, but these differed in how frequently they were described. Recognition of reexperiencing may rely on knowledge about individuals’ trauma experience. Avoidance may present in a wider range of ways.

Conclusion

Development of reexperiencing and avoidance may follow different trajectories in this population, contributing to challenges in recognition. Reexperiencing may be more severe in ASD/ID. Implications are discussed in light of current diagnostic criteria.

中文翻译：

---

“紧张，紧张，紧张而焦虑”：临床医生对自闭症和智力残疾成人创伤后应激障碍症状表达的看法

摘要

介绍

自闭症谱系障碍（ASD）和智力障碍（ID）的个体患创伤后应激障碍（PTSD）的风险似乎增加，但是在此人群中对其识别的知识很少。先前的研究表明，PTSD的某些症状可能更容易被识别，并且识别重新体验和避免是特别具有挑战性的。

方法

解释性现象学分析用于通过单独的定性访谈，探讨18名经验丰富的临床医生对ASD和ID中PTSD症状表达的看法。

结果

信息提供者提供了所有症状组的示例，但这些示例在描述频率上有所不同。对重新体验的认识可能依赖于有关个人创伤经历的知识。回避可能以更广泛的方式出现。

结论

体验和回避的发展可能会随着人口的发展而变化，从而给人们带来挑战。重新体验可能在ASD / ID中更为严重。根据当前的诊断标准对影响进行了讨论。