Loneliness in Autism and Its Association with Anxiety and Depression: A Systematic Review with Meta-Analyses

被引:32
作者
Hymas, Rebecca [1 ]
Badcock, Johanna C. [2 ]
Milne, Elizabeth [3 ]
机构
[1] Univ Sheffield, Clin Psychol Unit, Sheffield, S Yorkshire, England
[2] Univ Western Australia, Sch Psychol Sci, Perth, WA, Australia
[3] Univ Sheffield, Dept Psychol, Sheffield, S Yorkshire, England
关键词
Autism; Loneliness; Anxiety; Depression; HIGH-FUNCTIONING CHILDREN; SPECTRUM QUOTIENT AQ; SOCIAL ANXIETY; MENTAL-HEALTH; PSYCHOMETRIC PROPERTIES; RATING-SCALE; SELF-REPORT; ADULTS; ADOLESCENTS; FRIENDSHIP;
D O I
10.1007/s40489-022-00330-w
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objectives This systematic review aimed to quantify differences in loneliness levels between autistic and neurotypical samples and investigate the association between loneliness and mental health in autistic individuals. Methods Three meta-analyses were conducted. Studies were methodologically appraised using established tools. Results Overall, 39 studies were included. The majority of these achieved moderate methodological quality ratings. The primary meta-analysis (N = 23) found autistic samples reported higher loneliness compared with neurotypical samples (Hedges' g = .89). The meta-analyses on the associations between loneliness and anxiety (N = 14) and depression (N = 11) in autistic samples found significant pooled correlations (r = .29 and r = .48, respectively). Conclusions This review highlights numerous limitations within current autism and loneliness research. Nevertheless, loneliness in autism merits targeted clinical and research attention.
引用
收藏
页码:121 / 156
页数:36
相关论文
共 175 条
[1]  
Achenbach T M., 2003, Ratings of relations between DSM-IV diagnostic categories and items of the Adult self-report (ASR) and adult behavior checklist (ABCL)
[2]  
American Psychiatric Association, 2013, DIAGN STAT MAN MENT, DOI 10.1176/appi.books.9780890425596
[3]  
[Anonymous], 2001, Manual for the ASEBA school-age forms profiles
[4]   Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research [J].
Armijo-Olivo, Susan ;
Stiles, Carla R. ;
Hagen, Neil A. ;
Biondo, Patricia D. ;
Cummings, Greta G. .
JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 2012, 18 (01) :12-18
[5]  
Asher S.R., 2014, The handbook of solitude. Psychological perspectives on social isolation, social withdrawal, and being alone, P283, DOI DOI 10.1002/9781118427378.CH16
[6]   CHILDRENS LONELINESS - A COMPARISON OF REJECTED AND NEGLECTED PEER STATUS [J].
ASHER, SR ;
WHEELER, VA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1985, 53 (04) :500-505
[7]   LONELINESS IN CHILDREN [J].
ASHER, SR ;
HYMEL, S ;
RENSHAW, PD .
CHILD DEVELOPMENT, 1984, 55 (04) :1456-1464
[8]  
Badcock JC., 2022, Position statement: addressing social isolation and loneliness and the power of human connection
[9]   Loneliness in psychosis: A practical review and critique for clinicians [J].
Badcock, Johanna C. ;
Adery, Laura H. ;
Park, Sohee .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2020, 27 (04)
[10]   The Autism-Spectrum Quotient (AQ): Evidence from Asperger syndrome/high-functioning autism, males and females, scientists and mathematicians [J].
Baron-Cohen, S ;
Wheelwright, S ;
Skinner, R ;
Martin, J ;
Clubley, E .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2001, 31 (01) :5-17