Cohort profile: the Australian Longitudinal Study of Adults with Autism (ALSAA).


Journal

BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874

Informations de publication

Date de publication:
04 12 2019
Historique:
entrez: 7 12 2019
pubmed: 7 12 2019
medline: 15 12 2020
Statut: epublish

Résumé

​PURPOSE: There is a significant knowledge gap regarding the lives of adults on the autism spectrum. Some literature suggests significant health and mental health inequalities for autistic adults, yet there is a lack of comprehensive longitudinal studies exploring risk factors. Further, most research does not include the perspective of autistic adults in its conduct or design. Here, we describe the baseline characteristics and inclusive research approach of a nationwide longitudinal study. ​PARTICIPANTS: The Autism Cooperative Research Centre for Living with Autism's Australian Longitudinal Study of Adults with Autism (ALSAA) is a questionnaire-based longitudinal study of autistic adults (25+ years old) with follow-up at 2-year intervals. Autistic advisors were involved in each stage of research apart from data analysis. Three questionnaires were developed: self-report, informant report (ie, proxy report) and carers (ie, carer experiences and characteristics). ​FINDINGS TO DATE: An inclusive research protocol was developed and agreed with autistic advisors. Baseline data were collected from 295 autistic adults (M=41.8 years, SD=12.0) including 42 informant responses, 146 comparison participants and 102 carers. The majority of autistic participants (90%) had been diagnosed in adulthood (M=35.3 years, SD=15.1). When compared with controls, autistic adults scored higher on self-report measures of current depression and anxiety. Participant comments informed ongoing data gathering. Participants commented on questionnaire length, difficulty with literal interpretation of forced response items and expressed gratitude for research in this area. ​FUTURE PLANS: A large comprehensive dataset relating to autistic adults and their carers has been gathered, creating a good platform for longitudinal follow-up repeat surveys and collaborative research. Several outputs are in development, with focus on health service barriers and usage, caregivers, impact of diagnosis in adulthood, further scale validations, longitudinal analyses of loneliness, suicidal ideation, mental illness risk factors and other areas. Baseline data confirm poorer mental health of autistic adults. The ALSAA demonstrates a working approach to inclusive research.

Identifiants

pubmed: 31806608
pii: bmjopen-2019-030798
doi: 10.1136/bmjopen-2019-030798
pmc: PMC6924702
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e030798

Informations de copyright

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Samuel Arnold (S)

Department of Developmental Disability Neuropsychiatry (3DN), UNSW, Sydney, New South Wales, Australia.
Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.

Kitty-Rose Foley (KR)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
School of Health and Human Sciences, Southern Cross University, Gold Coast, Bilinga, Queensland, Australia.

Ye In Jane Hwang (YIJ)

Department of Developmental Disability Neuropsychiatry (3DN), UNSW, Sydney, New South Wales, Australia.
Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.

Amanda L Richdale (AL)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.

Mirko Uljarevic (M)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.
Stanford Autism Center, Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, Stanford, California, USA.

Lauren P Lawson (LP)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.

Ru Ying Cai (RY)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, Victoria, Australia.

Torbjorn Falkmer (T)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia.

Marita Falkmer (M)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, Western Australia, Australia.
School of Education and Communication, CHILD Programme, Institution of Disability Research, Jonkoping University, Jonkoping, Sweden.

Nick G Lennox (NG)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Queensland Centre for Intellectual and Developmental Disability, Mater Research Institute - UQ, University of Queensland, South Brisbane, Queensland, Australia.

Anna Urbanowicz (A)

Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.
Queensland Centre for Intellectual and Developmental Disability, Mater Research Institute - UQ, University of Queensland, South Brisbane, Queensland, Australia.
Health, Society & Medicine Research Program, Social and Global Studies Centre, RMIT University, Melbourne, Victoria, Australia.

Julian Trollor (J)

Department of Developmental Disability Neuropsychiatry (3DN), UNSW, Sydney, New South Wales, Australia J.Trollor@unsw.edu.au.
Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Queensland, Australia.

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