Une revue systématique à méthodes mixtes sur l’impact du traitement des ED chez les personnes autistes et celles présentant des traits autistiques élevés

Titre original en anglais : A Mixed Method Systematic Review Into the Impact of ED Treatment in Autistic People and Those With High Autistic Traits

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Nimbley, E., Sharpe, H., Maloney, E., Gillespie‐Smith, K., Tchanturia, K., & Duffy, F. (2024). A Mixed Method Systematic Review Into the Impact of ED Treatment in Autistic People and Those With High Autistic Traits. International Journal of Eating Disorders, 58(1), 117-138. https://doi.org/10.1002/eat.24311

Date de publication: 14/11/2024 Ajout dans AutiHub: 06/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
6
Auteur·ices de la publication identifié·es comme autistes
1 / 6 (16,7 %)
  1. Emy Nimbley
  2. Helen Sharpe
  3. Ellen Maloney *
  1. Karri Gillespie‐Smith
  2. Kate Tchanturia
  3. Fiona Duffy

Résumé

OBJECTIF : Notre compréhension de l’impact du traitement des troubles alimentaires (ED) chez les personnes autistes reste limitée. La recherche a commencé à explorer les résultats et les expériences du traitement des ED dans cette population, mais les compréhensions actuelles sont mal intégrées. La présente revue a donc cherché à explorer l’impact du traitement des ED sur les personnes autistes et celles présentant des traits autistiques plus élevés. MÉTHODE : Une approche convergente et ségrégée a été utilisée, évaluant indépendamment les études quantitatives puis qualitatives avant d’intégrer les résultats dans une synthèse narrative cohérente. RÉSULTATS : Les personnes autistes et les personnes présentant des traits autistiques plus élevés rapportent de moins bonnes expériences de traitement et peuvent présenter un risque accru d’hospitalisation et de traitement hospitalier prolongé, possiblement expliqué par des difficultés liées aux délais de traitement et par un manque de soutien tenant compte de l’autisme. Les deux groupes ont rapporté des améliorations similaires des symptômes d’ED et de l’IMC. Des taux plus élevés de difficultés psychosociales avant et après le traitement ont été rapportés chez les personnes présentant des traits autistiques plus élevés, et les interventions axées sur les émotions ont été considérées comme particulièrement pertinentes pour les présentations autistiques des ED. Des préoccupations ont été rapportées quant à la mesure dans laquelle les programmes fondés sur le groupe et les interventions fondées sur la cognition sont adaptés aux personnes autistes et à celles rapportant des traits autistiques plus élevés. DISCUSSION : Des recherches futures sur des échantillons d’autisme diagnostiqué sont nécessaires de toute urgence afin de développer une compréhension plus solide des résultats et des expériences des personnes autistes. Les résultats de la revue démontrent la nécessité d’une meilleure compréhension des présentations des ED et du besoin possible d’adaptations du traitement pour les personnes autistes ou celles présentant des traits autistiques plus élevés.

OBJECTIVE: Our understanding of the impact of eating disorders (ED) treatment in Autistic people remains elusive. Research has begun to explore ED treatment outcomes and experiences in this population, however current understandings are poorly integrated. The current review therefore sought to explore the impact of ED treatment on Autistic people and those with higher Autistic traits. METHOD: A convergent, segregated approach was used, independently evaluating quantitative then qualitative studies before integrating findings into a coherent narrative synthesis. RESULTS: Autistic people and people with higher Autistic traits report poorer experiences of treatment and may be at increased risk of inpatient admission and prolonged inpatient treatment, possibly explained by difficulties with treatment timeframes and a lack of autism-informed support. Both groups reported similar improvements in ED symptoms and BMI. Higher rates of psychosocial difficulties pre-and post-treatment were reported in those with higher Autistic traits, and emotion-focused interventions were felt to be particularly relevant to Autistic presentations of EDs. Concerns were reported as to how well aligned group-based programs and cognitive-based interventions are for Autistic individuals and those reporting higher Autistic traits. DISCUSSION: Future research in diagnosed autism samples is urgently needed to develop a more robust understanding of Autistic outcomes and experiences. Review findings demonstrate the need for increased understanding of ED presentations and the possible need for treatment adaptations, for Autistic people or those with higher Autistic traits.

Bibliographie citée par cette référence

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Vue d’ensemble de l’inclusion dans la bibliographie

Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
97
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
3 / 97 (3,1 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
4 / 482 (0,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 4 / 96 (4,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 4 / 385 (1,0 %).
Occurrences citées rattachées à la base AutiHub
96 / 482 (19,9 %)
Auteurices cité·es distinct·es rattaché·es : 53 / 385 (13,8 %)
Occurrences rattachées, non identifiées comme autistes
92 / 96 (95,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 92 / 482 (19,1 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 49 / 53 (92,5 %).
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