Relations longitudinales entre le style attributionnel dépressif et les symptômes internalisés dans un échantillon enrichi en personnes autistes d'étudiants entrant à l'université
Titre original en anglais : Longitudinal Relationships Between Depressive Attributional Style and Internalizing Symptoms in an Autism-Enriched Sample of Incoming College Students
Terroso, S. R., McKenney, E. E., Brunwasser, S. M., Richards, J. K., Day, T. C., Kofner, B., McDonald, R. G., Gillespie-Lynch, K., Kang, E., Lerner, M. D., & Gotham, K. (2024). Longitudinal Relationships Between Depressive Attributional Style and Internalizing Symptoms in an Autism-Enriched Sample of Incoming College Students. Autism in Adulthood, 7(2), 185-200. https://doi.org/10.1089/aut.2024.0090
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Résumé
Contexte : L'anxiété et la dépression comptent parmi les affections psychiatriques les plus fréquemment rapportées chez les étudiants en première année d'université. On estime que les adultes autistes présentent un taux d'anxiété et de dépression deux fois plus élevé que leurs pairs non autistes, ce qui influe sur la qualité de vie, la réussite sociale et les performances académiques. Une voie potentielle pour comprendre et traiter les symptômes internalisés chez les adultes autistes commençant leurs études universitaires est le style attributionnel dépressif, un style explicatif causal biaisé dans lequel les événements de vie négatifs sont attribués à des causes internes, stables et globales. La présente étude évalue la relation entre le style attributionnel dépressif et les symptômes d'anxiété et de dépression au cours du premier semestre universitaire, telle que modérée par les traits autistiques. Nous explorons également le style attributionnel dépressif initial selon d'autres dimensions marginalisées de l'identité fondées sur la race ou l'origine ethnique, le genre et l'orientation sexuelle, et examinons les effets d'interaction potentiels des traits autistiques sur ces relations. Méthodes : Des étudiants de premier cycle ont été recrutés dans quatre universités du Nord-Est. Notre échantillon (n = 144) comprend 47 participants qui se sont identifiés comme autistes ou ont déclaré un diagnostic formel d'autisme, et 97 participants non autistes. Les participants ont rempli des questionnaires initiaux et finaux, ainsi qu'une enquête bimensuelle de 2 minutes, suivant les changements de tristesse, d'anhédonie et d'anxiété tout au long de leur premier semestre. Résultats : Les analyses longitudinales montrent qu'un style attributionnel dépressif élevé au départ prédisait les symptômes d'anxiété, de tristesse et d'anhédonie mesurés toutes les deux semaines au cours du semestre. Ce schéma s'étendait à tous les niveaux de traits autistiques et n'était pas modéré par ceux-ci ; cependant, les participants ayant rapporté davantage de traits autistiques ont indiqué un style attributionnel dépressif significativement plus élevé au départ, ainsi qu'une anxiété, une tristesse et une anhédonie plus importantes tout au long du semestre. La relation entre les traits autistiques et le style attributionnel dépressif était la plus forte chez les participants ayant une orientation non hétérosexuelle. Conclusion : Cette étude souligne le besoin, identifié par la communauté autiste, de recherches en santé mentale tenant compte des identités qui se recoupent, et suggère que le style attributionnel dépressif mérite d'être étudié davantage comme cible thérapeutique potentielle. Résumé pour la communauté Pourquoi est-ce une question importante ? Au cours de la première année d'université, de nombreux étudiants rencontrent des difficultés liées à l'anxiété et à la dépression. Les étudiants autistes rapportent des préoccupations de santé mentale encore plus importantes que les étudiants non autistes. Une façon de comprendre pourquoi cela se produit consiste à examiner comment les étudiants expliquent les événements négatifs de leur vie. Les étudiants autistes peuvent avoir un style attributionnel plus dépressif, dans lequel ils se considèrent comme la cause d'événements négatifs et croient que les mauvaises choses vont persister. Il est connu que cette perspective contribue à l'anxiété et à la dépression. Quel était l'objectif de cette étude ? Nous voulions déterminer comment un style attributionnel dépressif pouvait être lié à l'anxiété et à la dépression au cours du premier semestre universitaire, et si cela était influencé par les traits autistiques et le stress. Nous avons également examiné comment les traits autistiques influencent la relation entre le style attributionnel dépressif et les dimensions marginalisées de l'identité fondées sur la race ou l'origine ethnique, le genre et l'orientation sexuelle. Qu'ont fait les chercheurs ? Nous avons administré à des étudiants universitaires des questionnaires sur leur style attributionnel et leurs expériences de dépression et d'anxiété. Les participants ont rempli plusieurs questionnaires à la fois avant et après leur premier semestre à l'université. Ils ont également rempli un bref questionnaire deux fois par semaine au cours du semestre. Quels étaient les résultats de l'étude ? Nous avons constaté qu'un style attributionnel dépressif au départ, avant le semestre, était lié à des symptômes de dépression et d'anxiété au cours du semestre. Les participants présentant des niveaux plus élevés de traits autistiques ont rapporté un style attributionnel plus dépressif ainsi qu'une dépression et une anxiété plus importantes pendant le semestre. Les personnes présentant davantage de traits autistiques et s'identifiant comme LGBTQIA+ étaient plus susceptibles que les personnes hétérosexuelles présentant de nombreux traits autistiques d'avoir un style attributionnel plus dépressif. Qu'ajoutent ces résultats à ce qui était déjà connu ? Cette étude nous aide à comprendre qu'un style attributionnel dépressif pourrait être lié à l'anxiété et à la dépression chez les étudiants autistes comme non autistes. De plus, un style attributionnel dépressif peut être plus fréquent chez les personnes autistes. Ces résultats pourraient signifier qu'aider les personnes à développer une façon plus adaptative de penser aux événements négatifs pourrait contribuer à prévenir ou à traiter l'anxiété et la dépression chez les étudiants universitaires. Quelles sont les faiblesses potentielles de l'étude ? Puisque nous souhaitions que notre étude soit accessible aux étudiants autistes sans diagnostic formel, nous n'avons pas pu examiner comment l'identité sociale liée au fait d'être autiste était associée à l'anxiété et à la dépression tout au long du semestre. Comment ces résultats aideront-ils les adultes autistes maintenant ou à l'avenir ? Ces résultats fournissent les premières preuves qu'un style attributionnel dépressif semble être lié à l'anxiété et à la dépression chez les étudiants autistes. Cela suggère que les interventions conçues pour traiter le style attributionnel dépressif chez les personnes non autistes pourraient également bénéficier aux personnes autistes, ce qui pourrait favoriser l'accès aux traitements de santé mentale pour la communauté autiste.
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