Introduction

Research suggests some trauma symptoms e.g. avoidance are difficult to recognise in autistic people with intellectual disability while arousal/emotional and interpersonal difficulties may be useful signals. This review aims to (i) identify questionnaires used in general population complex trauma interventions to measure emotional and interpersonal difficulty and (ii) evaluate their psychometric properties to inform selection of a potential measure/s for use and/or adaptation for autistic people with mild intellectual disability and trauma related mental health conditions.

Methods

Stage 1: we searched Medline, Cinahl, Embase and PsycInfo for general population and clinical complex trauma intervention studies. Stage 2: we used a search filter in Embase to identify psychometric evaluations of relevant questionnaires used in Stage 1 studies and assessed these with the COnsensus based Standards for the selection of health based Measurement Instruments (COSMIN) checklist.

Results

five studies were identified in Stage 1 utilising three measures of emotion dysregulation and interpersonal difficulties. Thirty-three articles on their psychometric properties were identified in Stage 2. Strongest psychometric evidence was found for the Emotion Regulation Questionnaire (ERQ) and Difficulties in Emotion Regulation Scale (DERS).

Conclusions

Evaluating content validity/acceptability of the ERQ and DERS for autistic people with mild intellectual disability and trauma-related mental health conditions are useful next steps.

中文翻译：

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用于复杂创伤干预评估的问卷及其对患有轻度智力障碍的自闭症成人的效用的考虑：系统评价

介绍

研究表明，在智障自闭症患者中，一些创伤症状（例如回避）难以识别，而唤醒/情绪和人际关系困难可能是有用的信号。本综述旨在 (i) 确定在一般人群复杂创伤干预中使用的问卷，以衡量情绪和人际关系困难，以及 (ii) 评估其心理测量特性，以告知选择用于轻度自闭症患者使用和/或适应的潜在措施。智力残疾和创伤相关的心理健康状况。

方法

第一阶段：我们在 Medline、Cinahl、Embase 和 PsycInfo 中搜索了一般人群和临床复杂创伤干预研究。第 2 阶段：我们使用 Embase 中的搜索过滤器来识别第 1 阶段研究中使用的相关问卷的心理测量评估，并使用基于共识的标准进行评估，以选择基于健康的测量仪器 (COSMIN) 清单。

结果

在第一阶段确定了五项研究，使用三种情绪失调和人际关系困难的措施。在第 2 阶段确定了 33 篇关于其心理测量特性的文章。为情绪调节问卷 (ERQ) 和情绪调节难度量表 (DERS) 找到了最有力的心理测量证据。

结论

评估 ERQ 和 DERS 对患有轻度智力障碍和与创伤相关的心理健康状况的自闭症患者的内容有效性/可接受性是有用的下一步。