Une étude transdiagnostique de l'attention, de l'hyperfocalisation et du monotropisme dans l'autisme, le développement de l'hyperactivité avec dérégulation attentionnelle et la population générale

Titre original en anglais : A trans-diagnostic investigation of attention, hyper-focus, and monotropism in autism, attention dysregulation hyperactivity development, and the general population

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Dwyer, P., Williams, Z. J., Lawson, W., & Rivera, S. M. (2024). A trans-diagnostic investigation of attention, hyper-focus, and monotropism in autism, attention dysregulation hyperactivity development, and the general population. Neurodiversity, 2. https://doi.org/10.1177/27546330241237883

Date de publication: 01/01/2024 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
3 / 4 (75,0 %)
  1. Patrick Dwyer *
  2. Zachary J. Williams *
  3. Wenn Lawson *
  4. Susan M. Rivera

Résumé

L'hypothèse du monotropisme postule que l'hyperfocalisation sur les intérêts est centrale dans la cognition autistique ; de plus, l'hyperfocalisation est fréquente dans le développement de l'hyperactivité avec dérégulation attentionnelle (ADHD). Cependant, l'ADHD est en partie défini par une susceptibilité à la distraction, et la recherche a mis en évidence une capture attentionnelle dans l'autisme. Nous avons étudié l'hyperfocalisation dans l'autisme et l'ADHD, sa relation avec l'inattention, et si elle est liée à la qualité de vie, à l'hypervigilance, à la pensée répétitive négative et aux symptômes d'anxiété et de dépression. 492 adultes (122 avec ADHD uniquement, 130 autistes uniquement, 141 autistes + ADHD et 99 participants de comparaison) ont rempli des questionnaires évaluant l'hyperfocalisation dans plusieurs domaines, l'inattention et la valence de leurs expériences d'hyperfocalisation. L'hyperfocalisation et l'inattention étaient élevées dans tous les groupes neurodivergents et étaient positivement corrélées, ce qui implique qu'une régulation atypique de l'attention, se manifestant parfois par l'hyperfocalisation et parfois par l'inattention, est un phénomène transdiagnostique. L'hyperfocalisation prédisait une moins bonne qualité de vie globale, davantage d'hypervigilance, davantage de pensée répétitive négative et davantage de symptômes d'anxiété et de dépression ; cependant, les expériences positives d'hyperfocalisation ont médiatisé une relation indirecte entre l'hyperfocalisation et une meilleure qualité de vie, atténuant partiellement l'association négative globale. En effet, les participants neurodivergents ont non seulement rapporté davantage d'expériences négatives d'hyperfocalisation que les témoins, mais aussi davantage d'expériences positives. Des études ultérieures pourraient explorer les facteurs contextuels influençant le fait que l'hyperfocalisation ait des effets positifs ou négatifs sur la vie quotidienne.

The monotropism hypothesis posits that hyper-focus on interests is core to autistic cognition; moreover, hyper-focus is common in attention dysregulation hyperactivity development (ADHD). However, ADHD is partly defined by susceptibility to distraction, and research has found evidence of attention capture in autism. We investigated hyper-focus in autism and ADHD, its relationship to inattention, and whether it is related to quality of life, hypervigilance, negative repetitive thinking, and symptoms of anxiety and depression. 492 adults (122 ADHD-only, 130 autistic-only, 141 autistic + ADHD, and 99 comparison) completed questionnaires indexing hyper-focus in multiple domains, inattention, and the valence of their hyper-focus experiences. Hyper-focus and inattention were elevated in all neurodivergent groups, and were positively correlated, implying that atypical regulation of attention, sometimes manifesting in hyper-focus and sometimes in inattention, is a trans-diagnostic phenomenon. Hyper-focus predicted poorer global quality of life, more hypervigilance, more negative repetitive thinking, and more symptoms of anxiety and depression; however, positive experiences of hyper-focus mediated an indirect relationship between hyper-focus and greater quality of life, partially attenuating the overall negative association. Indeed, neurodivergent participants not only reported more negative experiences of hyper-focus than controls, but also more positive experiences. Further studies could explore contextual factors influencing whether hyper-focus has positive or negative impacts on daily life.

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Références citées
146
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
13 / 146 (8,9 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
21 / 737 (2,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 21 / 148 (14,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 18 / 707 (2,5 %).
Occurrences citées rattachées à la base AutiHub
148 / 737 (20,1 %)
Auteurices cité·es distinct·es rattaché·es : 126 / 707 (17,8 %)
Occurrences rattachées, non identifiées comme autistes
127 / 148 (85,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 127 / 737 (17,2 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 108 / 126 (85,7 %).
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