Centrer l'expérience intérieure de l'autisme : élaboration de l'Auto-évaluation des traits autistiques
Titre original en anglais : Centering the Inner Experience of Autism: Development of the Self-Assessment of Autistic Traits
Ratto, A. B., Bascom, J., daVanport, S., Strang, J. F., Anthony, L. G., Verbalis, A., Pugliese, C. E., Nadwodny, N., Brown, L. X. M. Z., Cruz, M., Hector, B. L., Kapp, S. K., Giwa Onaiwu, M., Raymaker, D. M., Robison, J. E., Stewart, C., Stone, R., Whetsell, E., Pelphrey, K. A., & Kenworthy, L. (2022). Centering the Inner Experience of Autism: Development of the Self-Assessment of Autistic Traits. Autism in Adulthood, 5(1), 93-105. https://doi.org/10.1089/aut.2021.0099
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Auteurs
Résumé
Les outils actuels d'identification de l'autisme sont critiqués pour leur manque de spécificité et de sensibilité, en particulier chez les personnes autistes plus âgées, ayant des capacités verbales plus élevées ou des compétences compensatoires importantes, et qui ne sont pas des garçons cisgenres. Cela peut refléter les éléments suivants : l'accent historique de la recherche sur l'autisme sur les enfants blancs, de sexe masculin (cisgenres), issus des classes supérieures et moyennes ; l'intérêt limité porté à l'expérience intérieure et vécue de l'autisme ; et la prédominance d'un modèle de l'autisme fondé sur les déficits. Nous présentons ici la première tentative dont nous ayons connaissance visant à élaborer une mesure clinique auto-rapportée des traits autistiques tels qu'ils sont décrits par les personnes autistes. Nous estimons qu'il s'agit d'une avancée méthodologique, car les travaux antérieurs portant sur l'élaboration de mesures des traits autistiques ou de mesures diagnostiques ont privilégié les perspectives de cliniciens et de scientifiques non autistes. La mesure a été élaborée sous la direction de deux chercheurs autistes et construite en s'appuyant sur des descriptions de l'autisme par des personnes autistes afin de générer des items conçus pour englober l'éventail de l'expérience autistique, en utilisant un langage accessible fondé sur les forces. L'équipe a utilisé des retours itératifs d'un panel d'experts autistes afin d'affiner et d'améliorer la mesure, appelée Self Assessment of Autistic Traits (SAAT). Elle est destinée aux personnes âgées de 16 ans ou plus et utilise un format conçu pour accroître son accessibilité et son acceptabilité pour les répondants autistes. Des travaux futurs rendront compte des propriétés psychométriques préliminaires du SAAT, avec pour objectif à long terme de faire progresser notre compréhension de l'expérience autistique intérieure et d'améliorer l'évaluation clinique et scientifique de l'autisme.
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