La recherche sur l’autisme, « tout tourne autour des mecs et des enfants » : des femmes autistes brisent le silence sur la ménopause
Titre original en anglais : Autism research is ‘all about the blokes and the kids’: Autistic women breaking the silence on menopause
Moseley, R., Druce, T., & Gamble-Turner, J. (2020). Autism research is ‘all about the blokes and the kids’: Autistic women breaking the silence on menopause. British Journal of Health Psychology, 26(3), 709-726. https://doi.org/10.1111/bjhp.12477
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Résumé
OBJECTIFS : La ménopause est une transition majeure marquée par des défis considérables pour la santé et le bien-être. Son impact sur les femmes autistes a été presque largement ignoré, mais il est très préoccupant, compte tenu de la moins bonne santé physique et mentale, des capacités de régulation émotionnelle et d’adaptation, ainsi que de l’isolement social fréquent de ce groupe. Nous avons cherché à explorer la connaissance et la perception de la ménopause ; les expériences ménopausiques et leur impact dans la vie de chaque individu ; les manières dont la ménopause avec l’autisme pourrait différer d’une ménopause non autiste ; et à quoi pourrait ressembler un soutien optimal. PLAN D’ÉTUDE : Une étude qualitative par entretiens. MÉTHODES : Des entretiens approfondis ont été menés auprès de 17 participants autistes, dont 16 s’identifiaient comme des femmes cisgenres. Une analyse thématique inductive a été utilisée, guidée par les principes de l’IPA et la littérature. RÉSULTATS : Quatre thèmes majeurs ont été identifiés : (1) le long parcours de nos participants vers la reconnaissance de l’autisme à l’âge adulte ; (2) la connaissance et les perceptions de la ménopause ; (3) les symptômes et leur impact ; et (4) les manières dont une ménopause neurodiverse pourrait différer de la norme. Les expériences ménopausiques variaient grandement et certains participants ont connu une détérioration marquée du fonctionnement quotidien et des capacités d’adaptation, de la santé mentale et de l’engagement social. La connaissance de la ménopause était souvent faible, tout comme la confiance dans l’aide apportée par les professionnels de santé. CONCLUSIONS : Ces résultats impliquent que la ménopause pourrait gravement compromettre la santé et le bien-être des personnes autistes et indiquent un domaine de besoins de soutien insuffisamment pris en charge.
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