Une évaluation rapide des données probantes sur l'efficacité des interventions destinées aux adolescents autistes présentant des comportements sexuels préjudiciables

Titre original en anglais : A Rapid Evidence Assessment on The Effectiveness of Interventions for Autistic Adolescents with Harmful Sexual Behaviors

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Trew, S. & Russell, D. H. (2024). A Rapid Evidence Assessment on The Effectiveness of Interventions for Autistic Adolescents with Harmful Sexual Behaviors. Trauma, Violence, & Abuse, 25(4), 3149-3163. https://doi.org/10.1177/15248380241241024

Publication date: 29/03/2024 Ajout dans AutiHub: 16/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
2
Auteur·ices de la publication identifié·es comme autistes
1 / 2 (50,0 %)
  1. Sebastian Trew *
  2. Douglas Hugh Russell

Résumé

La prise en charge et le traitement des comportements sexuels préjudiciables (HSBs) chez les adolescents autistes constituent un domaine complexe de la recherche et de la pratique clinique. Les adolescents autistes rencontrent des difficultés particulières pour comprendre les interactions sociales et sexuelles, ce qui les expose à un risque plus élevé d'adopter des HSBs. Les recherches existantes sur les interventions relatives aux HSBs chez les adultes autistes sont en expansion, mais les données concernant les adolescents sont mal comprises. Ainsi, il est crucial de comprendre l'efficacité des interventions ciblant les HSBs chez les adolescents autistes. Nous avons réalisé une évaluation rapide des données probantes afin d'examiner les recherches évaluées par les pairs sur l'efficacité des interventions destinées aux adolescents autistes risquant de présenter ou présentant des HSBs. Au total, 12 études répondaient aux critères de l'examen. Les critères d'inclusion exigeaient que les articles soient publiés dans une revue à comité de lecture, portent sur la prévention et l'intervention relatives aux HSBs chez des adolescents âgés de 12 à 18 ans présentant un trouble du spectre de l'autisme, soient rédigés en anglais et incluent des données originales. Six bases de données ont été utilisées, et nous avons examiné les titres et les résumés de 34 études. Les études examinées décrivaient la thérapie cognitivo-comportementale, les interventions pharmacologiques, l'implication de la famille et les approches d'équipe multidisciplinaire pour traiter les HSBs. Toutefois, la littérature présente des limites importantes et nous suggérons qu'elle n'est pas suffisamment solide pour indiquer une approche prometteuse fondée sur des données probantes pour les interventions destinées aux adolescents autistes risquant de présenter ou qui manifestent et adoptent des HSBs, et les résultats ne sont pas transférables à la pratique. Des recherches supplémentaires sont nécessaires afin de mieux préparer les professionnels de santé à traiter les HSBs chez les adolescents autistes.

The management and treatment of harmful sexual behaviors (HSBs) in autistic adolescents is a complex area of research and clinical practice. Autistic adolescents face unique challenges in understanding social and sexual interactions, putting them at a higher risk of engaging in HSBs. Existing research on interventions for HSBs among autistic adults is growing, but evidence for adolescents is not well understood. Thus, understanding the effectiveness of interventions targeting HSBs in autistic adolescents is crucial. We conducted a rapid evidence assessment to review peer-reviewed research on the effectiveness of interventions for autistic adolescents at risk of or engaging in HSBs. In all, 12 studies met the criteria for review. Inclusion criteria required articles to be published in a peer-reviewed journal, be related to HSB prevention and intervention in adolescents aged 12 to 18 with autism spectrum disorder, be written in English, and include original data. Six databases were used, and we screened the titles and abstracts of 34 studies. The reviewed studies described cognitive-behavioral therapy, pharmacological interventions, family involvement, and multidisciplinary team approaches in addressing HSBs. However, the literature has significant limitations and we suggest that the literature is not robust enough to indicate a promising evidence-based approach for interventions for autistic adolescents who are at risk of or who display and engage in HSBs, and the findings are not transferable to practice. Additional research is required to better prepare healthcare professionals for addressing HSBs in autistic adolescents.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 19/09/2026 01:01.

Références citées
65
Avec un DOI
50
Sans DOI, à partir du texte brut de la bibliographie
13
4 / 65 (6,2 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
8 / 65 (12,3 %)
Références avec noms d’auteurices détectés
59 / 65 (90,8 %)
Sans nom d’auteurice détecté
6
Sans titre structuré
7
Sans identifiant stable
12
Références avec noms bruts d’auteurices restant à vérifier
5
Références avec problème de récupération des métadonnées externes
2
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
199
À partir du DOI ou de métadonnées externes
199
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
13
39 / 199 (19,6 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 160 / 199 (80,4 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
4 / 199 (2,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 4 / 39 (10,3 %). Personnes distinctes identifiées comme autistes : 3 / 193 (1,6 %).
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